Search results for ‘Subject term:"learning disabilities"’ Sort:
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Resetting the balance: from despair to self-determination
- Authors:
- HALL Ian, CROSSLEY Brenda, MERCER Mark
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 4(3/4), 2013, pp.70-76.
- Publisher:
- Emerald
Purpose: A case study approach to highlight the use of cognitive neurological rehabilitation in the therapeutic management of two service users who have a diagnosis of learning disability and who have exhibited the extremes of aggressive and challenging behaviour. The purpose of this paper is to explore the remarkable progress made by two service users for whom services seemed to be at a loss as to how to meet all but there basic needs. Their journeys from hopelessness to optimism and recovery are both attributable to the cognitive neurological rehabilitation model and how staff and service users worked together to gradually regain control. Design/methodology/approach: A case study approach highlighting the value of training, team working and a therapeutic model and the impact this has made on service users who, in the past, where labelled as highly disruptive and potentially untreatable. Findings: That the cognitive neurological approach is effective in managing service users who have certain cognitive deficits in a structured and supportive way that allows positive progress towards recovery. Practical implications – A very practical intervention that can be taught and supported. An intervention that appears to achieve excellent clinical results. Originality/value – Very original and effective approach to care and treatment of service users with diagnosis of learning disability living in conditions requiring security. (Publisher abstract)
Cross dressing and gender dysphoria in people with learning disabilities: a descriptive study
- Authors:
- PARKES Georgina, HALL Ian, WILSON Daniel
- Journal article citation:
- British Journal of Learning Disabilities, 37(2), June 2009, pp.151-156.
- Publisher:
- Wiley
The authors aimed to determine the characteristics of people with learning disability who cross-dress or who have gender dysphoria. they carried out a retrospective review of anonymised data from clinical records about people referred to a specialist service. All 13 participants cross-dressed and 12 were biological males. Only one person was in a core transsexual group which may do better from sex reassignment surgery. There was a high level of mental health problems and high levels of reported childhood abuse. Three people were unhappy about their homosexual feelings, and two people had capacity issues. People with learning disabilities experience a wide range of gender identity issues similar to those seen in the non-learning disabled population. They would benefit from a more person centred understanding. People with learning disability may need longer assessments and more psychotherapeutic exploration and intervention prior to thinking about hormone and surgical interventions. Deciding treatment in someone's best interests for those lacking capacity presents complex ethical dilemmas.