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Thinking the unthinkable: papers on sexual abuse and people with learning difficulties
- Editors:
- BROWN Hilary, CRAFT Ann
- Publisher:
- Family Planning Association. Education Unit
- Publication year:
- 1989
- Pagination:
- 94p, bibliogs.
- Place of publication:
- London
The need for safeguards; a child psychiatrist's perspective; sex education and assertiveness skills; uncovering and identifying sexual abuse in psychotherapeutic settings; sexual abuse and adults.
Commentary on “The bounds of liberty: lessons learnt from treating a man with alcohol use disorder, autism and learning disability”
- Author:
- BROWN Hilary
- Journal article citation:
- Tizard Learning Disability Review, 23(1), 2018, pp.35-41.
- Publisher:
- Emerald
Purpose: In commenting on the issues raised by Drake et al. the purpose of this paper is to discuss three areas of practice: assessing capacity in the presence of intransigence and/or rigid patterns of thinking and behaviour; understanding addiction in this context; and identifying “reasonable adjustments” in the way addiction and substance misuse services are provided to this client group. Design/methodology/approach: As well as discussing the issues raised by Drake et al. the commentary refers to a serious case review exploring similar issues. Findings: Both the case discussed by Drake et al. and the serious case review draw attention to the importance of identifying “reasonable adjustments” to current practice. Research limitations/implications: While the implications of the cases discussed are very significant, further work quantifying the scope of the problems identified would be very useful. Practical implications: The 1995 Disability Discrimination Act (UK) requires public services to make “reasonable adjustments” in order for people with a range of disabilities to access their services on an equitable basis. This paper identifies what some of those areas of difficulty might be. Originality/value: This is a relatively new area of work and expertise in both mainstream addiction and specialist intellectual disability and mental health services needs to be developed in order for them to provide more coherent and accessible programmes to individuals. (Publisher abstract)
Service responses to men with intellectual disabilities who have unacceptable or abusive sexual behaviours: the case against inaction
- Authors:
- BROWN Hilary, THOMPSON David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.176-197.
- Publisher:
- Wiley
Describes service responses to a small group of men with intellectual disabilities whose sexual behaviour was considered to be unacceptable or abusive. The data was gathered through a small-scale action research project using case studies to explore current practice and staff attitudes. Results found that service responses were hindered by unclear definitions of abusive sexual behaviour and inconsistent perceptions of risk. They were also characterised by poor coordination, lack of specific care-planning, failure to agree to appropriate additional supervisory measures and lack of clarity within and between agencies. Also found that complex ethical and advocacy issues remained unaddressed in these men's lives as did the necessity of protecting vulnerable people who might be potential victims of their behaviour.
Men with intellectual disabilities who sexually abuse: a review of the literature
- Authors:
- THOMPSON David, BROWN Hilary
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(2), 1997, pp.140-158.
- Publisher:
- Wiley
Trailing behind the recent acknowledgement of the high incidence of sexual abuse amongst people with intellectual disabilities is a recognition of men with intellectual disabilities as perpetrators of sexual abuse. This article reviews the North American, Australian and British literature published in this area. It demonstrates that both theoretical understandings and clinical interventions with men with intellectual disabilities are often discordant with wider perspectives of work with sexual abusers. The effect of this is shown to be common discriminatory practice received by men with intellectual disabilities which at times shows poor regard for their rights.