Adopting a predominantly psychological approach, this book provides carers with up-to-date information and resources to provide appropriately individualised care to people with learning disabilities who self-injure. "Understanding and Working with People with Learning Disabilities who Self-Injure" synthesises traditional (behavioural) and newer (psychological) approaches to understanding self-injury, drawing on psychoanalytic and social theory to provide practical guidelines for more sustained and effective support. It suggests that motivations for self-injury may be similar for people with and without learning disabilities, and draws on case work examples to suggest person-centred techniques that encourage communication - particularly important with people who do not use verbal communication - and recovery. The book covers a range of specific needs, including people with autism who self-injure, and emphasises the views of people with learning disabilities themselves and their families about what has worked best, and why. At the end of each chapter, a variety of practical implications for the provision of support are given.
This book is for those supporting people with learning disabilities who self-injure and will be a useful resource for social workers, psychologists, counsellors, learning support workers, nurses and social and health care students.
Acknowledgements.; Part I.; 1. Introduction. Andrew Lovell, University of Chester, UK and Pauline Heslop, University of Bristol, UK.; 2. Dimensions of Self-injury. Andrew Lovell and Pauline Heslop.; 3. Social Approaches to Understanding Self-injury. Pauline Heslop.; 4. Psychoanalytic Approaches to Understanding Self-injury. Pauline Heslop and Richard Curen, Respond, UK.; 5. The Voice of Experience: People with Learning Disabilities and their Families Talking About How They Understand Self-injury. Pauline Heslop and Fiona Macauley, Bristol Crisis Service for Women, Bristol, UK.; Part 2.; 6. Minimising Harm. Helen Duperouzel and Rebecca Fish, Calderstones NHS Trust, UK.; 7. What People with Learning Disabilities Say Helps Them. Pauline Heslop and Fiona Macaulay.; 8. Family Voices. Andrew Lovell.; 9. Psychoanalytical Approaches in Practice I. Valerie Sinason, Clinic for Dissociative Studies, UK.; 10. Psychoanalytical Approaches in Practice II. Noelle Blackman, Respond, UK and Richard Curen.; 11. Self-injury and Loss of Sense of Self. Phoebe Caldwell, Intensive Interaction practitioner.; 12. A Relational Approach to Understanding Our Responses to Self-injury. Gloria Babiker, University of Bath, UK.; 13. Conclusion. Pauline Heslop and Andrew Lovell. References. Index.