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Problem behaviors often compound the already difficult task of improving the lives of persons with severe disabilities. This important volume, representing the culmination of more than a decade of clinical research, presents the first complete description of the procedures used in Functional Communication Training--a positive approach for reducing severe behavior problems. The procedures described in this book have been validated by numerous empirical studies for use with children, adolescents, and adults who display behaviors as diverse as aggression, self-injury, tantrums, and bizarre, psychotic speech. Functional Communication Training involves teaching students how to communicate those basic wants and needs that they have previously sought to have fulfilled via their problem behavior. They are taught to replace their challenging behavior with learned communication skills. This book provides the practitioner with step-by-step instructions for implementing this effective approach. A variety of assessment strategies are reviewed and described to assist in determining appropriate interventions. The Motivation Assessment Scale--one device designed to assess the function of problem behavior--is outlined in detail and is accompanied with guidelines for its administration and interpretation. Communication training is then detailed and illustrated using speech, sign language, and augmentative systems as examples. Numerous case examples throughout illuminate both the assessment and intervention strategies. Providing clear direction for ameliorating complex behavior problems, this book will be valued by psychologists, behavior analysts, special educators, and speech and language therapists. It can be used as a text for advanced undergraduate courses on behavior management in psychology and special education, and also serves as supplementary reading for courses on behavior modification or mental retardation/developmental disabilities.
A survey of the instruments and methods that are available for assessment of psychopathology and behavior problems in persons with mental retardation. Instruments are described and evaluated from a methodological perspective.
This book responds to a critical need for highly qualified personnel who will become exemplary professionals because of their advanced knowledge, skills, and experiences in working with students and adults that have varying disabilities, including Autism Spectrum Disorders (ASD). Since Board Certification for behavior analysts was introduced, there has been an expansion of training programs in Applied Behavior Analysis to meet the demands from school districts, health insurers, and families. In spite of these developments, a case studies book has not been available that uses the Behavior Analyst Certification Board Task List, Fifth Edition (BACB) guidelines for educating individuals receiving their BCBA, or for those in the field such as teachers, and service providers. The goal of this book is to fill that need. In this newly revised second edition, eighteen case studies are provided—case studies with complete analysis, case studies with partial analysis, and case studies without analysis. The first six cases present a complete analysis, which allows the reader to analyze and develop a comprehensive Positive Behavior Support Plan containing detailed answers and supporting data systems. The second six case studies include the areas from the BACB Task List, and the items are most relevant for analysis, but the analysis is not complete. This enables the reader to complete the analysis themselves which will promote skill building. The final six case studies do not contain an analysis or guideline. This allows the reader to further develop their skills by creating their own guidelines for analysis and implementing their plan. The use of this text will improve the comprehensive analysis and coverage of the developing supports for individuals with disabilities, provide direct applicability to applied settings, and the ability to use the case studies for assignments and/or exams. The format, readability, and detailed description of instructional methodology makes this text a valued resource for instructors and behavior analysts responsible for improving the skills of people with disabilities.
Since the 1970s, the development of normalization philosophy and the implementation of community care policies have highlighted the nature and treatment of psychiatric and behavior disorders in people with mental retardation and rekindled the interest of scientists, psychiatric practitioners, and service providers. With these changes has grown a substantial body of new research and information on the phenomenology, epidemiology, classification, and clinical features of mental illness and behavior disorders in mentally retarded persons. In response to this growing interest and awareness, the editors, together with internationally renowned contributors from the United States and Europe, have compiled the first comprehensive handbook of the current theory and practice of mental health treatment and care in mentally retarded children and adults. Both contemporary and in-depth, this multidisciplinary, multidimensional volume covers all available therapeutic methods, including psychopharmacotherapy, psychotherapy, behavior therapies, cognitive therapy, and the systems approach for all the main diagnostic disorders in people with mental retardation. Parts I and II present an overview of epidemiology and clinical presentation, including research trends, and therapeutic methods, including psychotherapy, psychopharmacology, behavioral therapies, cognitive and social learning treatments, and working with families and caregivers. Parts III and IV focus on psychotherapeutic interventions, such as rational emotive group treatment with dually diagnosed adults, pre-therapy for persons with mental retardation who are also psychotic, and systemic therapy, and how to apply these methods to the treatment of specific mental illnesses, such as schizophrenia, epilepsy, and mood and anxiety disorders. Parts V and VI discuss how to treat behavior disorders such as aggression/self-aggression (pharmacotherapy and strategic behavioral interventions) and self-injurious behaviors (multimodal contextual approach), including group therapy for sex offenders and a pedagogical approach to behavior problems, and which treatment methods, such as psychodynamically oriented psychotherapy and pharmacotherapy, are most effective with children, including developmental-dynamic relationship therapy with more severely mentally retarded children. Parts VII and VIII provide guidance on mental health services and staff training, including psychiatric treatment in community care and a model for inpatient services for mentally ill persons with mental retardation, and the editors final chapter, which draws together all the various therapeutic approaches described in previous chapters to provide a practical framework for an integrative approach. Filling a major gap in the literature, this indispensable resource for psychiatrists, psychologists, and educators working with mentally retarded persons is also intended for general practitioners, doctors, social workers, and therapists working in the same or related fields.
Scarcely a day passes without the media detailing some form of human aggression, whether it be on its grandest scale in the form of war, random bombings and shootings in the streets, torture in a prison camp, murder by gangs, wife abuse resulting in the murder of the husband, or the physical abuse of children, sometimes resulting in their death. Frequently perpetrators of human aggression, when arrested and tried in court, resort to a psychiatric defense. But are all such aggressors indeed appropriately psychiatric patients? And if so, what are their particular diagnoses and how do these relate to aggression? Also of concern is aggression directed against self, as evidenced in the rising incidence of suicide among young people or the self-mutilation of patients suffering from certain personality disorders. Both violence directed outward and aggression toward oneself pose considerable challenges to clinical management, whether in the therapist's office or in the inpatient unit. Although we have not been able to find successful deterrents to aggression, a sizeable body of evidence does exist, certainly of a descriptive nature. Such data for psychiatric patients are scattered, however, and can be found in literatures as diverse as the biological, ethological, epidemiological, legal, philosophical, psychological, psychiatric, and crimi nological. Therefore, given the increased frequency with which mental health professionals encounter cases of violence in their day-to-day work, we believed it important that existing data be adduced in one comprehensive volume.
This is a thoroughly revised, expanded and updated new edition, giving a comprehensive, cross-disciplinary overview of challenging behaviour.
This is a timely book. The question of how to help people with challenging behaviour -and how to design and manage services so that staff, families and users feel that what should be done is being done - is at the top of the agenda. Failure to deal com petently with the issue results in disaffection, poor quality ser vices and a less than optimal quality of life for service users. Moreover, the credibility of services for all people with learning disabilities is intimately connected with how we cope with chal lenging behaviour, a point made recently by a Department of Health Working Group chaired by Jim Mansell (Department of Health, 1993). The book is welcome because it draws together what is known about the important questions from a British perspective, although, of course, most of the underlying issues have world wide relevance. The contributors, while all having a good deal of experience and authority, do not put forward simple portrayals of the problems, nor glib solutions, and this is one of the book's major strengths. Clarity in the field of challenging behaviour is sometimes elu sive. What is presented here forces the reader to confront argu ments in a rational and logical fashion.