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People with severe and profound intellectual disabilities should have the opportunity to receive psychoanalytic psychotherapy to deal with their emotional suffering. However, their needs are not always considered. This book is not only about the people officially designated intellectually disabled, but it is also about the ways in which all of us suffer from the limitations which can be discerned from clinical work on the inner world of these individuals. This book provides detailed case accounts that show the ups and downs of the therapeutic process, particularly when dealing with these handicapped individuals. Based on more than 30 years' of practice in the field, this stimulating, innovative, and very moving revised edition examines questions of loss, bereavement, sexual abuse, and the process and meaning of thinking. Many people wondered what actually happened in a therapy session. This landmark book by Valerie Sinason was one of the first to provide verbatim accounts of therapy sessions.
What is the sense in 'stupidity'? This book is not only about the people officially and bureaucratically designated mentally handicapped, but also about how all of us suffer from the limitations and self-limitations which can be discerned from clinical work on the inner world of those so designated. An innovative and moving work, which includes a wealth of clinical material.
Intellectual disability is often overlooked within mainstream disability studies, and theories developed about disability and physical impairment may not always be appropriate when thinking about intellectual (or learning) disability. This pioneering book, in considering intellectually disabled people's lives, sets out a care ethics model of disability that outlines the emotional caring sphere, where love and care are psycho-socially questioned, the practical caring sphere, where day-to-day care is carried out, and the socio-political caring sphere, where social intolerance and aversion to difficult differences are addressed. It does so by discussing issue-based everyday life, such as family, relationships, media representations and education, in an evocative and creative manner. This book draws from an understanding of how intellectual disability is represented in all forms of media, a feminist ethics of care, and capabilities, as well as other theories, to provide a critique and alternative to the social model of disability as well as illuminate care-less spaces that inhabit all the caring spheres. The first two chapters of the book provide an overview of intellectual disability, the debates surrounding disability, and outline the model. Having begun to develop an innovative theoretical framework for understanding intellectual disability and being human, the book then moves onto empirical and narrative driven issue-based chapters. The following chapters build on the emergent framework and discuss the application of particular theories in three different substantive areas: education, mothering and sexual politics. The concluding remarks draw together the common themes across the applied chapters and link them to the overarching theoretical framework. An important read for all those studying and researching intellectual or learning disability, this book will be an essential resource in sociology, philosophy, criminology (law), social work, education and nursing in particular.
Intellectual Disability and Psychotherapy: The Theories, Practice and Influence of Valerie Sinason charts the transformative impact of the noted psychotherapist’s work with children and adults with intellectual disabilities upon both a generation of clinicians and the treatment and services delivered by them. Examining how contemporary Disability Therapists have discovered, used and adapted such pioneering concepts as the Handicapped Smile and Secondary Handicap as a Defence Against Trauma in their clinical work, the book includes contributions from renowned practitioners and clinicians from around the world. It shines a light on how Sinason’s work opened doors for working with people who were previously thought of as unreachable. Intellectual Disability and Psychotherapy will be an essential resource to anyone working with children or adults with disabilities, as well as psychotherapists interested in exploring Valerie Sinason’s work.
This book examines a range of important conceptual, ethical, social and religious issues arising from mental handicap. It contains a vigorous defence of the contention that mentally handicapped human beings are persons. It attacks both the contemporary philosophical attempts to dismiss the personhood of mentally handicapped people and the genocidal policies which those attempts suggest. It explores the logic of the attitudes which have lead to the marginalisation and oppression of the mentally handicapped.
Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits in 2013, about 50% were disabled primarily due to a mental disorder. An increase in the number of children who are recipients of SSI benefits due to mental disorders has been observed through several decades of the program beginning in 1985 and continuing through 2010. Nevertheless, less than 1% of children in the United States are recipients of SSI disability benefits for a mental disorder. At the request of the Social Security Administration, Mental Disorders and Disability Among Low-Income Children compares national trends in the number of children with mental disorders with the trends in the number of children receiving benefits from the SSI program, and describes the possible factors that may contribute to any differences between the two groups. This report provides an overview of the current status of the diagnosis and treatment of mental disorders, and the levels of impairment in the U.S. population under age 18. The report focuses on 6 mental disorders, chosen due to their prevalence and the severity of disability attributed to those disorders within the SSI disability program: attention-deficit/hyperactivity disorder, oppositional defiant disorder/conduct disorder, autism spectrum disorder, intellectual disability, learning disabilities, and mood disorders. While this report is not a comprehensive discussion of these disorders, Mental Disorders and Disability Among Low-Income Children provides the best currently available information regarding demographics, diagnosis, treatment, and expectations for the disorder time course - both the natural course and under treatment.
In the literature on intellectual disability, there has been a continuous assumption that persons with intellectual disability lack the capacity for autonomy and self-determination. Indeed, this assumption emerges in even those studies that are critical of the historic treatment of persons with intellectual disability. But as the literature has evolved, matured, and self- reflected, the agency of persons with intellectual disability has become recognized, particularly in the form of self-advocacy. Thus, the literature has had the consequence of transforming intellectual disability from a medical condition to a socio-cultural identity, deserving of all aspects of citizenship, which includes community belonging. Social work has historically been concerned with socio-cultural identity, rights, and community belonging as its aim has been to serve and promote the well-being of the individual-as individuals understand themselves and their place of belonging. Accordingly, the persistent debate of community versus individual housing, community integration versus individual needs must be understood from the perspective of the intellectual disability as a socio-cultural identity.
Comprehensive concise and easily accessible this is the first health economics dictionary of its kind and is an essential reference tool for everyone involved or interested in healthcare. The modern terminology of health economics and relevant terms used by economists working in the fields of epidemiology public health decision management and policy studies are all clearly explained. Combined with hundreds of key terms the skilful use of examples figures tables and a simple cross-referencing system between definitions allows the often complex language of health economics to be demystified.
In a challenge to current thinking about cognitive impairment, this book explores what it means to treat people with intellectual disabilities in an ethical manner. Reassessing philosophical views of intellectual disability, Licia Carlson shows how we can affirm the dignity and worth of intellectually disabled people first by ending comparisons to nonhuman animals and then by confronting our fears and discomforts. Carlson presents the complex history of ideas about cognitive disability, the treatment of intellectually disabled people, and social and cultural reactions to them. Sensitive and clearly argued, this book offers new insights on recent trends in disability studies and philosophy.