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One of the reasons for the adoption of the term âchallenging behaviourâ was to provide a reminder that severely problematic or socially unacceptablebehaviour should be seen as a challenge to services rather than a manifestation of psychopathological processes. In order to respond to this âchallengeâ services need to promote positive behavioural development, reduce the occurrence of damaging behaviour and maintain peopleâs access to a decent quality of life despite continuing behavioural difficulties. This stands in direct contrast to the way services have traditionally dealt with the problem by resorting to the progressive removal of individuals from social visibility and relying on institutional containment. Having seriously challenging behaviour brings with it a greater likelihood of exclusion from community settings and services (Borthwick-Duffyet al., 1987), low access to day services and psychological treatment (Oliver et al., 1987), physical restraint (Oliveret al., 1987), inadequate positive social stimulation (Emerson et al., 1992; Felce et al., 1995), negative or assaultative reactions from others (Grant & Moores, 1977; Maurice & Trudel, 1982; Rush et al., 1986), and a life with little constructive activity to fill it (Emerson et al., 1992; Fdce et al., 1995). In addition, antipsychotic medications have been widely prescribed to people
Journal of Applied Research in Intellectual Disabilities – Wiley
Published: Sep 1, 1996
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