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Ethical Approaches to Physical Interventions. Responding to Challenging Behaviour in People with Intellectual Disabilities

Ethical Approaches to Physical Interventions. Responding to Challenging Behaviour in People with... The publication of a book devoted to the subject of physical interventions and the ethical issues therein marks a very significant milestone in the literature on challenging behaviour. The research literature on how to address challenging behaviour in people with learning disabilities is substantial and growing seemingly exponentially. We now know much about how best to assess in terms of functional analysis and how best to intervene in terms of non‐aversive behavioural support in order to promote lasting and socially valid change. This is the result of research findings that have emerged over the last 20 years which have radically altered our understanding of the dynamic interactions which over time may give rise to challenging behaviour. The problem in this respect remains promoting access to such understanding and in ensuring the routine use of evidence‐based planned interventions for those many service users all too often still subjected to ‘unplanned’ care. There has, however, in our shiny new world of evidence‐based practice, been something of a dirty little secret. That secret has been the immediate ‘management’ of challenging behaviour when it takes the form of violence, which as Emerson's chapter in this text reminds us, it often does. This http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Applied Research in Intellectual Disabilities Wiley

Ethical Approaches to Physical Interventions. Responding to Challenging Behaviour in People with Intellectual Disabilities

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Publisher
Wiley
Copyright
Copyright © 2004 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1360-2322
eISSN
1468-3148
DOI
10.1111/j.1468-3148.2004.00202.x
Publisher site
See Article on Publisher Site

Abstract

The publication of a book devoted to the subject of physical interventions and the ethical issues therein marks a very significant milestone in the literature on challenging behaviour. The research literature on how to address challenging behaviour in people with learning disabilities is substantial and growing seemingly exponentially. We now know much about how best to assess in terms of functional analysis and how best to intervene in terms of non‐aversive behavioural support in order to promote lasting and socially valid change. This is the result of research findings that have emerged over the last 20 years which have radically altered our understanding of the dynamic interactions which over time may give rise to challenging behaviour. The problem in this respect remains promoting access to such understanding and in ensuring the routine use of evidence‐based planned interventions for those many service users all too often still subjected to ‘unplanned’ care. There has, however, in our shiny new world of evidence‐based practice, been something of a dirty little secret. That secret has been the immediate ‘management’ of challenging behaviour when it takes the form of violence, which as Emerson's chapter in this text reminds us, it often does. This

Journal

Journal of Applied Research in Intellectual Disabilities – Wiley

Published: Sep 1, 2004

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