Self Injurious Behavior In Intellectual Disabilities

Self-Injurious Behavior in Intellectual Disabilities gives a broad overview of the literature in the area of self-injurious behavior in people with intellectual disabilities, but most of the text is dedicated to the review of the behavioral and biological research in this field. In fact, it is our view that the most promising heuristic approach for the advancement of our understanding of this phenomenon and for its management and treatment is likely the bio-behavioral perspective in which behavior can be studied at the intersect of learning and the biological bases of behavior. We propose an overarching heuristic model, which we call the Gene-Brain-Behavior Model of Self-Injurious Behavior that presents a platform to integrate disparate, and previously isolated scientific approaches. Written by 3 authors to provide cohesive coverage Bridges the gap between psychological behavior and psychiatry Examines the overlap between intellectual disabilities and developmental disabilities

This book addresses self-injurious behavior (SIB) in individuals with various neurodevelopmental conditions (NDCs). It takes a cross-NDC perspective that synthesizes recent research on variability in incidence and presentation across NDCs and the natural history and neurobiology of SIB. Chapters examine implications for biobehavioral definitions of subtypes of SIB and provide a detailed guide to assessment and intervention using an integrated research-based model for individualized treatment. In addition, chapters present a practice-focused structure using case studies to illustrate clinical implications of research findings. The book concludes with a discussion of current directions in research and their potential to guide innovation in prevention and treatment of SIB. Topics featured in this handbook include: · Self-restraint among individuals who self-injure. · Self-injurious behavior in individuals with autism spectrum conditions. · Assessing and managing short-term effects of SIB. · Reducing risk of, and responding to, relapse following successful intervention with SIB. · Ethical issues associated with working with people who engage in self-injurious behaviors. Self-Injurious Behavior in Individuals with Neurodevelopmental Conditions is a must-have resource for researchers, clinicians and practitioners as well as graduate students in the fields of clinical child and school psychology, applied behavior analysis, pediatrics, social work, developmental psychology, behavioral therapy/rehabilitation, child and adolescent psychiatry, clinical psychology and psychiatry of adult intellectual disability, and special education.

This volume addresses the topic of self-injurious behavior (SIB) in per sons with developmental disabilities. Among professionals and the lay public alike, there is little debate over the seriousness of self-injury, its detrimental effects, and the need for therapeutic intervention. At the same time, there are divergent views concerning its etiology and treat ment. Understanding the causes of self-injury, for example, requires an analysis of biological factors, socioenvironmental variables, communica tion competencies, and in complex clinical cases, the interrelationships among these influences. There is also uncertainty with regard to the function of self-injury. Put simply, why would people willingly inflict injury upon themselves? Finally, although there is little disagreement about the necessity to intervene for self-injury, clinicians do not make uniform therapeutic recommendations, and, in fact, considerable dif ferences in treatment selection are common. This fact is most apparent when one considers the ongoing controversy with regard to aversive and nonaversive programming. Our premise for this volume is that a greater understanding of self injurious behavior is dependent upon an empirical research base. Theories of causality must be conceptually valid and capable of being evaluated objectively. Treatment must be functionally determined, operationalized, and replicable across personnel and settings. For these reasons, we have assembled chapters by individuals who are experi enced clinicians and researchers in the fields of psychology, medicine, psychiatry, education, psychopharmacology, and developmental dis abilities.

Self-injurious behavior occurs in almost half of those with autism and is one of the most devastating and challenging-to-treat behaviors. There are many different forms of self-injury, such as head banging, hand biting, hair pulling, excessive scratching, and much more. With contributions from the leading experts in research and treatment, the book provides a comprehensive analysis of self-injurious behavior (SIB) in people with Autism Spectrum Disorder (ASD) or related developmental disabilities, and the different methods available to treat them. Medical and behavioral researchers have studied SIB for over 50 years, but many practitioners and parents are still unfamiliar with the wide range of contributing causes and treatment options. Beginning with an explanation of SIB and its various forms, the contributors outline the many possible underlying causes of self-injury, such as seizures, hormonal imbalance in teenagers, gastrointestinal conditions, allergies, and stress, and show how a multi-disciplinary approach when uncovering the causes of self-injury can lead to successful treatment strategies. They explain the treatment options available for SIB, including nutritional, medical, psychiatric, sensory, and behavioral approaches, and show how an integrative approach to treating self-injury may be effective for many individuals. The book will be an invaluable addition to the bookshelves of any practitioner working with people with an ASD or related condition, as well as parents and direct care providers.

Nonsuicidal self-injury (NSSI) is a baffling, troubling, and hard to treat phenomenon that has increased markedly in recent years. Key issues in diagnosing and treating NSSI adequately include differentiating it from attempted suicide and other mental disorders, as well as understanding the motivations for self-injury and the context in which it occurs. This accessible and practical book provides therapists and students with a clear understanding of these key issues, as well as of suitable assessment techniques. It then goes on to delineate research-informed treatment approaches for NSSI, with an emphasis on functional assessment, emotion regulation, and problem solving, including motivational interviewing, interpersonal skills, CBT, DBT, behavioral management strategies, delay behaviors, exercise, family therapy, risk management, and medication, as well as how to successfully combine methods.

This handbook offers a comprehensive review of intellectual disabilities (ID). It examines historical perspectives and foundational principles in the field. The handbook addresses philosophy of care for individuals with ID, as well as parent and professional issues and organizations, staffing, and working on multidisciplinary teams. Chapters explore issues of client protection, risk factors of ID, basic research issues, and legal concerns. In addition, chapters include information on evidence-based assessments and innovative treatments to address a variety of behaviors associated with ID. The handbook provides an in-depth analysis of comorbid physical disorders, such as cerebral palsy, epilepsy and seizures, and developmental coordination disorders (DCD), in relation to ID. Topics featured in this handbook include: Informed consent and the enablement of persons with ID. The responsible use of restraint and seclusion as a protective measure. Vocational training and job preparation programs that assist individuals with ID. Psychological and educational approaches to the treatment of aggression and tantrums. Emerging technologies that support learning for students with ID. Key sexuality and relationship issues that are faced by individuals with ID. Effective approaches to weight management for individuals with intellectual and developmental disabilities. The Handbook of Intellectual Disabilities is an essential reference for researchers, graduate students, clinicians and related therapists and professionals in clinical child and school psychology, pediatrics, social work, developmental psychology, behavioral therapy/rehabilitation, child and adolescent psychiatry, and special education.

This volume addresses the topic of self-injurious behavior (SIB) in per sons with developmental disabilities. Among professionals and the lay public alike, there is little debate over the seriousness of self-injury, its detrimental effects, and the need for therapeutic intervention. At the same time, there are divergent views concerning its etiology and treat ment. Understanding the causes of self-injury, for example, requires an analysis of biological factors, socioenvironmental variables, communica tion competencies, and in complex clinical cases, the interrelationships among these influences. There is also uncertainty with regard to the function of self-injury. Put simply, why would people willingly inflict injury upon themselves? Finally, although there is little disagreement about the necessity to intervene for self-injury, clinicians do not make uniform therapeutic recommendations, and, in fact, considerable dif ferences in treatment selection are common. This fact is most apparent when one considers the ongoing controversy with regard to aversive and nonaversive programming. Our premise for this volume is that a greater understanding of self injurious behavior is dependent upon an empirical research base. Theories of causality must be conceptually valid and capable of being evaluated objectively. Treatment must be functionally determined, operationalized, and replicable across personnel and settings. For these reasons, we have assembled chapters by individuals who are experi enced clinicians and researchers in the fields of psychology, medicine, psychiatry, education, psychopharmacology, and developmental dis abilities.

Autism is an emerging area of basic and clinical research, and has only recently been recognized as a major topic in biomedical research. Approximately 1 in 150 children are diagnosed as autistic, so it is also an intense growth area in behavioral and educational treatments. Financial resources have begun to be raised for more comprehensive research and an increasing number of scientists are becoming involved in autism research. In many respects, autism has become a model for conducting translational research on a psychiatric disorder. This text provides a comprehensive summary of all current knowledge related to the behavioral, experiential, and biomedical features of the autism spectrum disorders including major behavioral and cognitive syndromology, common co-morbid conditions, neuropathology, neuroimmunology, and other neurological correlates such as seizures, allergy and immunology, gastroenterology, infectious disease, and epidemiology. Edited by three leading researchers, this volume contains over 80 chapters and nine shorter commentaries by thought leaders in the field, making the book a virtual "who's who" of autism research. This carefully developed book is a comprehensive and authoritative reference for what we know in this area as well as a guidepost for the next several years in all areas of autism research.