Counselling Adults With Learning Disabilities (Basic Texts by Sall Hodges

By Sall Hodges

Taking a psychodynamic process, Counselling Adults with studying Disabilities describes present theoretical rules during this sector. Theories are defined in an obtainable manner, with distinct examples given to illustrate the interpretation from concept into perform. universal difficulties are thought of inside of a "life span" framework, with consciousness to express problems resembling bereavement, abuse, and not easy habit. the broader context together with relationships with households, teams, and employees have additionally been given considerate attention. ultimately, consequence facts for counseling is explored.

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Klein’s work sheds much light on some of the processes that can occur between an infant born with an obvious disability and his primary carers, even though she did not write directly about disability. Through exploring ‘normal development’ Klein was able to illustrate some of the long-term emotional consequences for an individual where there have been early difficulties in the relationship between infant and main carer. Object relations theory Melanie Klein’s theory of object relations was developed through careful observation of many children at play, and children’s interactions with others.

Gradually patients may begin to get interested, not yet in us, but in our interest in them’ (Alvarez and Reid, 1999, p. 7). Much of this understanding is relevant to working with adults with learning disabilities, particularly those with severe and profound disabilities, who, like people with autism, may have a limited repertoire of expression. Using countertransference responses when working with people with learning disabilities is an essential skill. Not only are people disadvantaged verbally through cognitive impairment, they are also likely to be disadvantaged by the lack of encouragement to express their feelings.

Sinason (1997) describes how important it is to allow an adequate amount of time for this kind of work, as the core difficulties may only be reached after a year or so, and stopping treatment prematurely may leave the client with their depression exposed, and reduced means to defend against its devastating effects. At the same time as the developments in working psychodynamically with people with learning disabilities at the Tavistock Clinic were occurring there were other clinicians also developing strands of specialist interest elsewhere.

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