Real Men,Real Women,Real Lives? Gender issues in learning disabilities and challenging behaviour

This article seeks to define gender issues and explores the significance of these issues for challenging behaviour in the field of learning disability. It is argued that lack of awareness about these issues contributes to the development of challenging behaviour and to difficulties in identifying the needs expressed through these behaviours, whatever their origin. Specific areas examined include models of residential provision for adults, prioritisation of service activities, attribution processes (needs identification), and the sexuality of people with learning disabilities. In each area issues are raised and the implications for service practice defined.     

A Risk Management Dilemma: how day centre staff understand challenging behaviour

This paper describes a qualitative study which explored the views about challenging behaviour of staff in day centres for people with learning difficulties. Respondents' abstract definitions stressed the relativity of the concept. However, they readily cited concrete illustrate incidents of challenging behaviour which involved physical, sexual and verbal assault, noise, non-compliance, non-communication and exposure to danger. Staff explained specific incidents variously, but mono-causally, in terms of service users' dispositions, circumstances and interaction strategies. Respondents' own actions were included in explanatory schema only rarely. Despite its nebulous definition, challenging behaviour became organisationally fixed through staff allocation methods, and through a regulatory system designed to prevent abuse. Staff, caring for large numbers of service users en masse, faced a risk management dilemma. Labelling an individual as challenging could forewarn colleagues about possible dangers. However, such strategies could damage the quality of services which a labelled person received, exacerbating the initial problem.     

Building evaluative culture in community services: Caring for evidence

An organization with a strong evaluative culture engages in self-reflection, evidence-based learning and experimentation. It sees evidence as essential for managing well, but building such a culture is challenging. Community service organizations seek to provide effective services for their clients. To build an evaluative culture, they need to acquire basic monitoring and evaluation capabilities, be provided with opportunities for using these capabilities and be adequately motivated to care about evidence as a means to improve services to their clients. Leadership along with a phased in approach are key in bringing about these behaviour changes.     

Encountering and dealing with difference: second life and intercultural competence

With increasing cultural diversity as a result of globalization, intercultural competence (IC) to interact and co-exist in multicultural environments is recognized as being very important. Research indicates that cultural knowledge alone, or even being immersed in a different cultural environment does not necessarily lead to the development of IC necessary to deal with differences in behaviour, communication styles, and values and beliefs. Rather, it requires intentional development particularly of critical awareness of an individual’s cultural identity, and the values and beliefs that underpin one’s attitude and behaviour. Providing effective learning and teaching approaches to facilitate development of these affective and behavioural dimensions, challenges traditional pedagogical practices. Second life (SL), a multi-user virtual environment, potentially provides effective intercultural experiential learning opportunities to develop the desired IC by challenging personal beliefs and assumptions underpinning cultural frameworks and identity. This paper evaluates SL as one of the approaches used to develop IC in a first year IC module in a New Zealand university. Based on data from two case studies, it presents and discusses significant findings in terms of using SL and the development of students’ IC.     

‘The seal of approval’: referring adults with intellectual disabilities and challenging behaviour to community learning disability teams

This article describes a study that involved interviewing eight managers of residential services, who have made referrals to community learning disability teams (CLDTs) for challenging behaviour. Thematic analysis and a critical perspective are combined to analyse and interpret what referrers said about the process of the referral. The study found that managers referred people with intellectual disabilities to the CLDT primarily in order to manage organisational problems rather than to directly manage challenging behaviour. The referrals enlisted the services of professionals to legitimise the residential services, to confirm their practices and to provide credibility to existing decisions by managers. In referring a man or woman with intellectual disabilities to the CLDT, the managers submit themselves, their staff and the person with the intellectual disabilities to the power of the health and psy-complex professionals.     

The life cycle and support networks of families with a person with a learning difficulty

This paper presents data from semi-structured interviews with 190 families enabling comparisons across the life cycle of problems faced by carers of children and adults with learning difficulties, the informal support received and support from the statutory services. The size of the kin support network described was inversely related to the number of marked behaviour problems. Age, social class and degree of handicap were all found to be associated with different expectations about services and services received. Frequency of professional visits appeared to relate more to dependency levels and age than to numbers of behavioural problems. One implication of these trends was a marked service deficit for carers of adults with either high levels of dependency or challenging behaviour. Two groups of carers were particularly vulnerable-carers of adolescents and carers of individuals aged 40 years or over. The implications for professional practice are discussed.     

Eine neue Methode zur Untersuchung von Mikroprozessen in Lerndyaden: Eine Videostudie unter Berücksichtigung von kognitiven Grundfähigkeiten und Zielorientierungen

The study at present uses a new video method with individual audio tracks to investigate micro processes within learning in a simulation based learning setting. Visible and listenable behaviour was coded with regard to peer tutoring and problem solving. The frequencies and durations of these categories were summarized and used as dependent variables in regression models with cognitive abilities and goal orientations as predictors. Results showed that variation in the dyadic interactional behaviour was systematically related to these properties of the partners. For example, while overt problem solving behaviour is related to goal orientations there was no such effect for the cognitive abilities. Implications for the composition of dyadic learning groups and for further video study arrangements applying the new method will be discussed.     

Not Such an 'Ordinary' Relationship: the role of women support staff in relation to men with learning disabilities who have difficult sexual behaviour

This paper brings together some preliminary data on the management of men with learning disabilities who have unacceptable/abusive sexual behaviour patterns with a small pilot study which specifically explores the roles of women support workers in relation to difficult sexual behaviour. A specific focus on the behaviour of men with learning disabilities is justified because of consistent evidence that it is men, rather than women, service users who challenge services in this way. The studies explore with staff the boundaries of what is considered acceptable sexual behaviour and how breaches of these are responded to within services. One issue which we have chosen to highlight is the frequent exposure of women staff to the men's sexual behaviour, sometimes precipitated by the unusual relationship that exists between the two parties, and exacerbated by the lack of clear management guidance within the gendered hierarchies found in service agencies.     

Reconstructing the Sexuality of Men with Learning Disabilities: empirical evidence and theoretical interpretations of need

Research and practice in sexuality and learning disability has directly and indirectly highlighted the pathological sexual behaviour of men with learning disabilities, particularly their abuse and exploitation of women with learning disabilities, and relatively high HIV risk sexual behaviour with men without learning disabilities. It is consequently argued that there has been a relative neglect of their wider sexuality and sexual needs. This paper reconstructs this wider agenda, drawing on empirical evidence and theoretical interpretations of need from research and sex education in support of the observations made. In identifying a range of key issues for sexuality work with men with learning disabilities and arguing that they require greater recognition and attention, the paper also provides directional pointers for informing such work and for responding more widely.     

Reflective practice: action learning sets for managers in social work

The author evaluates action learning sets, established as part of a management development programme, for managers in social work. The impact on management practice, the processes contributing to effectiveness and the elements of learning that participants viewed as making most difference to their management practice are identified. The issues brought for consultation are described, including working with contradiction and paradox. It is concluded that participants experience action learning to make a positive contribution to their development as managers in a challenging environment.     

Student perceptions of the learning process during undergraduate field practicum: a qualitative study

As social work education in China expands rapidly since 2000, field practicum is one of the most challenging areas. This qualitative study explored the field learning experiences of 27 students from a pioneer social work undergraduate program. Analysis resulted in six major themes revealing the students’ perspective on the process of learning by performing various practice events during 4-week summer block placements. Discussion focuses on the key features of this learning process. Suggestions for future research and implications for field instruction are included.     

Early Childhood Education Centre Director Perceptions of Challenging Behaviour: Promising Practices and Implications for Professional Development

Given their key role in overall programme quality, it is critical to examine how early childhood programme centre directors in the United States perceive challenging behaviour. Participants completed a survey asking which behaviours they perceive to be most problematic, the number of children dismissed or expelled from the programme during the last year, and the most commonly used strategies for addressing challenging behaviours. Results point to several promising practices and highlight the variability in access to evidence‐based practices based on programme type. Areas that warrant more targeted professional development are discussed, and findings are situated within the larger early childhood context.     

Is interpersonal trust a necessary condition for organisational learning?

Abstract

The organisational behaviour and management literature has devoted a lot attention on various factors affecting organisational learning. While there has been much work done to examine trust in promoting organisational learning, there is a lack of consensus on the specific type of trust involved. The purpose of this paper is to highlight the importance of interpersonal trust in promoting organisational learning and propose a research agenda to test the extent of interpersonal trust on organisational learning. This paper contributes to the existing organisational learning literature by specifying a specific form of trust, interpersonal trust, which promotes organisational learning and proposing a future research direction. The paper is organised as follows: firstly, a common conceptualisation of organisational learning is revisited. Secondly, the existing literature on trust reviewed and salient points on how interpersonal trust enhances organisational learning discussed. Finally, a research agenda to test the extent of interpersonal trust on organisational learning is being set out.     

Evaluationsstudien zu interkulturellen (Gruppen-)Trainingsprogrammen

Standard-Trainings for professionals are involved and evaluated in university teaching and learning: all participants reached a high competence-level of intercultural knowledge and behaviour. For the future and to optimize intercultural teaching and learning at the university, blended-learning-models are planned.     

The First Hit: a case study of the physical abuse of people with learning disabilities and challenging behaviours in a residential service

This paper describes the circumstances surrounding the physical abuse of persons with learning disabilities and challenging behaviours in a residential service and the general findings of a related inquiry. Evidence is interpreted in relation to wider policy and practice intelligence on the abuse of people with learning disabilities, with lessons for the recognition, reporting and management of abuse identified. The discussion is designed to help those charged with responsibility for the support and protection of people with learning disabilities understand the complex circumstances and conditions which may be associated with an abusive service culture, with the culture of abuse itself examined at four levels. Suggestions for reviewing the development and implementation of adult protection policies and procedures are offered, along with priorities for action and implementation for purchasers and providers.     

The role of self-advocacy in work for people with learning difficulties

This paper explores the relationship between self-advocacy and work for people with learning difficulties [1]. Explorations are based mainly on a participant observation study in which members of a self-advocacy group for people with learning difficulties included the researcher in their regular meetings. Discussions about work, most broadly defined as meaningful activity which makes a contribution to society, emerged as a critical preoccupation. We examine the importance of self-advocacy as a vehicle for people with learning difficulties who want to remove or circumvent barriers which surround their employment. Our research shows that understanding the role of self-advocacy in relation to work creates many development opportunities for both disabled employees and their prospective, or actual, employers. It is suggested that self-advocates can themselves achieve change in employers' attitudes by challenging oppressive images of people with learning difficulties in the workplace. It is hoped the paper will advance recognition of the importance of self-advocacy for maximising the participation of people with learning difficulties in work, and for acceptance of their status as workers.     

Self‐harm by people with learning difficulties: something to be expected or investigated?1

A review of the literature exploring self-harm highlights variations in the way it is understood. A marked difference in approach appears to relate to the presence of a learning difficulty in the person utilizing self-harm. Linkage with abuse has been given credence as one possible explanation for self-harming behaviour in the general population and yet has received little consideration within literature regarding people with learning difficulties. This paper proposes that it is oppression and abuse which provide the context in which self-harm is used by many people with learning difficulties. Continually ignoring the 'message' in self-harm is to further traumatize individuals. Therefore a challenge is posed to look beyond existing responses to the use of self-harm by people with learning difficulties.