Howell, Hilary Helen (2016) Children with learning disabilities and challenging behaviour: An IPA study exploring how key stakeholders construct meanings around challenging behaviour and how this affects people’s relationships and experiences of giving and receiving help. DSysPsych thesis, Tavistock and Portman NHS Foundation Trust. Full text available

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Abstract

This multi-perspectival Interpretive Phenomenological Analysis (IPA) study explored how people in the ‘networks of concern’ talked about how they tried to make sense of the challenging behaviours of four children with severe learning disabilities. The study also aimed to explore what affected relationships between people. The study focussed on 4 children through interviewing their mothers, their teachers and the Camhs Learning Disability team members who were working with them. Two fathers also joined part of the interviews. All interviews were conducted separately using a semi-structured approach. IPA allowed both a consideration of the participant’s lived experiences and ‘objects of concern’ and a deconstruction of the multiple contexts of people’s lives, with a particular focus on disability. The analysis rendered five themes: the importance of love and affection, the difficulties, and the differences of living with a challenging child, the importance of being able to make sense of the challenges and the value of good relationships between people. Findings were interpreted through the lens of CMM (Coordinated Management of Meaning), which facilitated a systemic deconstruction and reconstruction of the findings. The research found that making sense of the challenges was a key concern for parents. Sharing meanings were important for people’s relationships with each other, including employing diagnostic and behavioural narratives. The importance of context is also highlighted including a consideration of how societal views of disability have an influence on people in the ‘network of concern’ around the child. A range of systemic approaches, methods and techniques are suggested as one way of improving services to these children and their families. It is suggested that adopting a ‘both/and’ position is important in such work - both applying evidence based approaches and being alert to and exploring the different ways people try and make sense of the children’s challenges. Implications for practice included helping professionals be alert to their constructions and professional narratives, slowing the pace with families, staying close to the concerns of families and addressing network issues.

Item Type:	Thesis (DSysPsych)
Additional Information:	A thesis submitted in partial fulfilment of the requirements of the University of East London in collaboration with the Tavistock and Portman NHS Foundation Trust for the Professional Doctorate in Systemic Psychotherapy
Uncontrolled Keywords:	Professional Doctorate in Systemic Psychotherapy, Challenging Behaviour, Severe Learning Disabilities, Autism, Systemic Psychotherapy, Context, IPA, CMM, Normalisation, Interpretive Phenomenological Analysis
Subjects:	Communication (incl. disorders of) > Autism Disabilities & Disorders (mental & physical) > Behaviour Disorders Learning & Education > Learning Disabilities - Social Welfare Research, Tests, Assessments > Interpretative Phenomenological Analysis
Department/People:	Children, Young Adult and Family Services
URI:	https://repository.tavistockandportman.ac.uk/id/eprint/1327

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