Attachment in Intellectual and Developmental Disability

Helen K. Fletcher is a Chartered Clinical Psychologist within Southern Health NHS Trust and a Visiting Tutor for the Oxford Institute of Clinical Psychology Training. She has over 12 years of experience working with children and adults with IDD in Community, Inpatient and Specialist Teams. Helen has carried out research in the area of Attachment and ID and has presented on the topic at conferences. Andrea Flood is a Chartered Clinical Psychologist, who has worked with children and adults with intellectual disabilities and /or autism spectrum disorder since qualifying in 2004. She currently works as a Clinical Teacher on the Doctorate in Clinical Psychology Programme at Liverpool University. Andrea is a co-author of the Manchester Attachment Scale 3rd party observational measure (MAST). Dougal Julian Hare is Reader in Clinical Psychology at Cardiff University, and Research Director for the South Wales clinical psychology training programme. He has practised as a Chartered Clinical Psychologist working with people with IDD for nearly 20 years and has been an author on over 80 peer-reviewed articles and chapters in the fields of ID, neuropsychology and personal construct psychology.

About the Contributors vii Foreword xiv Acknowledgements xvi Chapter 1 Introduction 1 Dougal Julian Hare, Helen K. Fletcher and Andrea Flood Chapter 2 An Overview of Attachment Theory: Bowlby and Beyond 8 Helen K. Fletcher and Deanna J. Gallichan Chapter 3 Attachment Relationships Between Parents and Their Children: The Impact of The Loss of the Healthy Child 33 Helen K. Fletcher Chapter 4 Assessing Attachment Relationships in People with Intellectual Disabilities 59 Samantha Walker, Victoria Penketh, Hazel Lewis and Dougal Julian Hare Chapter 5 Autism Spectrum Disorder and Attachment: A Clinicians Perspective 79 Ewan Perry and Andrea Flood Chapter 6 Maintaining the Bond: Working with People who are Described as Showing Challenging Behaviour Using a Framework Based on Attachment Theory 104 Allan Skelly Chapter 7 Psychotherapy and Attachment Dynamics in People with Intellectual Disabilities: A Personal View 130 Pat Frankish Chapter 8 Adult Attachment and Care Staff Functioning 151 Carlo Schuengel, Jennifer Clegg, J. Clasien de Schipper and Sabina Kef Chapter 9 Have a Heart: Helping Services to Provide Emotionally Aware Support 172 Amanda Shackleton Chapter 10 Attachment Trauma and Pathological Mourning in Adults with Intellectual Disabilities 197 Deanna J. Gallichan and Carol George Chapter 11 Attachment, Personality Disorder and Offending: Clinical Implications 223 Lesley Steptoe, William R. Lindsay, Caroline Finlay and Sandra Miller Chapter 12 Getting Intimate: Using Attachment Theory to Understand Intimate Relationships in our Work with People with Intellectual Disabilities 244 Nancy Sheppard and Myooran Canagaratnam Index 266