The aim of the present article is to critically analyse the literature concerning the factors that lead to non-interventionism towards self-injurious behaviour (SIB) in the field of intellectual disability and to make recommendations for the development of practice. It emerges that the limited behaviour analytic skills of practitioners impede the implementation of behavioural interventions and allow SIB to persist. The implications for the development of in-service training and managerial support that would disseminate the implementation of behavioural interventions are briefly discussed.
AllenDJamesWEvansJ. (2005) Positive behavioural support: definition, current status and future directions. Tizard Learning Disability Review10(2): 4–11.
2.
AxelrodS (1992) Disseminating an effective educational technology. Journal of Applied Behavior Analysis25: 31–35.
3.
AyresBJMeyerLHErevellesN. (1994) Easy for you to say: teacher perspectives on implementing most promising practices. Journal of the Association for Persons with Severe Handicaps19(2): 84–93.
4.
BambaraLGomezOKogerF. (2001) More than team techniques: team members' perspectives on implementing positive supports for adults with severe challenging behaviors. Journal of Agricultural Safety and Health26(4): 213–228.
5.
BaumeisterAARollingsJ (1976) Self-injurious behavior. In: EllisNR (ed) International Review of Research in Mental Retardation (Vol 8). New York, NY: Academic Press, pp. 1–34.
6.
BersaniHAHeifetzlJ (1985) Perceived stress and satisfaction of direct-care staff members in community residences for mentally retarded adults. American Journal of Mental Deficiency90: 289–295.
7.
BiklenD (1973) Patterns of power: a case study of behavior modification on a “back ward” in a state mental hospital. Unpublished doctoral dissertation. Syracuse University.
BerrymanJEvansIMKalbaoA (1994) The effects of training in nonaversive behavior management on the attitudes and understanding of direct care staff. Journal of Behavior Therapy and Experimental Psychiatry25: 241–250.
10.
BromleyJEmersonE (1995) Beliefs and emotional reactions of care staff working with people with challenging behaviour. Journal of Intellectual Disability Research39: 341–352.
11.
CampbellM (2007) Staff training and challenging behaviour: Who needs it?Journal of Intellectual Disabilities11(2): 143–156.
12.
CarrEGTaylorJCRobinsonS (1991) The effects of severe behavior problems in children on the teaching behavior of adults. Journal of Applied Behavior Analysis24: 523–535.
13.
CullenC (1988) A review of staff training: the emperor’s old clothes. The Irish Journal of Psychology9: 309–323.
14.
DagnanDTrowerPSmithR (1998) Care staff responses to people with learning disabilities and challenging behaviour: a cognitive emotional analysis. British Journal of Clinical Psychology37: 59–68.
15.
DesrochersMNHileMGWilliams-MoseleyTL (1997) Survey of functional assessment procedures used with individuals who display mental retardation and severe problem behaviors. American Journal on Mental Retardation101: 535–546.
16.
DisleyPHattonCDagnanD (2009) Applying equity theory to staff working with individuals with intellectual disabilities. Journal of Intellectual and Developmental Disabilities34(1): 55–66.
17.
DoweyAToogoodSHastingsRP. (2007) Can brief workshop interventions change care staff understanding of challenging behaviours?Journal of Applied Research in Intellectual Disabilities20: 52–57.
18.
EmersonE (1995) Challenging Behaviour. Analysis and Intervention in People with Learning Difficulties. New York, NY: Cambridge University Press.
19.
EmersonEEmersonC (1987) Barriers to the effective implementation of habilitative behavioral programs in an institutional settings. Mental Retardation25: 101–106.
20.
EmersonEKiernanC (1997) Behavioural interventions. In: RussellO (ed) The Psychiatry of Learning Disabilities. London: Gaskell, pp. 161–178.
21.
EmersonEHastingsRMcGillP (1994) Values, attitudes and service ideology. In: EmersonEMcGillPMansellJ (eds) Severe Learning Disabilities and Challenging Behaviours. Designing High Quality Services. London: Chapman and Hall, pp. 209–231.
22.
FallonE (1983) Helping direct care workers manage self-injurious behavior. Milieu Therapy3: 45–52.
23.
ForrestJEmersonECambridgeP. (1995) Community Support Teams for People with Challenging Behaviour. Canterbury: Tizard Centre, University of Kent.
24.
FoxxR (1996) Twenty years of applied behavior analysis in treating the most severe problem behavior: lesson learned. The Behavior Analyst19(2): 225–235.
25.
GardnerJM (1975) Training non professionals in behaviour modification. In: ThompsonTDockenWS (eds) Applications of Behaviour Modification. New York, NY: Academic Press.
26.
GeorgeMJBaumeisterAA (1981) Employee withdrawal and job satisfaction in community residential facilities for mentally retarded persons. American Journal of Mental Deficiency85: 639–647.
27.
HallSOliverC (1992) Differential effects of self-injurious behaviour on the behaviour of others. Behavioural Psychotherapy20: 355–366.
28.
HallSOliverCMurphyG (2001) Early development of self-injurious behavior: an empirical study. American Journal on Mental Retardation106(2): 189–199.
29.
HastingsRP (1993) A functional approach to care staff behaviour. Unpublished PhD Thesis, University of Southampton, England.
30.
HastingsRP (1995). Understanding factors that influence staff responses to challenging behaviours: an exploratory interview study. Mental Handicap Research8: 296–320.
31.
HastingsRP (1996) Staff strategies and explanations for intervening with challenging behaviours. Journal of Intellectual Disability Research40: 166–175.
32.
HastingsRP (2002) Do challenging behaviors affect staff psychological well-being? Issues of causality and mechanism. American Journal on Mental Retardation107(6): 455–467.
33.
HastingsRP (2005) Staff in special education settings and behaviour problems: towards a framework for research and practice. Educational Psychology25(2–3): 205–219.
34.
HastingsRPBrownT (2000) Functional assessment and challenging behaviors: Some future directions.Journal of the Association for Persons with Severe Handicaps25(4): 229–240.
35.
HastingsRPBrownT (2002a) Behavioural knowledge, causal beliefs and self-efficacy as predictors of special educators' emotional reactions to challenging behaviours. Journal of Intellectual Disability Research46(2): 144–150.
36.
HastingsRPBrownT (2002b) Coping strategies and the impact of challenging behaviors on special educators’ burnout. Mental Retardation40: 148–156.
37.
HastingsRPRemingtonB (1994b) Staff behaviour and its implications for people with learning disabilities and challenging behaviours. British Journal of Clinical Psychology33: 423–438.
38.
HastingsRPRemingtonBHopperGM (1995) Experienced and inexperienced health care workers beliefs about challenging behaviours. Journal of Intellectual Disability Research39(6): 474–483.
39.
HastingsRPTombsAKHMonzaniLC. (2003) Determinants of negative emotional reactions and causal beliefs about self-injurious behaviour: an experimental study. Journal of Intellectual Disability Research47(1): 59–67.
40.
HayesSCBissettRKornZ. (1999) The impact of acceptance versus control rationales on pain tolerance. The Psychological Record49(1): 33–47.
41.
HolburnSVietzeP (2000) Person-centered planning and cultural inertia in applied behavior analysis. Behavior and Social Issues10: 39–70.
42.
IwataBADorseyMFSliferKJ. (1982) Toward a functional analysis of self-injury. Analysis and Intervention in Developmental Disabilities2: 3–20.
43.
JacobsonJW (2000) Early intensive behavioral intervention: emergence of a consumer-driven service model. Behaviour Analyst23: 149–171.
44.
KiernanC (1993) Future directions for research and service development for people with learning disabilities and challenging behaviour. In: KiernanC (ed) Research to Practice? Implications of Research on the Challenging Behaviour of People with Learning Disability. Clevedon: BILD, pp. 351–364.
45.
KlingnerJKArguellesMEHughesMT. (2001) Examining the schoolwide “spread” of research-based practices. Learning Disability Quartetly24(4): 221–234.
46.
LennoxDBMiltenbergerRGSpenglerP. (1988) Decelerative treatment practices with persons who have mental retardation: a review of five years of the literature. American Journal on Mental Retardation92: 492–501.
47.
MaleDB (2003) `Challenging behaviour: the perceptions of teachers of children and young people with severe learning disabilities. Journal of Research in Special Education3(3): 162–171.
48.
MauricePTrudelG (1982) Self-injurious behavior: prevalence and relationships to environmental events. In: HollisJHMeyersCE (eds) Life-threatening Behavior: Analysis and Intervention. Washington, DC: American Association on Mental Deficiency, pp. 81–103.
49.
McCauslandDGreyJMWesterG. (2004) Effects of functional versus non functional explanations for challenging behaviours on treatment acceptability. Journal of Learning Disabilities8: 351–369.
50.
McConnachieGCarrED (1997) The effects of child behavior problems on the maintenance of intervention fidelity. Behavior Modification21: 123–158.
51.
McGillPBradshawJHughesA (2007) Impact of extended educational training in positive behaviour support on staff knowledge, casual attributions and emotional responses. Journal of Applied Research in Intellectual Disabilities20: 41–51.
52.
MitchellGHastingsRP (2001) Coping, butnout, and emotion in staff working in community services for people with challenging behaviors. American Journal on Mental Retardation106: 448–459.
53.
MorganGMHastingsRP (1998) Special educators’ understanding of challenging behaviours in children with learning disabilities: sensitivity to information about behavioural function. Behavioural and Cognitive Psychotherapy26: 43–52.
54.
MossmanDAHastingsRPBrownT (2002) Mediators’ responses to self-injurious behavior: an experimental study. American Journal on Mental Retardation107: 252–260.
55.
NooneSJHastingsRP (2009) Building psychological resilience in support staff caring for people with intellectual disabilities: Pilot evaluation of an acceptance-based intervention. Journal of Intellectual Disabilities. Mindfulness13(1): 43–53.
56.
NooneSJHastingsR (2010) Using acceptance and mindfulness-based workshops with support staff caring for adults with intellectual disabilities. Mindfulness1: 67–73.
57.
NooneSJHastingsR (2011) Values and psychological acceptance as correlates of burnout in support staff working with adults with intellectual disabilities. Journal of Mental Health Research in Intellectual Disabilities4(2): 78–89.
58.
NtinasKM (2008) Factors leading to teachers resistance towards functional behavior assessment. Implications for school administrators. TIZARD Learning Disability Review, 13(2): 10–14.
59.
NtinasKM (2009) British teachers perspectives on matters of intervention towards self-injurious behaviour. British Journal of Developmental Disabilities, 53(2): 109, 129–143.
OliverC (1993) Self-injurious behaviour: from response to strategy. In KiernanC (ed) Research to Practice? Limitations of Research on the Challenging Behaviour of People with Learning Disability. Clevedon: BILD, pp. 135–188.
62.
OliverC (1995) Self-injurious behaviour in children with learning difficulties: recent advances in assessment and intervention. Journal of Child Psychology and Psychiatry16: 909–927.
63.
OliverCMurphyGHCorbettJA (1987) Self-injurious behaviour in people with mental handicap: a total population study. Journal of Mental Deficiency Research31: 147–162.
64.
OliverCHallSHalesJ. (1996) Self-injurious behaviour and people with intellectual disabilities: assessing the behavioural knowledge and causal explanations of care staff. Journal of Applied Research and Intellectual Disabilities9(3): 229–239.
65.
QuineLPahlJ (1985) Examining the causes of stress in families with severely handicapped children. British Journal of Social Work15: 501–517.
66.
ReedJHeadD (1993) The application of functional analysis in the treatment of challenging behaviour. In: FlemmingIKroeseB (eds) People with Learning Disability and Severe Challenging Behaviour: New Developments in Services and Therapy. Manchester: Manchester University Press.
67.
ReidDHParsonsMBGreenCW (1989a) Staff Management in Human Services: Behavioral Research and Application. Springfield, IL: Charles C. Thomas.
68.
RemingtonB (1993) Challenging behaviour in people with severe learning disabilities. Behaviour modification or behaviour analysis? In: KiernanC (ed) Research to Practice? Implications of Research on the Challenging Behaviour of People with Learning Disability. Clevedon: BILD, pp. 119–134.
69.
RossA (1981) Child Behavior Therapy. New York, Chichester: Wiley.
70.
SchroederSRMulickJARojahnJ (1980) The definition, taxonomy, epidemiology, and ecology of self-injurious behavior. Journal of Autism and Developmental Disorders10: 417–432.
71.
ScottTMEberL (2003) Functional assessment and wraparound as systemic school processes: school-wide, specialized, and intensive examples. Journal of Positive Behavior Interventions5: 131–143.
72.
SinghNNLancioniGEWintonASW. (2006a) Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities27: 545–558.
73.
SmalleyKACertoNJGoetzL (1997) Effect of a staff training package on increasing community integration for people with severe disabilities. Education and Training in Mental Retardation and Developmental Disabilities32: 42–48.
74.
SmithMPGoreNJ (2012) Outcomes of a `Train the Trainers' approach to an acceptance based stress intervention in a specialist challenging behaviour service. International Journal of Positive Behavior Support2(1): 39–48.
75.
SnowELangdonPReynoldsS (2007) Care staff attributions toward self-injurious behaviour exhibited by adults with intellectual disabilities. Journal of Intellectual Disabilities11(1): 47–63.
76.
SparksGM (1988) Teachers’ attitude towards change and subsequent improvements in classroom teaching. Journal of Educational Psychology80(1): 111–117.
77.
SpreatSConnellyL (1996) Reliability analysis of the motivation assessment scale. American Journal on Mental Retardation100: 528–532.
78.
TateBGBaroffGS (1966) Aversive control of self-injurious behavior in a psychotic boy. Behavior Research and Therapy4: 281–287.
79.
TaylorCJCarrEG (1992) Severe problem behaviors related to social interaction. 2: a systems analysis. Behavior Modification16: 336–371.
80.
TaylorJCCarrEG (1994) Severe problem behaviors of children with developmental disabilities: reciprocal social influences. In: ThompsonTGrayDB (eds) Destructive Behavior in Developmental Disabilities. Thousand Oaks: SAGE Publications, pp. 274–289.
81.
TaylorJCRomanczyckRG (1994) Generating hypotheses about the function of student problem behavior by observing teacher behavor. Journal of Applied Behavior Analysis27: 251–265.
82.
ThomsonS (1987) Stress in staff working with mentally handicapped people. In: PayneRFirth-CozensJ (eds) Stress in Health Professionals. Chicester: John Wiley and Sons.
83.
WattsMJReedTSHastingsRP (1997) Staff strategies and explanations for intervening with challenging behaviours: a replication in a community sample. Journal of Intellectual Disability Research41(3): 258–263.
84.
WeigleK (1995) The effects of functional analysis information on ratings of treatment acceptability and effectiveness. Unpublished Master’s thesis. Morgantown: West Virginia University.
85.
WeigleKL (1997) Positive behavioral support as a model for promoting educational inclusion. Journal of the Association for Persons with Severe Handicaps22(1): 36–48.
86.
WeinerB (1980) A cognitive (Attribution) emotion action model of motivated behaviour: an analysis of judgement of help giving. Journal of Personality and Social Psychology39(2): 186–200.
87.
Van YperenNW (1995) Communal orientation and the burnout syndrome among nurses: a replication and extension. Journal of Applied Social Psychology26: 338–354.
