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Biomedical subjects

J Aylott

Publications and source records attributed to J Aylott.

16 recordsLinked to original sources

Community learning disability teams.

In the past, community learning disability teams (CLDTs) have not been particularly effective in obtaining the views of their users and perhaps even less effective in adapting the service in line with changing needs. The Halstead Learning Disability Team in Essex carried out two surveys in 1992 and 1994. The findings show that clients and carers have very different needs and expectations which present a challenge to CLDTs to identify and redefine their services.

Community Health Nursing↗

Gentle teaching as an empowering approach to challenging behaviour.

This article illustrates how gentle teaching (GT) has helped to liberate a young woman with severe learning disabilities and challenging behaviour and how this process has empowered her parents. The story of Amanda (told by her mother) is sadly not unique and many families are struggling at home with their son or daughter, with very little practical guidance and support. The author (JA) met Amanda's mother (IS) at a GT course run for parents in 1990, where she was acting as one of the facilitators. The author maintained involvement with the family after the course ended and regular visits were made to the home to work with Amanda and her parents. The visits were recorded in a diary and reflection with the parents took place on every visit.

Adolescent↗

Should children with Down's syndrome have cosmetic surgery?

This article explores the rise in the uptake of cosmetic surgery for children with Down's syndrome. The pursuit of such surgical intervention is often a response to society's discriminatory attitude towards Down's syndrome and difference. Such an action raises many ethical concerns, e.g. should a child be subjected to cosmetic surgery when he/she does not understand what is happening to him/her? Much time, effort and resources are needed to work with children with Down's syndrome to ensure their full and active development through childhood. There have been changes in challenging discriminatory attitudes towards people with a disability in society. This, however, is the result of the public coming into contact and building relationships with people with disabilities in the wider community and not cosmetic surgery.

Attitude to Health↗

Preventing rape and sexual assault of people with learning disabilities.

This article will explore the increased prevalence of rape and sexual assault among people with a learning disability and identify factors that exist which increase this client group's vulnerability to becoming a victim of sexual abuse. There is significant under-reporting of such incidents and very few cases end up in prosecution. Within the nursing profession, there is much more that can be done to help decrease the level of vulnerability of people with a learning disability and to work with other agencies to advocate for legal justice and therapeutic redress for individuals.

Adolescent↗

Is the sexuality of people with a learning disability being denied?

This article explores how the nursing profession has become more liberal in its attitudes towards sexuality as a consequence of and a response to HIV/AIDS. This liberal attitude has, however, failed to be generalized towards people with a learning disability. The continued use of labelling terms for people with a learning disability serves as an excuse to either justify the control of people's sexuality and fertility, or a rationale to argue that people with a learning disability do not have a sexual identity. Developments in the self-advocacy and advocacy movement provide opportunities for people with a learning disability to have a say in the development of sexuality policies to guide the practice and philosophy within an organization.

Attitude of Health Personnel↗

Understanding children with autism: exploding the myths.

The incidence of autism is increasing in both the USA and in Britain. There is still controversy over what causes autism and even greater controversy over selecting a preferred method of intervention and support (as there is no treatment for autism). Although there is now a general consensus that individuals may have a genetic predisposition to develop autism, it is also acknowledged that this may be off set by a range of environmental and/or biological factors. The understanding of the causation of autism is now considered in much the same way as we understand cerebral palsy, in that there can be a range of different reasons for causation and prevalence. This article, the first of two parts, will explore how an awareness and understanding of autism can enable nurses working with children with autism to provide more child-centred nursing care based on fact as opposed to stereotype and mythology surrounding autism. The second part will concentrate on adults with autism.

Autistic Disorder↗

Autism in adulthood: the concepts of identity and difference.

It was not until 1980 that autistic spectrum disorders were officially recognized as disorders of development and not of psychoses (Wing, 1996). (In this article the term 'autism' will be used to refer to all individuals diagnosed across the autistic spectrum, including people with Asperger syndrome.) There will be many adults with autism aged over 20 years of age who are not appropriately diagnosed and who are not receiving relevant care (Trevarthen et al, 1998). Many will have been the victims of a medical model of treatment as opposed to receiving the necessary education and support. This article, the second of a two-part series (the first article (Vol 9(12): 779-84) dealt with children with autism) will explore how contemporary knowledge can help healthcare professionals to support adults with autism in the development of positive self-identities.

Adaptation, Psychological↗

Understanding and listening to people with autism.

This article continues the learning disability supplement's examination of autism (see Aylott, 2000a,b) by exploring how a lack of knowledge and understanding of positive aspects of autism among non-autistic people (neuro typicals) has led to many adults with autism having negative life experiences. It calls for all staff working with people with autism to find ways to 'think' and 'feel' in autism. It is only when this has been achieved that any of us will be able to listen effectively to people with autism; this hopefully may result in life experiences for people with autism being more of a positive than a negative encounter.

Adaptation, Psychological↗

Sense and sexuality.

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Ethics, Nursing↗