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From Isolation to Intimacy

From Isolation to Intimacy

Phoebe Caldwell | Jane Horwood


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Book Details


If you have no language, how can you make yourself understood, let alone make friends? Phoebe Caldwell has worked for many years with people with severe intellectual disabilities and/or autistic spectrum disorder who are non-verbal, and whose inability to communicate has led to unhappy and often violent behaviour. In this new book she explores the nature of close relationships, and shows how these are based not so much on words as on the ability to listen, pay attention, and respond in terms that are familiar to the other person.

This is the key to Intensive Interaction, which she shows is a straightforward and uncomplicated way, through attending to body language and other non-verbal means of communication, of establishing contact and building a relationship with people who are non-verbal, even those in a state of considerable distress. This simple method is accessible to anyone who lives or works with such people, and is shown to transform lives and to introduce a sense of fun, of participation and of intimacy, as trust and familiarity are established.

`This book is about how we get in touch with people who, in the words of the author, 'are separated from us because they cannot tell us what they want, or perhaps more importantly, how they feel'. It is a beautifully written endorsement of the universal importance of emotional needs such as intimacy and social connection, irrespective of an individual's ability to communicate with others. It introduces communication as a prerequisite to all intimacy, and makes the point that communication at 'deeper' levels is not verbal but physical, tactile or visual: a look, a nod, a smile - a feeling of safety with another person. In this respect, this book has applicability and value beyond those for whom it was written… this book's strength is its emphasis on improving the quality of life - identifying and meeting needs - of people who are in one way or another isolated by their disability.'
Human Givens
` Anyone working closely with people with severe learning disabilities or Autism Spectrum Conditions will find this latest book invaluable. Building on the themes she presented in `Finding you Finding me' (2006, Jessica Kingsley), Phoebe Caldwell presents a user-friendly guide to using intensive interaction with people who are unable to communicate verbally. Numerous cases are presented in an accessible way, highlighting that by taking time to understand an individual's perspective and sensory experience, we can gain access to their world and thus to a meaningful connection with them. Giving people a sense of self through non-verbal communication can alleviate stress and thus reduce behaviours that challenge us, instead providing opportunities for positive interactions.'
Journal of Intellectual Disability Research
`With over thirty years of experiences, Phoebe's enthusiasm is clear from beginning to end.'
Speech & Language therapy in practice

`This book reminds us of the `intuitive' in therapy. Intensive Interaction is all about affect, about interpersonal contact and about affect, about valuing the person's communicative attempts.

This book explains simply and effectively how use of imitation and repetition of body language, sounds and movements might change the focus of attention in an adult with autism/learning difficulties from a self-centred to an other-centred one.

Royal College of Speech & Language Therapists
`In short, this is a wonderful book - it challenges current thinking, it makes you want to go straight up to the next person you meet who has communication difficulties and try out the approaches she suggests. It is early days, but if evidence can be produced to support her theories this may just come to be regarded as a book that changed the world.'
The Frontline Of Learning Disability, Spring 2007
Phoebe Caldwell has worked for over 35 years as a practitioner with children and adults with autism and people whose severe learning disabilities are linked with behavioural distress. She was a Rowntree Research Fellow for four years, trains management, therapists, practitioners, parents and carers in her successful approach to Intensive Interaction. She is employed by the NHS Social Services and Community and Education Services to work with difficult-to-provide-for individuals. In 2009 she was awarded the Times/Sternberg Award for pioneering autism treatment and is soon to be awarded a DSc by the University of Bristol.

Table of Contents

Section Title Page Action Price
Prelims [Preface| Foreword| Acknowledgements]
Part A
Who are sub-Saharan Africa’s extreme poor and how to target them
1. What works for Africa’s poorest?
David Hulme and David Lawson
2.Defining, targeting, and reaching the very poor in Benin
Anika Altaf and Nicky Pouw
3. Towards inclusive targeting: the Zimbabwe Harmonized Social Cash Transfer (HSCT) programme
Bernd Schubert
Part B
Africa’s children and youth
4. Africa’s extreme poor: surviving early childhood
Lawrence Ado-Kofie and David Lawson
5. Cash for care? Researching the linkages between social protection and children’s care in Rwanda
Keetie Roelen, Helen Karki Chettri and Emily Delap
6. Promoting employment, protecting youth: BRAC’s Empowerment and Livelihoods for Adolescent Girls Programme in Uganda and Tanzania
Nicola Banks
Part C
Getting Africa to ‘work’
7. Female engagement in commercial agriculture, interventions, and welfare in Malawi
Ralitza Dimova and Ira N. Gang
8. Effects of food assistance: evaluation of a food-for-training project in South Sudan
Munshi Sulaiman
9. The role of public works in addressing poverty: lessons from recent developments in public works programming
Anna McCord
10. Exploring potentials and limits of graduation: Tanzania’s Social Action Fund
Usha Mishra and Emmanuel J. Mtambie
11. Do ‘graduation’ programmes work for Africa’s poorest?
Stephen Devereux
Part D
Poverty reduction for Africa’s poorest – implementation and policy thoughts
12. Institutional and policy challenges in the implementation of social protection: the case of Nigeria
Rebecca Holmes
13. The conditions for conditionality in cash transfers: does one size fit all?
Luca Pellerano and Valentina Barca
14. Effective cash transfers for the poorest in Africa: a focus on supply capacity
Francisco Ayala
15. Access to justice for the very poorest and marginalized in Uganda
Adam Dubin and David Lawson
16. Conclusion
David Hulme, David Lawson and Lawrence Ado-Kofie