This book provides a source of support for parents facing the everyday realities of bringing up children with developmental disabilities, especially those with autism.

John Clements is a clinical psychologist of over forty years' standing, specializing in the field of developmental disabilities. He has previously worked for the NHS and university system in the UK and jointly established the UK's first independent psychology practice specializing in issues for people with developmental disabilities. He has also worked as a behavior consultant in California, taking a particular interest in helping people with autism and their families.

Acknowledgements. Introduction. Preview. Letters Home: 1. Letters to My Family. Three young people on the autistic spectrum reflect on their growing up. A. Dean's Letter. B. Hannah's Thoughts. C. Alex's Letter. Letters Home: 2. Dear All. Considering some general topics and decisions that come up in the parenting process. A. The Road Ahead. Looking at how the parenting agenda changes over time. B. Who are you? Reflecting on how to see real people in the midst of significant and widespread differences in abilities and the diagnostic labels that often accompany these differences. C. Brothers and Sisters. Considering the impact on siblings of growing up with a brother or sister who has significant developmental disabilities. D. Managing the System. Thoughts about dealing with the challenges that arise for parents having to deal with multiple professional agencies over long periods of time. E. Got Behaviour ? Get Drugs? A guide to help parents think through the issues that arise when they are offered medication to help control their son or daughter's behaviour. Letters Home: 3. Thinking About Some of the Behavioural Challenges Presented by Children and Young People on the Autistic Spectrum. A. Charlene. 'Obsessions'. B. Marcus. Physical aggression. C. Tyrone. Verbal abuse, physical aggression, property damage. D. Charlie...conversations that you never want to have. A danger to himself and others. E. Rudy...the long haul. Long term severe self-injury and physical aggression. Section Comments. Letters Home: 4. Idol Speculations. An attempt to show how to challenge in a constructive way 'received wisdom' that is passed to parents as statements of fact. A. Sensory Integration ? brain changer or licence to twiddle? B. Boarding schools ? a solution for difficult problems or a British disease? A Few Last Thoughts. Appendix 1: Constructive Behavioural Support ? Service Evaluation Guide. Index.