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This text draws on the most recent research to examine the ways in which high quality services can be developed for those people with severe learning difficulties and challenging behaviour. With contributions from both researchers and practitioners, the book is divided into three sections dealing with: the definitions and prevalence of challenging behaviour; different forms of service development; and effective therapy of such individuals. Crucial issues affecting work in this area are discussed, including: service evaluation; "aversive" versus "non-aversive" procedures; and pharmacology.