Mental retardation has probably existed for as long as mankind has inhabited the earth. References to seemingly retarded persons appear in Greek and Roman literature. Examination of Egyptian mummies suggests that some may have suffered from diseases associated with mental retardation. Mohammed advocated feeding and housing those without reason. There is other evidence for favorable attitudes toward the retarded in early history, but attitudes var ied from age to age and from country to country. The concept of remediation did not emerge until the nineteenth century. Earlier, in 1798, ltard published an account of his attempt to train the "wild boy of Aveyron." A rash of efforts to habilitate retarded persons followed. Training schools were developed in Europe and the United States in the 1800s; however, these early schools did not fulfill their promise, and by the end of the nineteenth century large, inhumane warehouses for retarded persons existed. The notion of habilitation through training had largely been abandoned and was not to reappear until after World War II.

The development of behavior modification principles and procedures and the ensuing research have had a dramatic impact on services for mentally re tarded persons. This book is the second edition of a volume that is designed to update readers on some of these many developments. Although many of the chapter titles and authors from the first edition remain unchanged, we have added additional chapters to reflect new areas of research. The book is thus a critical review of this literature and, as such, provides essential and important notions about what we know and what can be done to expand our current knowledge. The authors of the chapters are all recognized experts who have been active in publishing in the research areas they critique. As a result, they have a good understanding of what are the major issues in the field. And because they are also active in service provision to persons with identified handicaps, their material will be especially useful to practitioners and, it is hoped, to those_ professionals who are working in the field in estab lishing data-based treatments. One important change in the field has concerned the terminology used to We are aware that persons with mental retar describe handicapped persons. dation are no longer referred to as "the mentally retarded," and although no disrespect is intended, for the sake of continuity the original title has been retained on the advice of the publisher.

The development of behavior modification principles and procedures and the ensuing research have had a dramatic impact on services for mentally re tarded persons. This book is the second edition of a volume that is designed to update readers on some of these many developments. Although many of the chapter titles and authors from the first edition remain unchanged, we have added additional chapters to reflect new areas of research. The book is thus a critical review of this literature and, as such, provides essential and important notions about what we know and what can be done to expand our current knowledge. The authors of the chapters are all recognized experts who have been active in publishing in the research areas they critique. As a result, they have a good understanding of what are the major issues in the field. And because they are also active in service provision to persons with identified handicaps, their material will be especially useful to practitioners and, it is hoped, to those_ professionals who are working in the field in estab lishing data-based treatments. One important change in the field has concerned the terminology used to We are aware that persons with mental retar describe handicapped persons. dation are no longer referred to as "the mentally retarded," and although no disrespect is intended, for the sake of continuity the original title has been retained on the advice of the publisher.

It is well known that behavior problems are a salient characteristic of children and adults with mental retardation. That is not to say that all persons with mental retardation experience behavior disorders; how ever, most studies indicate that the incidence of emotional disturbance in this population is four to six times greater than that observed in similar intellectually nonhandicapped children and adults. It is equally well known that the principal form of treatment accorded clients with mental retardation and behavior disorders is pharmacotherapy or the prescrip tion of behavior modifying drugs. Recent studies show that 6 out of every 10 individuals with mental retardation have been prescribed drugs as treatment for disorders of emotion or behavior. Unfortunately, further studies indicate that only one or 2 out of every 10 clients receiving medication are determined to be "responders," such that some thera peutic benefit is derived from their drug treatment. As noted by the title, the single major thrust of this volume is to review approaches to the treatment of behavior disorders in persons with mental retardation from a nondrug perspective. This requires the presentation of a wide range of material on treatment: basic behavior modification programming, cognitive-behavioral strategies, habilitative approaches, counseling and psychotherapy, designing therapeutic living environments, managing medical factors bearing relevance to emotional illness, intervening with families, training special education teachers and direct care staff, and supplying information on the client's rights to obtain treatment in the least restrictive and least intrusive manner.

The first up-to-date, comprehensive handbook covering the pactical approaches to social skills training (SST)--a relatively new concept encompassing a broad range of treatment and counseling approaches designed to help people conduct their social lives more effectively. Leading experts summarize the applications of SST and research to special populations, special problems, couples and families, individuals, parents, and professionals in the United States and Europe. Incorporates both behavioral and humanistic approaches.

This volume aims to provide the reader with a contemporary account of his torical, diagnostic, treatment-management (including the individual and the service systems perspectives), and training dimensions of mentally ill/mentally retarded individuals from interdisciplinary perspectives. Emphasis is placed on current and evolving aspects of this topic. The broad scope of our approach is consistent with the concepts and practices that currently typify this topical area of clinical and research activity. This volume is divided into five sections. Part I deals with the definitional aspects: the nature and incidence, the historical aspects, and a view of assessing the types of needs of mentally ill/mentally retarded individuals. Part II ad dresses the key issues in treatment intervention: from an individual therapeutic aspect through vocational considerations, as well as the role of the parents in these helping processes. Part III focuses on systems of service delivery, ranging from inpatient and day treatment models to the delivery of services in the home; at all times, the emphasis is on programs that have been successful. Part IV presents a modern perspective on the multiple challenges in training both men tal health and mental retardation specialists, as well as the critical dimension of providing a well-trained cadre of paraprofessionals in both fields. And finally, Part V encompasses key current research perspectives as well as possible future directions for this rapidly growing area of professional interest and involve ment.