Pergamon
Clinical Psychology, Review, Vol. 17, No. 7, pp. 775-790, 1997
Copyright © 1997 Elsevier Science Ltd
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STAFF BELIEFS ABOUT THE
CHALLENGING BEHAVIORS
OF CHILDREN AND ADULTS
WITH MENTAL RETARDATION
Richard P. Hastings
Institute of Child Health, University College London
ABSTRACT. From both theoretical and practical perspectives, staff beliefs are likely to have a
significant impact on the process of care for children and adults with mental retardation who
engage in challenging behaviors. This paper reviaos research addressing three domains of staff
beliefs: definitions of challenging behavior, causal attributions, and beliefs about appropriate
intervention. In general, staff definitions were found to be at odds with formal definitions.
According to care staff, challenging behaviors are actions that are difficult to manage. Staff
causal attributions appear congruent with current theory, when measured with little specificity.
However, when staff are asked to suggest causes of challenging behavior with clearly described
functions they often fail to make appropriate attributions. Beliefs about appropriate short-term
interventions suggest responses likely to develop and~or maintain challenging behavior, but beliefs
about longer-term planned intervention appear to be more closely matched to contemporary
practice. Reasons for this long-term~short-term distinction, based on the demands of the imme-
diate situation, are proposed. Suggestions for future research on staff beliefs are discussed in
detail. Finally, implications for staff training, referral practice, and for analysis and intervention
with challenging behavior, are outlined. © 1997 Elsevier Science Ltd
CHALLENGING BEHAVIOR is probably the most researched issue in the field of
mental retardation. These behaviors include self-injury, aggression toward others,
property destruction, sexually inappropriate acts, and stereotyped actions. Presence of
behaviors such as these can have very serious implications for children and adults with
mental retardation, and for their caregivers. For example, children and adults with
mental retardation who engage in challenging behaviors are at greater risk of abuse
from their caregivers (Rusch, Hall, & Griffin, 1986; Zirpoli, Snell, & Loyd, 1987), their
families are more likely to place them into residential care (Sherman, 1988), and they
Correspondence should be addressed to Richard Hastings PhD, Department of Psychology,,
University of Southampton, Highfield, Southampton, S017 1BJ, England.
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