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It is written by a group of experts working in Europe and North America who share a strong commitment to the behaviour analytic approach, and who are concerned with both research and treatment. The book is thematically organized to emphasize three interlocking aspects of a behaviourally-based clinical response to severe mental handicap. The first section reviews theoretical and practical advances in the area; the second section explores the way that language and symbolic functions have been approached within this framework; the final section focuses on behaviour analytic approaches to service delivery for people with severe mental handicap, covering intervention in learning, home, and work environments, and relating research in these areas to the practical goals of normalization and social role valorization. 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Demonstrates how treatment manuals can be tailored to individual client needs, a process that may well increase the efficacy of the treatment manuals. Provides throughout many detailed, concrete examples of how clinicians can use CBT case formulations with their clients. These clinical illustrations emphasise that approaches can be variable and adaptable within the cognitive-behavioural framework. They are applicable to a wide variety of psychological problems, using individually tailored treatment programmes for the needs of specific clients. This book will help clinicians to use case formulation approaches with their own clients. From the Foreword by Ira Daniel Turkat: \"The clinician who reads this book will be grateful for the very practical information offered . . The ultimate goal of clinical psychology should be to prevent psychopathology from occurring. 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