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L'auteur propose des analyses et des réponses argumentées, soutenues par une longue expérience, sur les questions que se posent les professionnels de l'accompagnement des personnes gravement handicapées mentales. Après une longue histoire, le secteur médico-social se trouve à la croisée des chemins. S'il avait pu, dans le champ du handicap mental grave, se sentir protégé de l'irruption de la « folie » qui restait cantonnée à l'hôpital, celle-ci lui revient comme un boomerang et vient s'installer au cœur des pratiques. Pour poursuivre, auprès des personnes les plus gravement handicapées, une action qui ait du sens, il doit reconsidérer son cadre de travail en intégrant la dimension du soin psychique dans l'accompagnement. Après avoir exercé comme cadre dans des établissements sanitaires et médico-sociaux accueillant des personnes gravement handicapées mentales, Philippe Chavaroche a été directeur adjoint d'un centre de formation au travail sanitaire et social. Il est aujourd'hui formateur auprès des aides médico-psychologiques, des éducateurs et des cadres, conduit des actions de formation continue en établissements médico-sociaux et sanitaires ainsi que des analyses de pratiques.

People with mental disabilities --- Mental retardation --- Complications --- Intellectual disability

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Intellectual disability. --- Intellectual disability --- Idiocy --- Intellectual disabilities --- Mental deficiency --- Mental retardation --- Developmental disabilities --- Psychology, Pathological --- People with mental disabilities --- Treatment. --- Social aspects. --- Mental retardation.

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Uma história das histórias sobre pessoas com síndrome de Down, produzida com rigor científico e metodológico, mas escrita com a clareza e a sensibilidade que o tema exige: esta obra identifica imagens e significados culturalmente produzidos que revelam como, com base no discurso biomédico, a sociedade se relaciona com pessoas que trazem as marcas da síndrome de Down, conforme o que é convencionado como ‘normal’ e ‘patológico’, como ‘igual’ ou ‘mesmo’ e ‘diferente’ ou ‘outro’. Discute, ainda, como uma condição geneticamente determinada – trissomia do cromossomo 21 – torna-se fator estruturante de identidade. A pesquisa que originou o livro analisou uma grande variedade de produções culturais sobre a síndrome de Down voltadas para o público em geral, incluindo narrativas de grande evidência e repercussão na mídia, como a campanha que lançou o slogan “ser diferente é normal” e o premiado documentário Do Luto à Luta, do diretor Evaldo Mocarzel; centenas de livros e blogs produzidos por pais de pessoas com síndrome de Down, no Brasil e no exterior; e mais de 150 reportagens jornalísticas publicadas em jornal e revista.

Down syndrome --- Patients. --- 21 trisomy --- Down's syndrome --- Mongolism --- Mongolism (Disease) --- Trisomy 21 --- Human chromosome abnormalities --- Intellectual disability --- Syndromes --- Human chromosome 21

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Mental retardation --- People with mental disabilities --- Intellectual Disability --- Mentally Disabled Persons --- Mentally Retarded --- Mentally Disabled --- Mentally Handicapped --- Disabled, Mentally --- Mentally Disabled Person --- Person, Mentally Disabled --- Persons, Mentally Disabled --- Deficiency, Mental --- Intellectual Development Disorder --- Mental Deficiency --- Mental Retardation, Psychosocial --- Disability, Intellectual --- Idiocy --- Mental Retardation --- Retardation, Mental --- Deficiencies, Mental --- Development Disorder, Intellectual --- Development Disorders, Intellectual --- Disabilities, Intellectual --- Disorder, Intellectual Development --- Disorders, Intellectual Development --- Intellectual Development Disorders --- Intellectual Disabilities --- Mental Deficiencies --- Mental Retardations, Psychosocial --- Psychosocial Mental Retardation --- Psychosocial Mental Retardations --- Retardation, Psychosocial Mental --- Retardations, Psychosocial Mental --- Intellectually disabled persons --- Mental disabilities, People with --- Mentally deficient persons --- Mentally disabled persons --- Mentally disordered persons --- Mentally handicapped --- Mentally retarded persons --- People with intellectual disabilities --- Retarded persons --- Intellectual disability --- Abnormalities, Multiple --- Cockayne Syndrome --- Cri-du-Chat Syndrome --- De Lange Syndrome --- Fragile X Syndrome --- Laurence-Moon Syndrome --- Prader-Willi Syndrome --- Rubinstein-Taybi Syndrome --- Rett Syndrome --- Angelman Syndrome --- Williams Syndrome --- Brain Diseases, Metabolic, Inborn --- Bardet-Biedl Syndrome --- People with disabilities --- Mentally ill --- Intellectual disability. --- People with mental disabilities. --- Intellectual disabilities --- Mental deficiency --- Developmental disabilities --- Psychology, Pathological --- Intellectually Disabled Persons --- Persons with Intellectual Disability --- Disabled Persons, Intellectually --- Intellectually Disabled Person --- Persons, Intellectually Disabled --- Persons with Mental Disabilities --- Intellectual Disability. --- Persons with Mental Disabilities.

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This comprehensive monograph synthesizes the research on the individual placement and support model of supported employment for people with severe mental illness. It identifies empirical foundations for core principles of the model and reviews the literature on effectiveness, long-term outcomes, and policy implications.

People with mental disabilities --- Intellectually disabled persons --- Mental disabilities, People with --- Mentally deficient persons --- Mentally disabled persons --- Mentally disordered persons --- Mentally handicapped --- Mentally retarded persons --- People with intellectual disabilities --- Retarded persons --- People with disabilities --- Intellectual disability --- Mentally ill --- Employment --- Services for