Conclusion

There are a large number and variety of treatments for any disorder in mental retardation: a good indication of the complexity of disturbance and the inconsistency of the effectiveness of any one treatment. Therapists have an unusual responsibility not to exploit the limited ability of their patients to withhold consent. They have also to combine simultaneously the enthusiasm of the charismatic healer with the objectivity and scepticism of the scientist. As in any experiment, changes in treatment should be introduced singly to ensure that it is clear which manoeuvre produces which result. However, treatments complement each other and should not be used in isolation. This is the area above all in which the patient depends on teamwork and co-operation between therapists, disciplines, and agencies.

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