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No One Knows (Prison Reform Trust, 2008) is concerned with people with learning disabilities and difficulties who come into contact with the police and who enter the criminal justice system. The terms ‘learning disabilities’ and ‘learning difficulties’ are often used interchangeably to describe people with an intellectual disability, excluding those who, for example, have dyslexia. No One Knows, however, has adopted a more inclusive approach, and has included in its remit offenders with learning disabilities as defined by the World Health Organisation as well as those with a broader range of learning difficulties. Although there is some disagreement on prevalence, it is clear that a large number of people with learning disabilities and difficulties are caught up in the criminal justice system. Once in the criminal justice system, people with learning disabilities and difficulties, because of their impairments, struggle to cope. At worst this can affect their right to a fair hearing in court and, if they are sentenced to custody, may mean longer in prison. UK criminal justice agencies do not recognise, let alone meet, the particular needs of people who have learning disabilities or difficulties.

The fear and experience of violence, harassment and abuse of those with learning disabilities are significant barriers to full social inclusion. The patchy evidence base and the confusing, and sometimes contradictory, array of policy and legislative instruments hamper efforts to tackle the issues. This article draws on the findings from an extensive review of literature looking into disabled people's experiences of targeted violence, harassment and abuse. The review found that people with learning disabilities and/or mental health conditions are at higher risk, and experience greater levels, of violence, harassment and abuse, not only than non‐disabled people but also than other disabled people. Situational vulnerabilities mean that the probability and experience of violence, harassment and abuse are due not simply to any inherent characteristics of those with learning disabilities. Under‐reporting and lack of appropriate response and support from criminal justice agencies compromise access to justice. People with learning disabilities are also found to have a propensity to report to third parties instead of to criminal justice agencies. However, the evidence points to lack of joined‐up working in various agencies, which hampers efforts at redress. There are particular concerns over a vacuum of responsibility as a result of confusion about the No Secrets guidance.

This paper provides a brief overview of research, knowledge and practice regarding Asperger's syndrome, an autistic spectrum disorder that has only recently been acknowledged by clinicians. The paper reviews our knowledge of the degree and nature of the impairments of social understanding of such individuals, especially their problems with making and keeping friends, perception of social and emotional cues, understanding and management of emotions, and ability to recognise the thoughts and feelings of others. Difficulties with communication and conversation skills are explained, as well as the person's tendency to develop areas of expertise and special interests. People with Asperger's syndrome have an unusual profile of cognitive abilities; some have signs of movement disturbance and some are extraordinarily perceptive of sensory experiences. The prevalence and aetiology of Asperger's syndrome are discussed briefly.

Claims that people with autism spectrum disorders (ASD) are overrepresented in offending populations and are more likely to commit crimes than others are explored in this review. Evidence to date makes these claims difficult to substantiate, although methodological difficulties make this area particularly challenging. ASD does not appear to account for a large number of crimes in society, though certain characteristics may render those on the spectrum vulnerable to offending. Comorbid psychiatric conditions such as depression and psychosis, when present in a person that additionally has ASD, are important risk factors. Once in the criminal justice system, people with ASD are often misunderstood and open to bullying. Very little is known about what treatment programmes are effective for offenders in this population. This review summarises some of the important studies in this field.

The ways in which the brain, as mapped by bioscience, has become popularly understood as the locus and determinant of the self is a topic of increasing importance within medical sociology. Nikolas Rose has influentially chronicled the emergence of a “neurochemical self,” determined by brain chemistry and thus fluid, malleable, and open to improvement via increasingly fine-tuned psychopharmacology. This chapter argues for the contemporaneous emergence of a neurostructural self, intrinsic to the growing neurodiversity movement. Drawing on trends in contemporary neuroscience and biological psychiatry, this model of “brainhood” conceptualizes the brain-as-self as a material system: governed by physical laws, and thus both morally innocent and robustly predictable. Rather than being infinitely open to intervention and optimization, however, the neurostructural self is imagined as fixed and immutable, resistant to the medical intervention and presumption of infinite flexibility inherent within neurochemical selfhood. This chapter draws on a two-year ethnographic study of autism spectrum disorders in North America, investigating the ways in which circulating discourses about medicine, culture, and identity are shaping the emergence, development and use of autism spectrum diagnoses in contexts of daily practice. In this chapter, I explore why individuals with the autism spectrum disorder known as Asperger's syndrome are particularly effective examplars, consumers, and producers of this neurostructural selfhood.

Thorn model psychosocial interventions (PSI) assist clients and their carer systems to manage the effects of psychotic symptoms. PSI has a broad menu of possible interventions from which a client and their therapist choose the most efficacious. In this process, assessment of the client's lived experience is crucial to choosing the most appropriate interventions. However, there are difficulties in adapting interventions designed for the ‘normal’ population for those with learning disabilities. This case study will explore conducting a Thorn model semi‐structured interview with a man with a diagnosis of Asperger's syndrome and mental health problems, highlighting both challenges and the approach used to address them.

Purpose – This chapter discusses the proposed changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), which eliminates Asperger's disorder (AD) and replaces it as “autism spectrum disorder.” Implications of these changes on the identity of adults with AD and the influence of everyday life experiences will be addressed.

Methodology/approach – This research is based on 19 interviews with adults diagnosed or self-diagnosed with AD. Central themes surrounding issues of identity and everyday life experiences were determined using grounded theory approaches.

Findings – This study demonstrates how the diagnosis and self-diagnosis of AD is fused with individual identity. It also shows how Asperger identity is positively embraced. The proposed changes to eliminate AD in DSM-V threaten these assertions of Asperger identity, which could potentially enhance stigma experienced by people with AD. Regardless of its removal, Asperger identity must be considered within the broader context of people's everyday lives and how experiences in social interaction and communication can be strong agents of identity construction.

Social implications – The proposed changes to eliminate AD in DSM-V is a social issue that will impact individuals with Asperger's and their families, as well as health-care professionals, health insurers, researchers, state agencies, and educational providers.

Originality/value of paper – This chapter offers a unique insight into identity construction based on the diagnosis and self-diagnosis of AD.

Housing Options is an independent advisory service for people with learning disabilities, their relatives and housing and care providers. Housing Options wanted to promote the development of opportunities for those with autism, to help those growing up and wanting their own home. A two‐year project has begun with help from the Shirley Foundation, to review need, demand and the range of existing services, look at what services local authorities, providers and families want and provide information and guidance to help with service development.

Generation A individuals with Asperger's (high-functioning autism) might increase their chance that their skills fit with job requirements (person-job fit) by considering various nonacademic and popular lists of Asperger's-friendly jobs. Asperger's “celebrity” and professor Temple Grandin's list of 51 jobs was investigated using Asperger's-related job characteristics from the US Department of Labor's O*NET job description database. Using a factor analysis resulting in six Asperger's-related job characteristics, social orientation was the only factor that significantly predicted Grandin's judgment of what is an Asperger's-related job based on a binomial logistic regression analysis. Another analysis using O*NET data showed a wide variety of jobs that were most and least associated with each of the six factors. Study limitations and future research follow the analyses.

The education of children with autism spectrum conditions deserves a fresh look, for several reasons. First, it is unclear whether some approaches ‐ such as applied behavioural analysis (ABA) ‐ are simply shaping behaviour but not fundamentally leading to conceptual development. Second, educational methods which depend on external reinforcement or reward are ethically questionable so methods that are intrinsically rewarding would be preferable. Third, many educational approaches to autism have proceeded without a clear theoretical rationale. This article summarises a new two‐factor psychological theory of autism spectrum conditions, presents some examples of educational methods that are based on this theory, and that are intrinsically rewarding and argues that such methods may be more autism‐friendly.