Victoria Shimmens, Allan Skelly

Love, Attachment and Intellectual Disability: Meeting Emotional Needs and Developmental Trauma

The book Love, Attachment and Intellectual Disability  highlights the importance of early attachment and the trauma that can occur when this basic emotional need is not met.



Love, Attachment and Intellectual Disability came about from the authors’ experience working together in clinical learning disabilities services, and their work to move the focus away from the management of challenging behaviour and towards a trauma-informed, attachment-based approach to caring.

It introduces some of the key theories that have informed our understanding of the emotional development of people with intellectual disabilities and the importance of receiving love from an attachment figure from a young age. There are case studies that focus on the lives of particular individuals – sometimes presented as individual therapy sessions and sometimes an overview of progress across many sessions.


Clinical psychologists; learning disability specialist clinicians, front-line care staff, nurses and allied health professionals; students of these disciplines; professional and family caregivers of people with intellectual disabilities; care provider organisations.


Publisher: Pavilion Publishing and Media

ISBN: 9781803883243

Publication date: January 2024

Pages: 140


Foreword: Professor Nigel Beail
Chapter 1: Why this book is needed
Chapter 2: Klein, Bowlby, Mahler & Došen:
Theories of our need for love
Chapters 3 – 16: Individual case studies
Chapter 17: The Team: We’re flagging
Chapter 18: What the science says: Dismissing attachment does not stand
Chapter 19: Putting love at the heart of care services


Victoria Shimmens is an Assistant Psychologist at NHS England. In 2021 she co-wrote a chapter with Allan Skelly and Aimee Corner about the long-term outcome of using Positive Behaviour Support interventions in The Bulletin of the Faculty of People with Intellectual Disabilities.

Allan Skelly is the 2019-2021 Chair of the Faculty for People with Intellectual Disabilities (FPID) of the British Psychological Society (BPS) and Consultant Clinical Psychologist with Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust. Allan was chair of the working group which produced the 2017 BPS clinical practice guidelines for the integration of Attachment Theory into the work of clinical psychologists in the UK.



  1. Dr Noelle Blackman, Psychotherapist, Supervisor, Coach, Consultant and Trainer specialising in psychological trauma.

    This is a beautiful book. We rarely, if ever, see the word ‘love’ associated with our work in the caring professions. However, there is now a move towards ‘relational working’ as part of the recognition of the importance of trauma informed practice and this book really looks from many angles at defining some of the qualities of this.

    It opens with a valuable chapter exploring a range of key theories that help us to conceptualise the human need for love. These are explained in clear, straightforward language.

    The rest of the book comprises chapters that use clinical vignettes to illustrate and bring some of the theories explored to life through observations and reflections. There are sometimes a few judgements made from the therapist perspective that can seem harsh. However, it also comments on itself doing this, for example a quote from Barth (2009) “Therapists can easily identify with the parent-blaming to support their client, but this is not actually helpful, because it involves distortion. In reality, no one is fully evil, or fully good.”
    I particularly liked a chapter that takes a narrative perspective of the support of a young man who makes the people around him anxious. It examines 4 differing perspectives that the professionals take up from their specific role, most of which are not really helpful at all in seeing him as a person with a history.
    I will end with another quote:

    “Closeness involves risk; risk of being hurt and eventual grief. Closeness is absolutely necessary, however, to truly understand a person like Colin. This was also true of our relationship with the care team. They trusted that we cared, would help them explore, provide a framework for understanding and comfort when they were sad or anxious about him.”

    All in all, this is a brave book full of love that brings a humanness to the messy and difficult work of supporting people who have often been too horribly de-humanised.

  2. Emma Rye, Consultant Clinical Psychologist, Mental Health of Learning Disability Services, Kent and Medway Partnership Trust

    There have been vast improvements in the ways in which services try to promote the psychological wellbeing of people with learning disabilities since I developed a passion for this work during my training as a clinical psychologist in the early 1990s. At that time there were a small number of inspirational professionals powerfully arguing for the importance of attending to the inner worlds of people with learning disabilities. However, three decades on there are still relatively few books looking at the ways in which the difficulties experienced by adults with learning disabilities often have their origins in trauma within attachment relationships; and what the implications of this are for services. Victoria Shimmers and Allan Shelly give an overview of the theoretical framework, in language which is accessible to professionals who may not have a background in psychotherapy. They are quite clear in stating that this book is aimed at commissioners of services, as well as clinicians and others.

    The power of the book lies in the thoughtful and respectful way in which they share with the reader the stories of the people they have worked with during their many years of experience. They focus on the importance of attending to the language used when talking about the people we work with: the narratives developed within services shape the care provided. They give practical examples as to how we can improve the lives of people with learning disabilities, by attending to their attachment needs: as children, adolescents and adults.

    I would recommend this book to anyone working with people with learning disabilities. Although it deals with difficult and painful issues, it does so in a readable and inspirational way.

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