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The application of systemic ideas and principles in working with people with intellectual disabilities, their families and their service systems, has grown over the last decade in the UK. This book, for the first time, brings together the writings of a group of practitioners who have been using this approach in their clinical practice. It is hoped it will inspire others to try out different ways of working with people with intellectual disabilities and their wider systems, so that they can have the choice of a wide range of therapeutic approaches. It is also hoped that systemic practitioners who are unfamiliar with this client group might give consideration to extend their practice to also work with people with intellectual disabilities.