Book Reviews: Unexpected Gains: Psychotherapy with People with Learning Disabilities Edited by Simpson, David & Miller, Lynda . London & New York : Karnac Books. 2004 . 236 pp. £18.99 (pb). ISBN 1855759640

Unexpected Gains: Psychotherapy with People with LearningDisabilities Edited by Simpson David. & Miller Lynda. London & New York: Karnac Books. 2004. 236 pp. £18.99 (pb). ISBN 1855759640

Unexpected Gains is a welcome addition to the literature on psychoanalytically informed work with people with learning disabilities. Many community learning disability services across the country offer counselling as part of their health provision. Very few of these services are audited and most are managed from within a psychology department.

This book describes the theoretical background of psychodynamic psychotherapy, illustrated by case examples showing work with children, adolescents, adults and carers. It gives a clear flavour of the clinical work of the Tavistock Clinic Learning Disability Service in London, which has been built on...