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BOOKS BEYOND WORDS: Telling the Whole Story in Pictures
Sheila Hollins (UK)
Books Beyond Words are full-colour picture books that address
some of the problems in understanding experienced by people with
intellectual and communication difficulties.
By telling the whole story in pictures, they help people to prepare
for an event or re-visit something that has happened, such as
going to hospital. They are able to relate the pictures to their
own experiences, without being distracted or confused by accompanying
text. The pictures share information but they also illustrate
emotions relevant to the topic or experience.
Sheila Hollins, Beth Webb and Lester Sireling created and devised
the first Books Beyond Words in 1989 after realising that many
people have better visual than verbal literacy - not just people
with intellectual disabilities. Probably 20% of the adult population
in the UK have literacy difficulties for one reason or another.
Since earliest times pictures have been used to communicate. This
series now includes some 30 titles covering such diverse subjects
as epilepsy, abuse, bereavement, depression, making friends, going
into hospital, falling in love.
Many pictures from the books have been used to illustrate topics
on this site.
A vital part of the development of each book is the involvement
of people who have intellectual disabilities. They monitor the
pictures, interpret their meaning and, when necessary, ask for
changes to be made until they are satisfied that the illustrations
will be clearly understood by future readers.
A supporting text is provided at the back of each book, giving
one interpretation of what is taking place. Guidelines are also
provided for carers, supporters and professionals, including notes
on how to use the book together with useful resources and organisations
that may help with particular problems. The Guidelines may include
a glossary of special terms.
How to Help People with Intellectual Disabilities Use Books Beyond
Words:
The following are some ideas supporters have found helpful:
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Read it just like any other book. Start at the beginning
and read the story in each picture. Then read the text, but
please don't read the text to the person or group of people
you are supporting.
-
Consider which pictures might be most relevant to the person
you are supporting.
-
Sit down beside the person you are supporting and offer them
the book, asking them to turn the pages themselves.
-
People will take the meaning they need from each picture.
If possible, encourage them to tell the story as they see
it.
-
Depending on the response of the person you are supporting,
prompt them to say what is happening. For example
Their responses will help you to judge how much they have
understood, and to know what is important to them.
-
Don't feel that you have to use the whole book in one sitting.
Allow the person enough time to follow the pictures at his
or her own pace.
-
Provide as much support and reassurance as is needed by the
people you are supporting, and answer their questions honestly.
-
Some people will not be able to follow the story, but they
may be able to understand some of the pictures. Stay with
the pictures they feel able to work from.
Some Examples:
GOING TO THE DOCTOR
The following pictures from Going to the Doctor show two patients
experiencing different medical procedures.
First of all we see Mr Lane having his blood pressure taken:
Then we see Miss Smith having her ears syringed:
These scenarios show the doctor and nurse using the book to explain
what they are going to do. Picture numbers 10 and 35 illustrate
consent by showing Mr Lane and Miss Smith deciding
whether they will agree to have the recommended procedure. There
are four other scenarios in this book: Being Examined, Injection,
Blood Test, and Prescription, while the text at the back of the
book includes a Guide for Supporters/Informants, and a Guide for
GPs and the Primary Care Team.
For further examples, please click on the links below:
HUG ME TOUCH ME
In Hug Me Touch Me, Janet is rejected when she wants someone
to hug her, because she always picks the wrong person. She learns
when she can and cant hug and touch people. The pictures
show how she talks to her supporter and is helped by her to establish
some friendships
GETTING ON WITH EPILEPSY
Getting on with Epilepsy tells one mans story on
the bus, at work, and out with his friends. We see him having
a seizure, going to the doctor, having a brain scan, an EEG, a
blood test, and taking daily medication. There are examples of
activities that people with epilepsy need to be careful about,
such as drinking alcohol and swimming alone. The book shows that
it is possible to enjoy an active and independent life with epilepsy:
GEORGE GETS SMART
In George Gets Smart we follow Georges daily life
at home, at work, on the bus and in the pub. It is the story of
a man who does not keep himself clean and does not understand
why people seem to avoid him. He often feels lonely and unhappy.
His life is changed when he is helped to be clean and to wear
appropriate clothes
GOING TO COURT
Going to Court is about being a witness in a Crown Court. A young
woman witnesses a crime and her supporter, the police, and the
court usher, give her the confidence to appear as a witness
FEELING BLUE
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Feeling Blue tells the story of a young man who is depressed, and
whose supporter calls the doctor to make a home visit. Over a series
of visits, the doctor is able to help him to feel better. The doctor
is shown using pictures to aid the counselling process.
Publishing Information:
Books Beyond Words cost £10 each (including postage &
packing) in the UK. For overseas packing charges, contact the
Royal College of Psychiatrists.
Information about all the Books Beyond Words titles can be found
on the Internet:
at http://www.rcpsych.ac.uk/publications/booksbeyondwords/aboutbbw.aspx.
Titles can be ordered from this web-site.
Leaflets about the series can also be obtained from:
The Royal College of Psychiatrists,
17 Belgrave Square, London SW1X 8PG.
Tel: +44 (0)20 7235 2351 (ext 146)
Fax: +44 (0)20 7245 1231
This article was first published on the site in 2003.
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