The research described in this thesis is the result of a collaborative project between The University of Nottingham and Roundabout Education at Nottingham Playhouse, funded through an AHRC Collaborative Doctoral Award, which aimed to explore and begin to overcome the barriers to access to theatre for audiences labelled as having profound and multiple learning disabilities (PMLD). Positioned primarily from the perspective of the unique worlds of five profoundly disabled young people, the thesis begins with an assessment of their access to theatre in the light of disability discrimination legislation particularly Article 31 of the United Nations Convention on the Rights of the Child, 1991 - and highlights their disenfranchisement from past and current consultation processes, which perpetuates the lack of theatre appropriate to their needs. An initial examination of current audience reception theory - and current theatrical practice for PMLD audiences - suggests that this 'invisibility' is caused by a complex range of historico-cultural factors. The thesis describes the two practical research phases which I undertook as a key part of this collaborative project in order to address this shortfall. In the first phase, Thumbs Up, a team of specialists from a range of art forms worked alongside young people at a Nottingham School to experiment with the engagement potential of three theatre spectra (silence-sound, darkness-light and stillness-action) to foreground emotional narrative moments. This led to the second phase, White Peacock, in which I created a play using the three spectra to construct emotional narrative and utilised the concepts of inner and outer frames to ensure that those narratives could be experienced by PMLD audiences within a safe ethical framework that kept the distinction between reality and performance distinct at all times. The thesis concludes with a number of foundational principles emerging from the research that will assist theatre-makers wishing to create narrative theatre for PMLD audiences in the future.

Background: The importance of accessible information within modern learning disability services and the wider society cannot be underestimated. This research aimed to explore both the production and implementation of accessible information for adults with learning disabilities. A novel approach to the accessible information ‘process’ was adopted; resulting in a movement away from specific resource focused research to a process focused approach. The research was conducted in three stages: a comprehensive review of the literature; a qualitative scoping exercise which investigated the firsthand experience of producing and implementing accessible information; and a qualitative investigation of the dynamic behaviours involved in the implementation of health related accessible information at a clinical level. Methodology: The purpose of the first stage was to comprehensively review and critically appraise the literature relating to accessible information, learning disabilities and symbolic development. This was achieved through a detailed search of electronic databases and hand-searches of the grey literature. For the scoping exercise, eighteen participants were recruited from four distinct sampling groups: adults with learning disabilities; staff from a specialist learning disability service; mainstream NHS and local authority staff; and speech and language therapists. Each participant took part in either a semi- structured focus group or interview. Eight participants (four community learning disability nurses and four of their learning disabled clients) took part in a non- participatory observational study. Conversational analysis was used to explore the sequence of both the vocal and non-vocal behaviours. Findings: The literature review revealed that there was a dearth of high quality primary research that has investigated accessible information within the field of learning disabilities. Of the seven relevant primary research studies, two quantitative studies measured the effectiveness of specific accessible resources through pre and post comprehension scores. Three mixed method studies, which were generally poorly reported, described a qualitative process of developing and/or appraising a specific accessible resource or guidelines as well as a quantitative element to investigate its effectiveness. Two qualitative studies attempted to answer broader questions relating to the human dimensions and experiences of accessible information. One explored the use of accessible information with a wider population and the other explored issues relating to the implementation of a specific accessible resource. These findings highlighted the largely resource-focused research and failed to report on accessible information as a process which involves the implementation of such resources. A Framework approach to thematic analysis was used to analyse the data collected from the scoping exercise which led to three main classifications: the ideology of accessible information, accessible information practice and the outcomes of accessible information. Firsthand experience varied across the stakeholders, highlighting differences in the operationalisation of national policies and legislation. The notion of accessible information being relevant to more than just people with learning disabilities was introduced. The data supported the approach of accessible information as a process, although the practice of implementing accessible resources appeared less advanced. Three main clusters of episodes were identified through the conversational analysis of the non-participatory observations. Cluster one related to providing the accessible health information; cluster two to topic development; and cluster three to consent. The findings revealed numerous intricacies in the vocal and non-vocal exchange. The use of an accessible resource appeared to promote joint attention; communicative style appeared influenced by the primary and secondary reported outcomes of the resource; practical considerations of the topic development were evident; and contradictory goals in the decision making process were highlighted. The notion of the implementation of accessible information as a dynamic process was confirmed. Conclusions: The combination of the chosen methodology and subsequent findings generated a novel approach to accessible information within the field of learning disability. In conceptualising accessible information as a process, with a particular focus on the implementation phase, the findings illustrated that it was the implementation phase that allowed for personalisation in providing and developing the information, which was dependent on the intersubjectivity of the communication partner and the person with learning disabilities. This in turn supported the accessibility of the information. These findings would not have been apparent without the movement away from specific resource focused research to a process focused approach.

Although previous research has been done on adolescents with learning difficulties or barriers to learning such as dyslexia and ADHD, no research has been done in South Africa on their self-perceptions of these difficulties. A phenomenological study was conducted through means of semi-structured, individual, face-to-face interviews. Self-perceptions that adolescents with dyslexia and ADHD form were explored. Selfperceptions are formed through comparisons with other learners and friends. Self-perceptions were left as an open-term in order to investigate the adolescents' own idiosyncratic interpretations of dyslexia and ADHD. From the interviews themes could be identified concerning their understanding of dyslexia and ADHD, feelings and cognitions associated with dyslexia and ADHD, the importance that significant others such as educators, parents and friends play, as well as the adolescents' way of coping with dyslexia and ADHD. Selfperceptions were both negative and positive and found to be influenced by factors such as age, type of support systems and sufficient coping strategies. / Educational Studies / M.Ed. (Guidance and Counseling)

Although previous research has been done on adolescents with learning difficulties or barriers to learning such as dyslexia and ADHD, no research has been done in South Africa on their self-perceptions of these difficulties. A phenomenological study was conducted through means of semi-structured, individual, face-to-face interviews. Self-perceptions that adolescents with dyslexia and ADHD form were explored. Selfperceptions are formed through comparisons with other learners and friends. Self-perceptions were left as an open-term in order to investigate the adolescents' own idiosyncratic interpretations of dyslexia and ADHD. From the interviews themes could be identified concerning their understanding of dyslexia and ADHD, feelings and cognitions associated with dyslexia and ADHD, the importance that significant others such as educators, parents and friends play, as well as the adolescents' way of coping with dyslexia and ADHD. Selfperceptions were both negative and positive and found to be influenced by factors such as age, type of support systems and sufficient coping strategies. / Educational Studies / M.Ed. (Guidance and Counseling)

The research was directed at setting up guidelines for an interdisciplinary team which deals with children suffering from nonverbal learning disorder in middle childhood. The primary motive for the study was to, in general, further greater awareness of nonverbal learning disorder with parents and the relevant professions, but in particular, the interdisciplinary team which therapeutically handles children with nonverbal learning disorder. For the purpose of this study Thomas and Rothman's Intervention Research Model was applied. Information from relevant literature and semi-structured interviews with expertise in the area of learning disabilities was combined in order to set up guidelines for nonverbal learning disorder in middle childhood.The researcher concludes that thorough background knowledge of child development should be a precondition before nonverbal learning disorder could be identified and diagnosed. Because areas of development function interdependantly of each other, the developmental defecits of the nonverbal learning disorder child can only be treated effectively in a therapeutic way through an interdisciplinary team approach. / Social Work / M. Diac. (Play therapy)

The research was directed at setting up guidelines for an interdisciplinary team which deals with children suffering from nonverbal learning disorder in middle childhood. The primary motive for the study was to, in general, further greater awareness of nonverbal learning disorder with parents and the relevant professions, but in particular, the interdisciplinary team which therapeutically handles children with nonverbal learning disorder. For the purpose of this study Thomas and Rothman's Intervention Research Model was applied. Information from relevant literature and semi-structured interviews with expertise in the area of learning disabilities was combined in order to set up guidelines for nonverbal learning disorder in middle childhood.The researcher concludes that thorough background knowledge of child development should be a precondition before nonverbal learning disorder could be identified and diagnosed. Because areas of development function interdependantly of each other, the developmental defecits of the nonverbal learning disorder child can only be treated effectively in a therapeutic way through an interdisciplinary team approach. / Social Work / M. Diac. (Play therapy)