Using data from clinical interventions, this paper describes how the Birmingham Provocation Hierarchy was developed. This hierarchy highlights both situations which make people with learning disabilities most angry and the proportion of people who are made angry by these situations.

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This article reports the outcomes of an ‘Understanding my Feelings’ group developed within a community learning disability team as a pre-emptive intervention for individuals with mild intellectual disabilities. The group was initiated in view of research which has indicated that this population is more likely than the general population to experience emotional and mental health difficulties consequential to difficulties with emotional understanding. The group had a total of four participants and ran for six weeks. Outcome measures indicated increased levels of emotional understanding and ability to identify emotions. This group poses potential for the role of pro-active interventions with people with intellectual disabilities.