言語発達遅滞児および重複障害児の言語訓練における AAC の位置づけについて Application of AAC System in Speech-Language Interventions of Children with Delayed Speech

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多発奇形や気管切開に知的障害を伴う重複障害児1例と,〈S-S法〉で音声発信困難と分類される言語発達遅滞児1例の数年間にわたる訓練経過について報告した.両症例とも訓練開始時には発語がなく,AACアプローチを取り入れて包括的な訓練プログラムを実施した.前者は発語を代替するコミュニケーション手段として文字を習得し,後者は身ぶりを媒介として約20語の発語を獲得し,なお訓練を継続している.発信行動習得モデルを用いて各症例の訓練経過を分析し,併せてAACで扱う記号のモダリティと段階の相対化や,臨床におけるAAC概念の位置づけなどに関して考察した.

This paper describes 2 nonspeaking children's progress of speech-language development during several years. One is a 6-year-old girl who had phocomelia, multiple anomaly and had mental retardation (DQ20). She had a tracheostomy because of respiratory difficulty. She has mastered gesticulated signs, pictures, graphical symbols, and Kana-letters in sequence. The comprehensive intervention during about 6 years enables her to communicate using a voice output communication aid of Kana-letters. Another is a 6-year-old physically able-bodied girl who had mental retardation (DQ27). She had good verbal comprehension and no speech. After 3 years' intervention, she has acquired about 20 spoken words and uses a lot of gesticulated signs, several communication boards, and a voice output communication aid of PCS. It's efficient to make use of the acquisition model for expressive language in order to graph out progress reports of interventions, and relativize AAC signs and symbols. Now we may benefit from the concepts and the techniques of AAC system, and need to reconstruct the speech-language intervention programs including the essentials of AAC.

収録刊行物

  • 聴能言語学研究

    聴能言語学研究 16(1), 32-39, 1999-04-30

    Japanese Association of Communication Disorders

参考文献:  12件中 1-12件 を表示

被引用文献:  2件中 1-2件 を表示

各種コード

  • NII論文ID(NAID)
    10008101985
  • NII書誌ID(NCID)
    AN10091280
  • 本文言語コード
    JPN
  • 資料種別
    REV
  • ISSN
    09128204
  • NDL 記事登録ID
    4768358
  • NDL 雑誌分類
    ZF1(教育) // ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL 請求記号
    Z7-1914
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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