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  [in Japanese] Application of AAC System in Speech-Language Interventions of Children with Delayed Speech  [in Japanese]

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Abstract

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.

Journal

  • THE JAPANESE JOURNAL OF COMMUNICATION DISORDERS

    THE JAPANESE JOURNAL OF COMMUNICATION DISORDERS 16(1), 32-39, 1999-04-30

    Japanese Association of Communication Disorders

References:  12

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008101985
  • NII NACSIS-CAT ID (NCID)
    AN10091280
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    09128204
  • NDL Article ID
    4768358
  • NDL Source Classification
    ZF1(教育) // ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z7-1914
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
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