症状分類B群(音声発信困難)の1類型 発信行動習得モデルによる分析の試み:―発信行動習得モデルによる分析の試み―  [in Japanese] A Subtype of Severe Expressive Language Delay: Analysis of Speechless Children Using Acquisition Model of Expressive Language.:Analysis of Speechless Children Using Acquisition Model of Expressive Language  [in Japanese]

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Abstract

音声記号の受信 (理解) 面に比し発信 (表現) 面に極端な遅れがみられ, 国リハ式〈S-S法〉言語発達遅滞検査で症状分類B群 (音声発信困難) と分類された, 自閉症を伴う精神発達遅滞児4症例の発信行動の習得経過を, 発信行動の習得過程を分析するため作成した発信行動習得モデルを用いて分析した.<BR>その結果, B群のサブタイプa (文字・身振り記号・音声模倣による訓練が有効) の中に, コミュニケーション態度は不良 (自閉症) で, 音声発信を習得する過程が, (1) 初期的および事物を表す身振り, (2) 口腔器官運動や単音・単音節などの模倣および自発発信, (3) 文字を補助とする異音節結合, (4) 音声模倣による異音節結合, 自力での音声発信が日常的に可能となる, 以上のような共通する経過を示す下位群が設定できることを示した.<BR>さらに, 音声発信困難をきたす関連要因, 訓練プログラムにおける文字と身振り記号の意義などについて検討した.

The development of expressive language in four speechless autistic children was reported. They suffered mild to moderate mental retardation, and in contrast to relatively good speech comprehension, they were speechless at the starting period of their intervention programs (age 4-6) .<BR>Their developmental process was analyzed using the “acquisition model of expressive language, ” which was designed to analyze the features of the process by which expressive language is acquired, correlating roles of gestures, letters and speech imitation. Analyses demonstrated that all four children acquired oral expression following the same sequential order : 1) expressive gesticulate signs, 2) imitation of oral movement or single syllables, 3) utterance of polysyllabic words with the support of Kana letters, 4) imitation of polysyllabic words without the support of letters, 5) spontaneous utterance of polysyllabic words without the support of letters. These results indicated that there exists a subtype of severe developmental expressive language delay which consists of autistic children who follow the sequential order of expressive language acquisition mentioned above.<BR>Correlates with severe expressive language delay were also discussed. (Children with severe expressive language delay : speech-delayed children who can at least understand two-word combinations but can speak less than a few words, including children with autism or mental retardation.)

Journal

  • The Japan Journal of Logopedics and Phoniatrics

    The Japan Journal of Logopedics and Phoniatrics 34(4), 354-373, 1993

    The Japan Society of Logopedics and Phoniatrics

Codes

  • NII Article ID (NAID)
    130000993617
  • Text Lang
    JPN
  • ISSN
    0030-2813
  • Data Source
    J-STAGE 
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