高いストレスをもつ保護者による行動問題を示す自閉症児への家庭での介入を促す支援方略の検討 ―強みに基づくアプローチを通して―  [in Japanese] A Strength-Based, Parent-Implemented Intervention for a Child With Autism and Behavior Problems: Parent With a Reported High Level of Stress  [in Japanese]

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Author(s)

    • 岡村 章司 OKAMURA Shoji
    • 兵庫教育大学大学院特別支援教育専攻 Department of Special Needs Education, Hyogo University of Teacher Education

Abstract

行動問題を示す自閉症児(長男)に対して、高いストレスをもつ母親が機能的アセスメントに基づく介入を家庭で実行するための支援を行った。長男は自らを否定的に語ることがみられ、遊びをやめる際に机を蹴るなどの行動問題を多く示した。母親はこれらの行動が生じる原因は自らの言動であると捉えていた。面接では、母親の行動記録に基づき、行動問題が生起したおよび生起しなかった状況や要因、介入方略を語るよう促し、特に母親の適切な対応を強調し、望ましい結果を称賛した。その結果、母親は行動問題の先行事象や結果事象および介入方略を自発的に語ることがみられ、行動問題は減少した。長男や自らの肯定的な評価、望ましい関わりに関する語りもみられた。さらに、母親の精神的健康度が上昇し、不安水準も低減した。以上の結果から、介入の主体性を促す、行動記録に基づく保護者の強みを強調する支援アプローチの効果について、考察を行った。

The present study examined effects of a strength-based approach on the implementation of functional assessmentbased parent intervention for reducing a child's behavior problems. The mother of a third-grade boy with autism reported high levels of stress because of his behavior problems, which were occurring frequently at home. The mother's opinion was that her behavior induced her son's behavior problems. The therapist and the mother jointly developed a behavior support plan, using daily records that she kept. In addition, she was asked to describe situations in which her son had shown behavior problems at home, using the 3-term contingency in her descriptions, and about behavioral factors and procedures that might be used with the target behaviors. The therapist emphasized appropriate interactions and the mother's implementation of the intervention. The mother's discussions with the therapist showed a decrease in descriptions of her son's behavior problems at home and an increase in positive statements about him. The mother also reported that her son's behavior problems had decreased. Furthermore, the mother gave advice to support staff on how to support her son, and she reported that her mental health had improved and her anxiety decreased. These results suggest that the mother must have worked proactively to intervene, using a strength-based approach, based on the records that she was keeping.

Journal

  • The Japanese Journal of Special Education

    The Japanese Journal of Special Education 54(4), 257-266, 2016

    The Japanese Association of Special Education

Codes

  • NII Article ID (NAID)
    130007617649
  • NII NACSIS-CAT ID (NCID)
    AN00172513
  • Text Lang
    JPN
  • ISSN
    0387-3374
  • NDL Article ID
    028152195
  • NDL Call No.
    Z7-314
  • Data Source
    NDL  J-STAGE 
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