FORME I FUNKCIJE KOMUNIKACIJE KOD UČENIKA S POREMEĆAJEM IZ SPEKTRA AUTIZMA

  • Slobodan Banković Univerzitet u Beogradu, Fakultet za specijalnu edukaciju i rehabilitaciju, Odeljenje za oligofrenologiju
  • Vasilije Baloš Osnovna škola "Novi Beograd", Beograd
  • Branislav Brojčin Univerzitet u Beogradu, Fakultet za specijalnu edukaciju i rehabilitaciju, Odeljenje za oligofrenologiju

Sažetak


Uprkos tome što ograničenja u korišćenju gestova mogu perzistirati tokom čitavog života osoba sa poremećajem iz spektra autizma, uvidom u dostupnu literaturu stiče se utisak da se ovoj problematici nedovoljno posvećuje pažnja kada su u pitanju deca školskog uzrasta.

Stoga je naše istraživanje imalo dvostruki cilj. Prvo, želeli smo da utvrdimo zastupljenost i važnost pojedinih oblika i funkcija komunikacije u populaciji učenika sa poremećajem iz spektra autizma. Drugi cilj nam je bio da utvrdimo povezanost pojedinih individualnih obeležja ovih učenika sa identifikovanim formama i funkcijama komunikacije.

Uzorkom su obuhvaćena 43 učenika sa poremećajem iz spektra autizma, uzrasta od sedam godina i četiri meseca do 19 godina i dva meseca. Zastupljenost različitih oblika i funkcija komunikacije procenjena je modifikovanom Skalom za procenu ekspresivnih komunikacionih formi i funkcija (Cascella, 2005). U istraživanju smo koristili i Gilijamovu skalu za procenu autizma – drugo izdanje (Gilliam, 2006), za procenu zastupljenosti autističkog ponašanja kod ispitivanih učenika. U našem istraživanju informanti su bili specijalni edukatori koji su neposredno radili sa procenjivanim učenicima.

Među ispitanicima su zabeležene izražene varijacije u pogledu ukupnog broja registrovanih komunikacionih formi i funkcija, pri čemu su neverbalni oblici komunikacije bili zastupljeniji od verbalnih, dok je protestovanje bila najzastupljenija funkcija komunikacije. Većina informanata smatra važnim ili vrlo važnim sva procenjivana komunikaciona ponašanja. Ukupan broj formi i funkcija komunikacije nije bio značajno povezan sa hronološkim uzrastom učenika, ali jeste sa razredom. Nadalje, funkcije komunikacije su bile značajno povezane sa težinom ispoljavanja autističkih simptoma.

Generalno, učenici sa poremećajem iz spektra autizma poseduju širok spektar komunikacionih formi i funkcija, koje su prepoznate i visoko vrednovane u školskom kontekstu.

Ključne reči: autizam, gestovi, komunikacija, oblici, funkcije

Reference

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders,. Arlington, VA: American Psychiatric Publishing. Fifth Edition.

Anderson, D. K., Lord, C., Risi, S., DiLavore, P. S., Shulman, C., Thurm, A.,...Pickles, A. (2007). Patterns of growth in verbal abilities among children with autism spectrum disorder. Journal of Consulting and Clinical Psychology, 75(4), 594-604. doi: 10.1037/0022-006X.75.4.594

Asaro-Saddler, K. (2016). Writing instruction and self-regulation for students with autism spectrum disorders: A systematic review of the literature. Topics in Language Disorders, 36(3), 266-283. doi: 10.1097/TLD.0000000000000093

Banković, S., Arsenić, I., & Brojčin, B. (2015). Karakteristike komunikacije osoba sa teškom i dubokom intelektualnom ometenošću. Specijalna edukacija i rehabilitacija, 14(3), 411-432. doi: 10.5937/specedreh14-9462

Банковић, С., Терзић, И., Ђорђевић, М. (2014). Процена комуникационих способности код особа са тешком и дубоком интелектуалном ометеношћу. Београдска дефектолошка школа, 20(1), 151-161.

Binger, C., & Light, J. (2006). Demographics of preschoolers who require AAC. Language, Speech, and Hearing Services in Schools, 37(3), 200-208. doi: 10.1044/0161-1461(2006/022)

Boisjoli, J. A., & Matson, J. L. (2010). General methods of assessment. U J. L. Matson (Ed.), Social behavior and skills in children (str. 61-75). Springer, New York, NY. doi: 10.1007/978-1-4419-0234-4

Bonvillian, J. D., Nelson, K. E., & Rhyne, J. M. (1981). Sign language and autism. Journal of Autism and Developmental Disorders, 11(1), 125-137. doi: 10.1007/BF01531345

Buffington, D. M., Krantz, P. J., McClannahan, L. E., & Poulson C. L. (1998). Procedures for teaching appropriate gestural communication skills to children with autism. Journal of Autism and Developmental Disorders, 28(6), 535-545. doi: 10.1023/A:1026056229214

Camaioni, L., Perucchini, P., Muratori, F., & Milone, A. (1997). Brief report: A longitudinal examination of the communicative gestures deficit in young children with autism. Journal of Autism and Developmental Disorders, 27(6), 715-725. doi: 10.1023/A:1025858917000

Cascella, P. W. (1999). Communication disorders and children with mental retardation. Child and Adolescent Psychiatric Clinics of North America, 8(1), 61-75. doi: 10.1016/S1056-4993(18)30196-2

Cascella, P. W. (2005). Expressive communication strengths of adults with severe to profound intellectual disabilities as reported by group home staff. Communication Disorders Quarterly, 26(3), 156-163. doi: 10.1177/15257401050260030401

Cascella, P. W., & McNamara, K. M. (2005). Empowering students with severe disabilities to actualize communication skills. Teaching Exceptional Children, 37(3), 38-43. doi: 10.1177/004005990503700306

Chiang, H. M. (2008). Expressive communication of children with autism: The use of challenging behaviour. Journal of Intellectual Disability Research, 52(11), 966-972. doi: 10.1111/j.1365-2788.2008.01042.x

Clements, C., & Chawarska, K. (2010). Beyond pointing: development of the “showing” gesture in children with autism spectrum disorder. The Yale Review of Undergraduate Research in Psychology, 2, 46-63. doi: 10.1037/e525772013-004

de Bildt, A., Serra, M., Luteijn, E., Kraijer, D., Sytema, S., & Minderaa, R. (2005). Social skills in children with intellectual disabilities with and without autism. Journal of Intellectual Disability Research, 49(5), 317-328. doi: 10.1111/j.1365-2788.2005.00655.x

Đorđević, M., & Banković, S. (2011). Subklinički znaci autizma kod osoba sa intelektualnom ometenošću. Specijalna edukacija i rehabilitacija, 10(2), 271-284.

Ellawadi, A. B., & Weismer, S. E. (2014). Assessing gestures in young children with autism spectrum disorder. Journal of Speech, Language, and Hearing Research, 57(2), 524-531. doi: 10.1044/2013_JSLHR-L-12-0244

Fombonne, E. (1999). The epidemiology of autism: A review. Psychological medicine, 29(4), 769-786. doi: 10.1017/S0033291799008508

Ganz, J. B. (2014). Aided augmentative communication for individuals with autism spectrum disorders. New York: Springer. doi: 10.1007/978-1-4939-0814-1

Ganz, J. B. (2015). AAC interventions for individuals with autism spectrum disorders: State of the science and future research directions. Augmentative and Alternative Communication, 31(3), 203-214. doi: 10.3109/07434618.2015.1047532

Ganz, J. B., Davis, J. L., Lund, E. M., Goodwyn, F. D., & Simpson, R. L. (2012). Meta-analysis of PECS with individuals with ASD: Investigation of targeted versus non-targeted outcomes, participant characteristics, and implementation phase. Research in developmental disabilities, 33(2), 406-418. doi: 10.1016/j.ridd.2011.09.023

Ganz, J. B., Earles-Vollrath, T. L., Heath, A. K., Parker, R. I., Rispoli, M. J., & Duran, J. B. (2012). A meta-analysis of single case research studies on aided augmentative and alternative communication systems with individuals with autism spectrum disorders. Journal of autism and developmental disorders, 42(1), 60-74. doi: 10.1007/s10803-011-1212-2

Gilliam, J. E. (2006). Gilliam Autism Rating Scale Second Edition examiner’s manual. Austin, TX: PRO-ED, Inc.

Gresham, F. M., & Elliott, S. N. (1990). Social skills rating system (SSRS). American Guidance Service.

Hobson, R. P., & Lee, A. (1998). Hello and goodbye: A study of social engagement in autism. Journal of Autism and Developmental Disorders, 28(2), 117-127. doi: 10.1023/A:1026088531558

Iacono, T., Trembath, D., & Erickson, S. (2016). The role of augmentative and alternative communication for children with autism: Current status and future trends. Neuropsychiatric Disease and Treatment, 12, 2349-2361. doi: 10.2147/NDT.S95967

Ingersoll, B., & Lalonde, K. (2010). The impact of object and gesture imitation training on language use in children with autism spectrum disorder. Journal of Speech, Language, and Hearing Research, 53(4), 1040-1051. doi: 10.1044/1092-4388(2009/09-0043)

Ingersoll, B., Lewis, E., & Kroman, E. (2007). Teaching the imitation and spontaneous use of descriptive gestures in young children with autism using a naturalistic behavioral intervention. Journal of Autism and Developmental Disorders, 37(8), 1446-1456. doi: 10.1007/s10803-006-0221-z

Jones, E. A., & Carr, E. G. (2004). Joint attention in children with autism: Theory and intervention. Focus on Autism and Other Developmental Disabilities, 19(1), 13-26. doi: 10.1177/10883576040190010301

Kjellmer, L., Hedvall, Å., Fernell, E., Gillberg, C., & Norrelgen, F. (2012). Language and communication skills in preschool children with autism spectrum disorders: Contribution of cognition, severity of autism symptoms, and adaptive functioning to the variability. Research in Developmental Disabilities, 33(1), 172-180. doi: 10.1016/j.ridd.2011.09.003

Kushki, A., Chau, T., & Anagnostou, E. (2011). Handwriting difficulties in children with autism spectrum disorders: A scoping review. Journal of autism and developmental disorders, 41(12), 1706-1716. doi: 10.1007/s10803-011-1206-0

Lanter, E. (2009). Emergent literacy development in children with autism spectrum disorders. University of North Carolina at Chapel Hill. Doktorska disertacija. Preuzeto sa: https://cdr.lib.unc.edu/concern/dissertations/wh246s306

Lanter, E., Watson, L. R., Erickson, K. A., & Freeman, D. (2012). Emergent literacy in children with autism: An exploration of developmental and contextual dynamic processes. Language, speech, and hearing services in schools, 43(3), 308-324. doi: 10.1044/0161-1461(2012/10-0083)

Lord, C., Risi, S., & Pickles, A. (2004). Trajectory of language development in autistic spectrum disorders. In M. L. Rice & S. F. Warren (Eds.). Developmental language disorders: From phenotypes to etiologies (pp. 7-29). New Jersey: Lawrence Erlbaum Associates, Inc.

Mayes, S. D., & Calhoun, S. L. (2006). Frequency of reading, math, and writing disabilities in children with clinical disorders. Learning and individual Differences, 16(2), 145-157. doi: 10.1016/j.lindif.2005.07.004

Miller, A., & Miller, E. E. (1973). Cognitive-developmental training with elevated boards and sign language. Journal of Autism and childhood Schizophrenia, 3(1), 65-85. doi: 10.1007/BF01537555

Mirenda, P. (2003). Toward functional augmentative and alternative communication for students with autism: Manual signs, graphic symbols, and voice output communication aids. Language, speech, and hearing services in schools, 34(3), 203-216. doi: 10.1044/0161-1461(2003/017)

Nam, S. S., & Hwang, Y. S. (2016). Acquisition of picture exchange-based vs. signed mands and implications to teach functional communication skills to children with autism. The Journal of Special Education Apprenticeship, 5(2), 1-16.

National Research Council. (2001). Educating children with autism. Washington, DC: The National Academies Press.

Pickett, E., Pullara, O., O’Grady, J., & Gordon, B. (2009). Speech acquisition in older nonverbal individuals with autism: A review of features, methods and prognosis. Cognitive and Behavioral Neurology, 22(1), 1-21. doi: 10.1097/WNN.0b013e318190d185

Romski, M., & Sevcik, R. A. (2005). Augmentative communication and early intervention: Myths and realities. Infants & Young Children, 18(3), 174-185. doi: 10.1097/00001163-200507000-00002

Rose, V., Trembath, D., Keen, D., & Paynter, J. (2016). The proportion of minimally verbal children with autism spectrum disorder in a community‐based early intervention programme. Journal of Intellectual Disability Research, 60(5), 464-477. doi: 10.1111/jir.12284

Schoen Simmons, E. (2013). Vocalization. In: F. R. Volkmar (Ed.), Encyclopedia of Autism Spectrum Disorders. New York, NY: Springer. doi: 10.1007/978-1-4419-1698-3_992

Sigafoos, J., Woodyatt, G., Keen, D., Tait, K., Tucker, M., Roberts-Pennell, D., & Pittendreigh, N. (2000). Identifying potential communicative acts in children with developmental and physical disabilities. Communication Disorders Quarterly, 21(2), 77-86. doi: 10.1177/152574010002100202

Tager-Flusberg, H. (1994). Dissociations in form and function in the acquisition of language by autistic children. U H. Tager-Flusberg (Ur.), Constraints on language acquisition: Studies of atypical children (str. 175-194). New York: Psychology Press.

Tager‐Flusberg, H., & Kasari, C. (2013). Minimally verbal school‐aged children with autism spectrum disorder: The neglected end of the spectrum. Autism research, 6(6), 468-478. doi: 10.1002/aur.1329

Tager-Flusberg, H., Paul, R., & Lord, C. (2005). Language and communication in autism. U F. Volkmar, R. Paul, A. Klin, & D. Cohen (Ur.), Handbook of autism and pervasive developmental disorders, Third Edition, Volume 1: Diagnosis, Development, Neurobiology, and Behavior (str. 335-364). New York: Wiley.

Thunberg, G. (2011). Augmentative and alternative communication intervention for children with autism spectrum disorders. U T. Williams (Ur.), Autism Spectrum Disorders – From Genes to Environment (str. 329-348). Rijeka: InTech. doi: 10.5772/18511

Töret, G., & Acarlar, F. (2011). Gestures in prelinguistic Turkish children with autism, Down syndrome, and typically developing children. Educational Sciences: Theory and Practice, 11(3), 1471-1478.

Watson, L. R., Crais, E. R., Baranek, G. T., Dykstra, J. R., & Wilson, K. P. (2013). Communicative gesture use in infants with and without autism: A retrospective home video study. American Journal of Speech-Language Pathology, 22(1), 25-39. doi: 10.1044/1058-0360(2012/11-0145)

Wetherby, A. M., & Prutting, C. A. (1984). Profiles of communicative and cognitive-social abilities in autistic children. Journal of Speech, Language, and Hearing Research, 27(3), 364-377. doi: 10.1044/jshr.2703.364

Worah, S. (2011). A Survey of Augmentative and Alternative Communication (AAC) Services in Connecticut. Connecticut State Education Resource Center. Preuzeto sa: https://ctserc.org/documents/resources/Augmentative-and-Altenative-Communication-survey-2011.pdf

World Health Organization. (1993). The ICD-10 Classification of Mental and Behavioural Disorders Diagnostic criteria for research. World Health Organization.

Objavljeno
2020/02/26
Rubrika
Originalni naučni članak