Cardoso Carla, Fernandes Fernanda Dreux Miranda
Universidade do Estado da Bahia.
Pro Fono. 2006 Jan-Apr;18(1):89-98. doi: 10.1590/s0104-56872006000100011.
Issues concerning language development and their relation with social cognitive aspects give direction to the clinical practice when assisting the population with the diagnosis within the autistic spectrum. The deficits or differences in this development can result in different ways of analyzing and counseling this population. Adolescence becomes a question mark in this analysis since, in most cases, researches address only early childhood. The speech pathologist must assess the relationship between language abilities and communicative competence. Language abilities refer to the possibilities to understand and formulate spoken or written symbolic systems, whereas the communicative competence refers to the ability to use language as an effective tool to interact with other people in several social contexts.
To verify the development of the functional communicative profile and of the social cognitive aspects of adolescents, who attend a specialized institution and who have a psychiatric diagnosis within the autistic spectrum in three different situations of communication during a 12 months period and to study the relation between these variables in the same situations, during the same period of time.
Subjects of this study were five adolescents with ages between 12 and 17 years. Two recording sets, with a 12 month interval, were obtained for each subject. Each recording set was composed by three 30 minutes videotaped situations of different interactive contexts: Situation I--individual language therapy; Situation II--child in a group with coordinator; Situation III--child in a group without coordinator.
Differences exist between the subjects in the three studied situations regarding the social cognitive performance and the functional communicative profile.
There is a relationship between the development of the social cognitive aspects and the functional communicative profile in the three situations of communication for the studied period.
在协助孤独症谱系人群进行诊断时,有关语言发展及其与社会认知方面的关系的问题为临床实践指明了方向。这种发展中的缺陷或差异会导致分析和咨询该人群的方式有所不同。青春期在这种分析中成为一个问号,因为在大多数情况下,研究仅关注幼儿期。言语病理学家必须评估语言能力与交际能力之间的关系。语言能力是指理解和构建口语或书面符号系统的可能性,而交际能力是指在多种社会情境中使用语言作为与他人有效互动工具的能力。
验证在12个月期间,就读于专门机构且患有孤独症谱系精神疾病诊断的青少年在三种不同交流情境下的功能性交际概况和社会认知方面的发展情况,并研究在同一时期、相同情境下这些变量之间的关系。
本研究的受试者为5名年龄在12至17岁之间的青少年。为每个受试者获取了两组间隔12个月的记录。每组记录由三种不同互动情境的30分钟录像组成:情境I——个体语言治疗;情境II——儿童与协调员在小组中;情境III——儿童在无协调员的小组中。
在三种研究情境下,受试者在社会认知表现和功能性交际概况方面存在差异。
在所研究期间的三种交流情境中,社会认知方面的发展与功能性交际概况之间存在关联。