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[早期语言评估与治疗]

[Early language assessment and therapy].

作者信息

Van der Horst L

机构信息

74, rue Dunois, 75013 Paris, France.

出版信息

Arch Pediatr. 2010 Mar;17(3):319-24. doi: 10.1016/j.arcped.2009.09.019. Epub 2010 Feb 4.

Abstract

A child's functional language develops during his first three years as a part of its general development (motor, senses, affection and cognition) based upon components of non-verbal communication and progressive learning of phonological, lexical and syntactic capabilities, first from a receptive then from an expressive side. When difficulties in the development of a child are observed, the assessment of its capacity of non-verbal communication and understanding allows defining the necessary conditions to install an oral language. Secondly, the speech therapist evaluates the level of the language of the child compared to other parts of its development (are the deviations compared to standards, observed using development scales, homogeneous between applications?). The interdisciplinary assessment is necessary. The installation of communication, being the exchange with a person using an object, a situation or a need and the development of the verbal understanding, related to the experience of the child, are precursory to oral productions. Precocious requests of language functions (using questions, comments, stories, dialogue...), using plays adapted for every individual child, giving support to parents, allows to prevent difficult behavior caused by the frustration due to the impossibility to express himself. Waiting for a child with difficulties to talk before a speech therapist's intervention means taking the risk to react too late to correct verbal communication troubles, with possible repercussions on the person's autonomy.

摘要

儿童的功能性语言在其生命的头三年中作为其总体发育(运动、感官、情感和认知)的一部分而发展,这基于非言语交流的组成部分以及语音、词汇和句法能力的逐步学习,首先是从接受性方面,然后是从表达性方面。当观察到儿童发育存在困难时,对其非言语交流和理解能力的评估有助于确定建立口语所需的条件。其次,言语治疗师会将儿童的语言水平与其发育的其他方面进行比较评估(与使用发育量表观察到的标准相比,这些偏差在不同应用中是否一致?)。跨学科评估是必要的。与他人就某个物体、某种情况或某种需求进行交流以及与儿童的经历相关的言语理解能力的发展,是口语表达的前奏。通过使用适合每个儿童个体的游戏,早熟地要求语言功能(使用问题、评论、故事、对话等),并给予家长支持,能够预防因无法表达自己而产生的挫折感所导致的困难行为。在言语治疗师进行干预之前等待有困难的儿童开口说话,意味着有可能对纠正言语交流问题反应过晚,从而可能对其自主性产生影响。

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