Conture Edward G, Kelly Ellen M, Walden Tedra A
Department of Hearing and Speech Sciences, Vanderbilt University, USA.
J Commun Disord. 2013 Mar-Apr;46(2):125-42. doi: 10.1016/j.jcomdis.2012.11.002. Epub 2012 Nov 19.
The purpose of this article is to discuss definitional and measurement issues as well as empirical evidence regarding temperament, especially with regard to children's (a)typical speech and language development. Although all ages are considered, there is a predominant focus on children. Evidence from considerable empirical research lends support to the association between temperament, childhood development and social competence. With regard to communication disorders, extant literature suggests that at least certain elements of temperament (e.g., attention regulation, inhibitory control) are associated with the presence of certain communication disorders. However, the precise nature of this association remains unclear. Three possible accounts of the association between temperament and speech-language disorder are presented. One, the disability model (i.e., certain disorders impact psychological processes leading to changes in these processes, personality, etc., Roy & Bless, 2000a) suggests speech-language disorders may lead to or cause changes in psychological or temperamental characteristics. The disability account cannot be categorically refuted based on currently available research findings. The (pre)dispositional or vulnerability model (i.e., certain psychological processes directly cause the disorder or indirectly modify the course or expression of the disorder, Roy & Bless, 2000a) suggests that psychological or temperamental characteristics may lead to or cause changes in speech-language disorders. The vulnerability account has received some empirical support with regard to stuttering and voice disorders but has not received widespread empirical testing for most speech-language disorders. A third, interaction account, suggests that "disability" and "vulnerability" may both impact communication disorders in a complex, dynamically changing manner, a possibility that must await further empirical study. Suggestions for future research directions are provided.
After reading this article, the reader will be able to (1) define the concept of temperament as well as theories of and means to measure/study temperament, (2) describe the possible association of temperament to children's speech-language, in general, and children's speech-language disorders, in specific, and (3) be able to describe the disability, dispositional and interaction accounts of the association of temperament to speech-language disorders.
本文旨在探讨气质的定义、测量问题以及相关实证证据,尤其关注儿童(非)典型言语和语言发展方面。尽管考虑了所有年龄段,但重点主要放在儿童身上。大量实证研究的证据支持了气质、儿童发展和社会能力之间的关联。关于沟通障碍,现有文献表明,至少某些气质要素(如注意力调节、抑制控制)与某些沟通障碍的存在有关。然而,这种关联的确切性质仍不清楚。本文提出了气质与言语 - 语言障碍之间关联的三种可能解释。其一,残疾模型(即某些障碍会影响心理过程,导致这些过程、人格等发生变化,罗伊和布莱斯,2000a)表明言语 - 语言障碍可能导致心理或气质特征的变化。基于目前可得的研究结果,无法完全反驳残疾模型的观点。(预)倾向或易感性模型(即某些心理过程直接导致障碍或间接改变障碍的进程或表现,罗伊和布莱斯,2000a)表明心理或气质特征可能导致言语 - 语言障碍的变化。易感性模型在口吃和嗓音障碍方面得到了一些实证支持,但对于大多数言语 - 语言障碍尚未得到广泛的实证检验。第三种是相互作用模型,表明“残疾”和“易感性”可能以复杂、动态变化的方式共同影响沟通障碍,这一可能性有待进一步的实证研究。本文还提供了未来研究方向的建议。
阅读本文后,读者将能够:(1)定义气质的概念以及测量/研究气质的理论和方法;(2)描述气质与儿童一般言语 - 语言以及特定儿童言语 - 语言障碍之间可能的关联;(3)能够描述气质与言语 - 语言障碍关联的残疾、倾向和相互作用模型。