Department of Speech-Language Pathology, Universidad de los Andes, Santiago, Chile.
Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Lang Speech Hear Serv Sch. 2020 Jul 15;51(3):671-686. doi: 10.1044/2020_LSHSS-19-00021. Epub 2020 May 11.
Purpose The present clinical focus draws on an intrinsic case study to provide a thick description of the communication profile of John, a 9-year-old minimally verbal autistic student. Method Specifically, traditional behavioral assessments, classroom video observations, and semistructured interviews were used to gather information regarding John's communication profile and potential sensory-motor differences. Results Convergent evidence indicated that John's expressive profile was characterized by single words, emergent word combinations, some conventional gestures, and a low frequency of communicative initiations. Concomitant language comprehension challenges and poor intelligibility associated with motor speech impairment were also indicated. His sensory-motor profile was marked by fine motor impairment, relative strengths in gross motor abilities, and sensory differences across visual, hearing, and tactile modalities. Conclusion Direct implications for supporting minimally verbal autistic students like John include the need to (a) consider sensory-motor influences on social interaction and (b) support flexible use of multimodal communication resources, including augmentative and alternative communication. Supplemental Material https://doi.org/10.23641/asha.12202448.
目的 本临床重点研究通过一项内在个案研究，详细描述了 9 岁轻度言语型自闭症学生约翰的沟通特征。
方法 具体而言，我们采用传统行为评估、课堂视频观察和半结构化访谈收集了有关约翰沟通特征和潜在感觉运动差异的信息。
结果 综合证据表明，约翰的表达特征表现为单个单词、新兴的单词组合、一些常规手势，以及低频率的沟通发起。同时也表明他存在伴随的语言理解挑战和与运动言语障碍相关的言语清晰度差的问题。他的感觉运动特征表现为精细运动障碍、粗大运动能力相对较强，以及在视觉、听觉和触觉模式方面存在感觉差异。
结论 为支持像约翰这样的轻度言语型自闭症学生，直接的影响包括需要考虑感觉运动对社会互动的影响，以及支持灵活使用多种沟通资源，包括辅助和替代沟通。
