Department of Communication Sciences & Disorders, MGH Institute of Health Professions, Boston, MA.
Am J Speech Lang Pathol. 2022 Jul 12;31(4):1557-1573. doi: 10.1044/2022_AJSLP-21-00172. Epub 2022 Apr 21.
The growing interest in framing intervention approaches as either implicit or explicit calls for a discussion of what makes intervention approaches engage each of these learning systems, with the goal of achieving a shared framework. This tutorial presents evidence for the interaction between implicit and explicit learning systems, and it highlights the intervention characteristics that promote implicit or explicit learning as well as outcome measures that tap into implicit or explicit knowledge. This framework is then applied to eight common intervention approaches and notable combinations of approaches to unpack their differential engagement of implicit and explicit learning.
Many intervention characteristics (e.g., instructions, elicitation techniques, feedback) can be manipulated to move an intervention along the implicit-explicit continuum. Given the bias for using explicit learning strategies that develops throughout childhood and into adulthood, clinicians should be aware that most interventions (even those that promote implicit learning) will engage the explicit learning system. However, increased awareness of the implicit and explicit learning systems and their cognitive demands will allow clinicians to choose the most appropriate intervention for the target behavior.
框架干预方法的兴趣日益浓厚,这需要讨论是什么因素使干预方法能够激发这些学习系统中的每一个系统,从而实现一个共同的框架。本教程介绍了内隐和外显学习系统之间相互作用的证据,并强调了促进内隐或外显学习的干预特征,以及能够反映内隐或外显知识的结果测量方法。然后,将该框架应用于八种常见的干预方法和值得注意的方法组合,以揭示它们对内隐和外显学习的不同参与。
许多干预特征(例如,指导、引出技术、反馈)可以被操纵,以使干预沿着内隐-外显连续体移动。鉴于在整个儿童期和成年期发展起来的使用外显学习策略的偏见,临床医生应该意识到,大多数干预措施(即使是那些促进内隐学习的干预措施)也将涉及外显学习系统。然而,增加对内隐和外显学习系统及其认知需求的认识,将使临床医生能够为目标行为选择最合适的干预措施。