Yu Betty, Sterponi Laura
Department of Speech, Language and Hearing Sciences, San Francisco State University, CA.
Graduate School of Education, University of California, Berkeley.
Lang Speech Hear Serv Sch. 2023 Jan 17;54(1):27-41. doi: 10.1044/2022_LSHSS-22-00041. Epub 2022 Dec 1.
The purpose of this clinical focus article was to illustrate the potential of employing conversation analysis (CA) as a method for assessing social communication that is neurodiversity affirming.
This clinical focus article will provide an overview of CA and explain how it offers a theoretically grounded means of analyzing autistic children's everyday social interactions. Our aim is not simply to add a new assessment instrument to the disciplinary toolbox but to use the occasion to spur a reconsideration of how social communicative competence is currently conceptualized in the field and how those assumptions are reified through assessment practices. We will present a case illustration of a bilingual autistic child and his family. We will discuss the implications of a CA-informed assessment for reconceptualizing autistic social communicative competence.
The case study illustrates the contributions of CA for (a) shifting the focus of assessment from social communication as an individual skill to social communication as an interactional achievement and (b) surfacing social communicative competencies that may be dismissed as pathologies.
CA offers a relational understanding of autistic communication and sociality that is compatible with a critical stance on disability. Insights from CA problematize deeply entrenched notions of autism and social communication in speech-language pathology.
这篇临床聚焦文章的目的是说明运用会话分析（CA）作为一种评估社交沟通的方法的潜力，这种方法对神经多样性持肯定态度。
这篇临床聚焦文章将概述会话分析，并解释它如何提供一种基于理论的手段来分析自闭症儿童的日常社交互动。我们的目的不仅仅是在学科工具箱中增加一种新的评估工具，而是利用这个机会促使人们重新思考该领域目前对社交沟通能力的概念化方式，以及这些假设是如何通过评估实践而固化的。我们将呈现一个双语自闭症儿童及其家庭的案例。我们将讨论基于会话分析的评估对于重新概念化自闭症社交沟通能力的意义。
该案例研究说明了会话分析的贡献在于：（a）将评估重点从作为个体技能的社交沟通转变为作为互动成就的社交沟通；（b）揭示那些可能被视为病态而被忽视的社交沟通能力。
会话分析提供了一种对自闭症沟通和社会性的关系性理解，这与对残疾的批判性立场相一致。会话分析的见解对言语语言病理学中关于自闭症和社交沟通的根深蒂固的观念提出了质疑。
