Wulz S V, Hall M K, Klein M D
J Speech Hear Disord. 1983 Feb;48(1):2-10. doi: 10.1044/jshd.4801.02.
Family involvement is an essential element of language intervention with severely handicapped children for several reasons. First, the parent-child interaction is the focus of normal language development, and can be a powerful impetus in language learning for handicapped children. Second, limited generalization and maintenance of skills often occur when they are acquired in environments that do not also teach the appropriate use of skills. Third, parents can be successful intervention agents and may generalize their skills to other interactions with their child. Training conducted in the home must be compatible with that environment: it should involve only those skills that are of immediate use in the home. The Instructional Communication Strategy described herein represents such a program. It is a synthesis of training strategies used with normal and handicapped children, and is applicable regardless of child's level of functioning, age, or handicapping condition. This training model involves considerable modification in the role of speech-language pathologists dealing with the severely handicapped. The professional's skills are best utilized for assessment, program development, monitoring progress, and training specialized skills. The parents provide most of the direct training; however, professionals are also utilized for the child's maximum benefit.
家庭参与对重度残疾儿童的语言干预至关重要,原因有以下几点。首先,亲子互动是正常语言发展的核心,对残疾儿童的语言学习能起到强大的推动作用。其次,当技能在未同时教授其适当使用方法的环境中习得时,往往会出现技能泛化和保持有限的情况。第三,父母可以成为成功的干预者,并将他们的技能推广到与孩子的其他互动中。在家中进行的训练必须与该环境相适应:它应该只涉及那些在家中能立即使用的技能。本文所述的教学沟通策略就是这样一个项目。它是针对正常儿童和残疾儿童所使用的训练策略的综合,且无论儿童的功能水平、年龄或残疾状况如何都适用。这种训练模式要求处理重度残疾儿童问题的言语病理学家的角色有相当大的转变。专业人员的技能最好用于评估、项目开发、监测进展以及训练特殊技能。父母提供大部分直接训练;然而,为使孩子获得最大益处,也会利用专业人员。