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[脑损伤患者康复中的教学职责]

[Pedagogic responsibilities in rehabilitation of brain damaged patients].

作者信息

Stadler H

机构信息

Fachbereich Sondererziehung und Rehabilitation, Universität Dortmund.

出版信息

Rehabilitation (Stuttg). 1996 May;35(2):109-18.

PMID:8767541
Abstract

In contrast to medical science, education has so far undertaken but little analysis of its tasks in neurological rehabilitation, although these are manifold and essential in achieving successful outcomes. While specific remedial services have been made available to persons with congenital brain damage in the schools for the mentally retarded, a need to catch up in this respect is obvious for persons with acquired brain damage. Extension of the network of neurological rehabilitation facilities has engendered a challenge to (special) education, which now is in the process of developing neuroeducational concepts for therapy and instruction. Starting out from a didactical analysis to identify the conditional and determinative fields involved, the foundations of educational action are set forth, to wit: the theories of intelligence and its development, as well as the concept positing a hierarchy of learning modes. The various modes or types of learning are outlined and illustrated by examples. Further dealt with are prerequisites for specific learning modes to take effect, as well as neurological relationships; the need for cooperating in an interdisciplinary team is substantiated. Starting out from the premise of their fundamental ability to learn, the article then discusses the teaching-learning processes for persons with neurological disablement, with attention paid to both memory, personality dimensions as well as classroom instruction, and the relationship among perception, learning and instruction. Concluding, the author posits participation of persons with brain damage in the process of determining their rehabilitative goals, as well as empathy on the part of the professionals involved with them in therapy, classroom and training.

摘要

与医学不同的是,教育领域迄今对其在神经康复中的任务分析甚少,尽管这些任务繁多且对取得成功的康复效果至关重要。虽然智障学校已为先天性脑损伤患者提供了特定的补救服务,但对于后天性脑损伤患者而言,在这方面显然仍有需要改进之处。神经康复设施网络的扩展给(特殊)教育带来了挑战,目前教育领域正在为治疗和教学制定神经教育概念。从教学分析入手,以确定相关的条件和决定性领域,进而阐述教育行动的基础,即:智力及其发展的理论,以及提出学习模式层次结构的概念。文中概述了各种学习模式或类型,并举例说明。还讨论了特定学习模式生效的前提条件以及神经学上的关系;论证了跨学科团队合作的必要性。基于神经损伤患者基本学习能力的前提,本文接着探讨了针对神经损伤患者的教学过程,同时关注记忆、个性维度以及课堂教学,以及感知、学习和教学之间的关系。最后,作者主张脑损伤患者参与确定其康复目标的过程,以及参与治疗、课堂教学和培训的专业人员对他们的同理心。

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