언어행동기반의 조기집중행동중재(EIBI)가 자폐스펙트럼장애(ASD) 유아의 언어행동발달점(Verbal Behavior Cusps)에 미치는 영향
The Impact of Early Intensive Behavioral Intervention Based on Verbal Behavior on the Development of Verbal Behavior Cusps in Children with Autism Spectrum Disorder
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참고문헌
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초록
본 연구는 언어행동기반의 조기집중행동중재(EIBI)가 자폐스펙트럼장애(ASD) 유아의 언어행동발달점(Verbal Behavior Cusps)의 발달에 미치는 영향을 확인하고, 언어연령에 따른 발달점의 특성을 파악하는 데 목적이 있다. 연구 대상은 ASD 진단을 받은 46명의 유아로, 이들은 12개월간 ABA 전문기관에서 언어행동분석을 기반으로 한 EIBI 중재를 받았다. 중재 전후로 ELCAR 커리큘럼 평가를 통해 유아의 발달 수준을 평가하였다. 자료 분석 방법으로 대응표본 t-검정을 사용하였으며 그 결과, 언어행동분석 기반의 EIBI 중재를 받은 ASD 유아는 언어행동기초, 청자, 화자의 언어행동발달점과 세부 항목에서 유의미한 차이를 나타냈다. 또한, 사전 언어연령별 발달점의 양상을 살펴보면, 12개월 이하 유아들은 사전에 언어행동기초에서 부족한 발달점을 보였으며, 13개월 이상의 언어연령에서는 점차 청자에서 화자로 발달점이 확장되었으며, 언어연령이 24개월 이상에서는 화자로서의 발달점이 더욱 고르게 발달되면서 양방향 네이밍이 나타나는 것으로 확인되었다. 이러한 결과를 바탕으로 국내에서 연구된 언어행동분석 기반의 언어행동발달점에 대해 논의하였다.
Abstract
This study aims to examine the effects of Early Intensive Behavioral Intervention (EIBI), based on verbal behavior, on the development of Verbal Behavior Cusps in children with Autism Spectrum Disorder (ASD) and to identify the characteristics of these cusps according to language age. The participants were 46 children diagnosed with ASD who received EIBI based on Applied Behavior Analysis (ABA) for 12 months at a specialized ABA institution. Developmental levels were assessed before and after the intervention using the ELCAR curriculum evaluation. Paired sample t-tests were conducted to analyze the data, revealing significant differences in the foundational verbal behavior, listener, and speaker Verbal Behavior Cusps, along with their subcategories, following the intervention. Furthermore, an examination of the patterns by pre-intervention language age indicated that children with a language age of 12 months or below showed underdeveloped foundational verbal behavior cusps, while those with a language age of 13 months or more demonstrated a progressive expansion from listener to speaker cusps. For children with a language age of 24 months or more, the speaker cusps were more evenly developed, and bidirectional naming emerged. Based on these findings, the study discusses the implications of verbal behavior analysis and the development of Verbal Behavior Cusps in the context of research conducted in Korea.
참고문헌 (67)
- 구영진, "전반적 발달장애의 한국형 치료 권고안 : 비약물적 치료", 대한소아청소년정신의학회, 18(2), pp.117~122 (2007)
- 김대용, "언어행동분석 관련 단일대상연구 동향 분석", 행동분석․지원연구, 9(1), pp.27~49 (2022)
- 김영태, "영․유아 언어발달 선별검사(SequencedLanguageScaleforInfant)" (2003), 파라다이스복지재단
- 남상석, "언어행동(Verbal Behavior) 개요: 원리, 연구동향과 적용", 행동분석․지원연구, 3(2), pp.43~64 (2016)
- 박혜숙, "교사수행정확도및능숙도 척도를 이용한 비디오자기 점검 절차가 자폐스펙트럼 장애 유아이 부모에 의해 실행되는 개별시도훈련법 수행에 미치는 영향", 자폐성장애연구, 16(1), pp.1~28 (2016)
- 박혜숙, "화자집중훈련(Speaker Immersion)이 자폐스펙트럼 장애를 가진 유아의 자발적인 맨드(Mand)및 택트(Tact)행동 증가에 미치는 영향", 행동분석․지원연구, 5(2), pp.105~125 (2018)
- 박혜숙, "고강도택트교수(Intensive Tact Instruction)가 언어지연과 발달장애를 보이는 학령전기 유아의 네이밍 능력발달에 미치는 영향", 행동분석․지원연구, 7(2), pp.37~66 (2020)
- 서지원, "ASD 유아에 CABAS® 모델을 적용한 응용행동분석 기반의 조기집중행동중재 : 사례연구", 특수유아교육연구, 26(1), pp.173~200 (2024)
- 양송이, "동기조작(MO)이 자폐스펙트럼장애 학생의 자발적인 정보 맨드에 미치는영향", 행동․지원연구, 9(3), pp.19~41 (2022)
- 조문진, "다중반응교수(MEI)가 자폐스펙트럼장애 유아의 자극등가 관계 안에서 보이는 파생적 인트라버벌 반응과 네이밍인 택트 반응에 미치는 영향에 관한 연구", 행동분석․지원연구, 10(2), pp.1~26 (2023)
- 최진혁, "다중반응교수법(MEI)이 발달장애학생의 네이밍(Naming)습득에 미치는 효과", 자폐성장애연구, 17(2), pp.29~47 (2017)
- 최진혁, "에코익을 통한 택트교육이 자폐성장애유아의 새로운 택트행동습득에 미치는 효과", 교육혁신연구, 25(1), pp.111~130 (2015)
- Albers, A. E., "Is the three-term contingency trial a predictor of effective instruction?", Journal of Behavioral Education, 1, pp.337~354 (1991)
- "Interventions for Autism" (2022)[URL]
- Bloom, P., "How children learn the meanings of words" (2002), MIT press
- Brigance, A. H., "Brigance diagnostic inventory of early development II class record book (Tapa blanda)" (2004), Curriculum Associates
- Bradshaw, J., "Feasibility and effectiveness of very early intervention for infants at-risk for autism spectrum disorder : A systematic review", Journal of Autism and Developmental Disorders, 45(3), pp.778~794 (2015)
- Cooper J. O., "Applied behavior analysis" (2007), Prentice Hall, Inc
- Cleveland, A., "Intention or expression? Four-month-olds’ reactions to a sudden still-face", Infant Behavior and Development, 29(3), pp.299~307 (2006)
- Dawson, G., "Behavioral interventions in children and adolescents with autism spectrum disorder : A review of recent findings", Current Opinion in Pediatrics, 23, pp.616~620 (2011)
- DeCasper, A. J., "Prenatal maternal speech influences newborns’ perception of speech sounds", Infant behavior and Development, 9(2), pp.133~150 (1986)
- Du, L., "Validation of adult generalized imitation topographies and the emergence of generalized imitation in young children with autism as a function of mirror training", The Psychological Record, 64, pp.161~177 (2014)
- Dube, W., "Toward a behavioral analysis of joint attention", The Behavior analyst, 27(2), pp.197~207 (2004)
- Engelmann, S., "Theories of instruction: Principles and applications" (1991), Irvington
- Egan, C. E., "Emergence of tacts following mand training in young children with autism", Journal of Applied Behavior Analysis, 42, pp.691~696 (2009)
- Eikeseth, S., "Outcome for Children with Autism who Began Intensive Behavioral Treatment Between Ages 4 and 7 : A Comparison Controlled Study", Behavior modification, 31(3), pp.264~278 (2007)
- Fiorile, C. A., "The induction of naming in children with no prior tact responses as a function of multiple exemplar histories of instruction", The Analysis of Verbal Behavior, 23, pp.71~87 (2007)
- Gilic, L., "Establishing naming in typically two year-old children as a function of multiple exemplar speaker and listner experiences", The Analysis of Verbal Behavior, 27(1), pp.157~177 (2011)
- Greer, R. D., "Designing teaching strategies: An applied behavior analysis systems approach" (2002), Academic Press
- Greer, R. D., "The selector in behavior selection", The Psychological Record, 70(4), pp.543~558 (2020)
- Greer, R. D., "Naming a rose : How we may learn to do it", Analysis of Verbal Behavior, 26, pp.73~106 (2010)
- Greer, R. D., "Is the learn unit the fundamental measure of pedagogy?", The Behavior Analyst, 20, pp.5~16 (1999)
- Greer, R, D, "The Separate Development of Children’s Listener and Speaker Behavuor and the Intercept as behavior Metamorphosis", Journal of Bebavioral and Brain Science, 7, pp.674~704 (2017)
- Greer, R. D., "Verbal behavior analysis: Inducing and expanding new verbal capabilities in children with language delays" (2008), Person Education, Inc
- Greer, R. D., "Establishing Naming in Typically Developing Two-Year-Old Children as a Function of Multiple Exemplar Speaker and Listener Experiences", The Analysis of Verbal Behavior, 27, pp.157~177 (2011)
- Greer, R, D, "The Integration of Speaker and Listener Responses : A Theory of Verbal Development", The Psychological Record, 59, pp.449~488 (2009)
- Greer, R, D., (2019), 서림출판사
- Greer, R. D., (2011), 시그마프레스
- Greer, R. D., "Effects of conditioning voices as reinforcers for listener responses on rate of learning, and preferences for listening to stories in preschoolers with autism", Analysis of Verbal Behavior, 27, pp.103~124 (2011)
- Greer, R. D., "The evolution of verbal behavior in children", The Journal of Speech and Language Pathology, 1(2), pp.111~140 (2006)
- Granpeesheh, D., "The effects of age and treatment intensity on behavioral intervention outcomes for children with autism spectrum disorders", Research in Autism Spectrum Disorders, 3(4), pp.1014~1022 (2009)
- Grindle, Hastings, "Outcomes of a behavioral education model for children with autism in a mainstream school setting", Behavior Modification, 36(3), pp.298~319 (2012)
- Harris, S. L., "Age and IQ at intake as predictors of placement for young children with autism : A four-to six-year follow-up", Journal of Autism and Developmental Disorders, 30(2), pp.137~142 (2000)
- Hoff, E., "Blackwell handbook of language development" (2009), Wiley-Blackwell
- Horne, P. J., "On the origins of naming and other symbolic behavior", Journal of the Experimental Analysis of Behavior, 65, pp.185~241 (1996)
- Hranchuk, K., "Instructional demonstrations are more efficient than consequences alone for children with naming", Analysis of Verbal Behavior, 35(1), pp.1~20 (2019)
- Horne., J, "On the origins of naming and other symbolic behavior", Journal of the Experimental Analysis of Behavior, 65(1), pp.185~241 (1996)
- Karst, J. S., "Parent and family impact of autism spectrum disorders : A review and proposed model for intervention evaluation", Clinical Child and Family Psychology Review, 15, pp.247~277 (2012)
- Keohane, D., "Applications of relational frame theory", pp.41~62 (2009)
- Klintwall, L., "Narrowing the gap : Effects of intervention on developmental trajectories in autism", Autism, 19, pp.53~63 (2015)
- Lamarre, J., "The functional independence of mands and tacts", Journal of the Experimental Analysis of Behavior, 43, pp.5~19 (1985)
- Love, J. R., "Early and intensive behavioral intervention for autism : A survey of clinical practices", Research in Autism SpectrumDiscorders, 3(2), pp.421~428 (2009)
- Longano, J. M., "Is the source of reinforcement for naming multiple conditioned reinforcers for observing responses?", The Analysis of verbal behavior, 31, pp.96~117 (2015)
- Marion, C., "The hierarchical relationship between several visual and auditory discriminations and three verbal operants among individuals with developmental disabilities", Analysis of Verbal Behavior, 19, pp.91~105 (2003)
- Makrygianni, Gena, "The effectiveness of applied behavior analytic interventions for children with Autism Spectrum Disorder: A meta-analytic study", Research in Autism Spectrum Disorders, 51, pp.18~31 (2018)
- Owens, R. E., Jr., "Language development: An introduction" (2019), Pearson Education
- Petursdottir, A. I., "The impact of Verbal Behavior on the scholarly literature from 2005 to 2016", The Analysis of Verbal Behavior, 33(2), pp.212~228 (2017)
- Rao, P. A., "Social skills interventions for children with Asperger’s syndrome or high-functioning autism : A review and recommendations", Journal of Autism and Developmenetal Disorders, 38, pp.353~361 (2008)
- Rogers S. J, "Early start Denver model for young children with autism: promoting language, learning, and engagement" (2010), Guilford Press; Sally J. Rogers and Geraldine Dawson
- Roder, B. J., "Infants’ preferences for familiarity and novelty during the course of visual processing", Infancy, 1(4), pp.491~507 (2000)
- Rosales-Ruiz, J., "Behavioral cusps : A developmental and pragmatic concept for behavior analysis", Journal of Applied Behavior Analysis, 30(3), pp.533~544 (1997)
- Ross, D. E., "The Teacher Performance Rate and Accuracy Scale(TPRA) : Training as evaluation", Education and Training in Developmental Disabilities, 40, pp.411~423 (2005)
- Senju, A., "Is anyone looking at me? Direct gaze detection in children with and without autism", Brain and cognition, 67(2), pp.127~139 (2008)
- Singer-Dudek, J., "Establishing the transformation of motivating operations across mands and tacts for preschoolers with developmental delays", Behavioral Development Bulletin, 22(1), pp.230~248 (2017)
- Skinner, B. F, "Verbal behavior" (1957), Copley Publishing Group
- Volkmar, F. R., "Autism", The Lancet, 362, pp.1133~1141 (2003)
- Volkmar, F., "Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder", Journal of the American Academy of child & Adolescent Psychiatry, 53(2), pp.237~257 (2014)
