최중증발달장애의 개념 고찰
A conceptual review on the profound developmental disability
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초록
본 연구에서는 메타포 분석 방법을 활용하여 아이돌보미가 인식하는 아동 놀이의 개념을 알아보았다. 연구대상은 경상북도 아이돌보미 보수교육 기간의 교육 대상자 198명이다. 연구결과, 첫째, 아이돌보미 놀이에 대한 인식으로 92개의 진술문이 최종 생성되었으며, 목적으로서의 놀이는 ‘행복 바이러스’, ‘적응 통로’, ‘존재 근원’으로, 수단으로서의 놀이로 ‘발달 강화’, ‘교육적 가치’, ‘사고 촉진’으로 분류되었다. 둘째, 아이돌보미의 경력에 따라 차이가 있는 것으로 나타났다. 연구결과를 바탕으로 놀이에 대한 바른 인식 형성과 아이돌보미에게 필요한 지원사항 또는 아이돌봄 양성과정의 돌봄 및 교육 방향 등에 대한 시사점을 제공할 수 있을 것이다.
Abstract
The profound developmental disability (DD) means the most severe disability. However, there is no exact definition yet in korea. I reviewed the concept of DD and the meaning of the profound disability through the laws and policies of the United States and Korea, as well as the medical perspective (Ex: ICD, DSM) and the social model perspective (Ex: ICF). The concept of DD varies depending on the size and type of budget support and policy. Therefore, when establishing eligibility for DD services, the definitions of DD impacts on policy. The developmental disabilities (DDs) means a group of conditions due to an impairment in only adaptive function and comprehensive concept. if more stringent criteria applied, DD coexisting with intellectual disability is considered a severe DD. Severe and profound intellectual deficits shows a high correlation with strong impairments in adaptive behavior. This condition can be classified as the most severe DD or profound DD. Also, adding information on risk of harm to self or others and community resources in profound DD will be become a complementary concept.
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