보완적 의사소통체계의 사용이 자폐성 유아의 자발적 구어 촉진에 미치는 효과 비교 - 그림교환의사소통체계와 수화체계를 중심으로 -
A Comparison of Picture Exchange Communication System(PECS) and Sign Language for Improving Spontaneous Word Vocalizations in Young Children with Autism
0
조회
0
다운로드
20
인용
0
참고문헌
키워드
초록
PECS에 비해 수화 중재가 유아A와 유아C의 자발적 구어를 높은 수준으로 증가시켰다. 즉, 수화 사용과 동시에 매번 안정적인 발화 행동을 보였으나 PECS에서는 발화행동이 거의 나타나지 않았다. 자발적 구어 사용률은 높은 수준으로 유지되고 일반화되었다. 유아B는 수화와 PECS 두 중재 모두에서 전혀 발화가 나타나지 않았다. 유아A와 유아C의 발화는 Ⅰ단계에서는 서서히 증가하여 전체적으로 낮은 구어 사용률을 보였으나, Ⅱ단계부터 빠르게 증가하여 아주 높은 수준으로 일반화 단계까지 유지되는 동일한 경향을 보였다.Ⅳ. 논의 및 결론1. 논 의
Abstract
This study compared the relative effectiveness of two most prevalent augmentative communication modes, Picture Exchange Communication System(PECS) and sign language, for improving word vocalizations in children with autism, Three boys with autism using none or less than 10 of functional words, in the age of 5 to 6, participated in the study. The study used an alternating treatments design within each subject: initial base line phase, the best-treatment phase, maintenance, and generalization. Data was collected using event recording system for occurrence of spontaneous word vocalizations through the all the sessions of PECS and sing language interventions. The results showed that sign language produced more enhanced spontaneous word vocalizations than PECS for two participants with few functional words through all the phase of the two AAC interventions. The phase Ⅰ to Ⅲ of two interventions did not produced word vocalizations for the other participant who did not use speech. Word vocalizations emerged and increased from the phase Ⅱ of sign language after the two participants mastered the basic principles of communication and movements of sign language corresponding to preferred items. The results of this study suggest that sign language could be a better choice as an effective augmentative communication system for children who have few functional words. Further research comparing to later phases of PECS and sign language is needed to determine the relative effectiveness as augmentative communication systems for children in preverbal stage.
참고문헌 (25)
- 강윤주, "발달장애 아동의 보완대체 의사소통 도구로서 수화언어의 활용", 18(2), pp.137~156 (2002)
- 권명옥, "의사소통 장애 아동을 위한 비구어적 접근", 13(2), pp.1~25 (2004)
- 권순황, "사진교환 의사소통 체계 프로그램이 전반적 발달장애아동의 말하기 행동 증가에 미치는 효과", 20(2), pp.173~194 (2004)
- 김영태, "아동언어장애의 진단 및 치료" (2002), 서울: 도서출판 학지사
- 김좌중, "Sign Language 프로그램이 자폐성 아동의 언어능력 신장에 미치는 효과" (2001)
- 박은혜, "자폐성 아동을 위한 보완대체 의사소통의 활용", 35(2), pp.21~45 (2000)
- 서경희, "자폐아의 수화습득에 관한 사례연구. 미간행 석사학위 청구논문.대구대학교." (1986)
- 이상복, "자폐성 영유아동의 조기중재" (2002), 경산: 대구대학교출판부
- 이효신, "PECS를 이용한 자폐장애 유아의 자발적 의사표현 행동 향상", 20(4), pp.334~351 (2004)
- 정해동, "장애학생을 위한 보완대체의사소통 지도" (1999), 서울: 교육과학사
- 한국청각장애인복지회, "사랑의 수화교실, 2판" (2003), 서울: 수험사
- Anderson,A, "Augmentative communication and autism: a comparison of sign language and the picture exchange communication system" (2001)
- B, ". Signs for me. CA" (1990), DawnSignPress.
- Bondy, ". The picture exchange communication system. Focus on Autistic Behavior", pp.1~19 (1994)
- Frankel, ". Building social skills through pragmatic analysis Assessment treatment implications for children with autism. In D. Cohen . Handbook of Autism and Pervasive Developmental Disorders. New Youk" (1987)
- Ganz, J. B, "Effects on communicative requesting and speech development of the picture exchange communication system in children with characteristics of autism", 34(4), pp.395~409 (2004)
- Garcia J, "Sign with your baby (5th ed.)" (2003), WA: Sign2MeTM
- Hourcade, J, "A history of augmentative and alternative communication for individuals with severe and profound disabilities", 19(4), pp.235~244 (2004)
- Howlin, P, "자폐증과 아스퍼거증후군 아동: 치료자와 부모를 위한 지침서❲Children with autism and asperger syndrome: A guide for practitioners and carers" (2002), 서울: 시그마프레스
- & Schuler, ". Augmenting communication for persons with autism. Topics in Language Disorders", pp.24~43 (1988)
- Mundy, P, "On the nature of communication and language impairment in autism", 3, pp.343~349 (1997)
- Schuler, "and Hearing Services in Schools", pp.246~257 (1981)
- Schwartz, I, "The picture exchange communication system: communication outcomes for young children with disabilities", 18, pp.144~159 (1998)
- Sigman, M, "Continuity and change in the social competence of children, children with autism, Down Syndrome, and developmental delays", 64 (1999)
- Tincani M, "Comparing the picture exchange communication system and sign language training for children with autism", 19(3), pp.152~163 (2004)