全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Naturalistic Observations of Nonverbal Children with Autism: A Study of Intentional Communicative Acts in the Classroom

DOI: 10.1155/2013/296039

Full-Text   Cite this paper   Add to My Lib

Abstract:

We examined evoked and spontaneous communicative acts in six nonverbal children with autism (10–15 years, M = 12.8, SD = 2.1). All participants attended the same special school for children with autism but were in different classes. Each was observed for 30 minutes during a typical school day. An observer coded the presence/absence of an antecedent, the form and function of the communicative act, and the teacher’s response to the child. One hundred and fifty-five communicative acts were observed, 41% were spontaneous and 59% were evoked. The main antecedents to evoked communicative acts were verbal prompts, and most of the evoked communicative acts were physical in nature (i.e., motor acts and gestures). However, verbalizations and the use of the Picture Exchange Communication System (PECS) were higher for spontaneous communicative acts. The functions of spontaneous communicative acts were primarily requests. Results showed a substantial number of “nonresponses” from teachers, even following evoked communicative acts. These results suggest that teachers may not actively promote intentional communication as much as possible. Therefore, our findings provide information concerning ways in which educators could facilitate intentional communication in non-verbal children with autism. 1. Introduction Autism is a neurodevelopmental disorder that is characterized by impairments in social, behavioral, and linguistic domains. The DSM-IV diagnostic criteria for autism are based on substantial impairments in communication and social interactions [1]. By some estimates, 25% of individuals with autism do not develop speech [2–4]. In addition, they also tend to show restrictive, repetitive, and stereotyped behaviors. However, it is important to note that most children with autism do use intentional communication even if they do not have symbolic communication abilities [5–8]. Stone et al. [9] reported that most nonverbal children with autism use less complex behaviors in their communicative acts compared to typically developing children, who use language as their primary means of communication. For example, if a child with autism wants an object, they will simply reach for it or make gesture, such as pointing, to indicate what they want. Similarly, in other cases, children with autism may use eye gaze or unusual verbalizations [10, 11], whereas a typically developing child will employ language to express their wants/desires. In general, there has been little systematic research on intentional communicative acts in nonverbal children with autism (cf. [5, 12–14]), and

References

[1]  American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association, Washington, DC, USA, 4th edition, 2000.
[2]  E. Fombonne, “The epidemiology of autism: a review,” Psychological Medicine, vol. 29, no. 4, pp. 769–786, 1999.
[3]  C. Lord, S. Risi, and A. Pickles, “Trajectory of language development in autistic spectrum disorders,” in Developmental Language Disorders: From Phenotypes to Etiologies, M. L. Rice and S. F. Warren, Eds., pp. 7–29, Lawrence Erlbaum Associates, Mahwah, NJ, USA, 2004.
[4]  F. R. Volkmar, C. Lord, A. Bailey, R. T. Schultz, and A. Klin, “Autism and pervasive developmental disorders,” Journal of Child Psychology and Psychiatry and Allied Disciplines, vol. 45, no. 1, pp. 135–170, 2004.
[5]  H.-M. Chiang and Y.-H. Lin, “Expressive communication of children with autism,” Journal of Autism and Developmental Disorders, vol. 38, no. 3, pp. 538–545, 2008.
[6]  A. S. Chan, J. Cheung, W. W. M. Leung, R. Cheung, and M. Cheung, “Verbal expression and comprehension deficits in young children with autism,” Focus on Autism and Other Developmental Disabilities, vol. 20, pp. 117–124, 2005.
[7]  S. Mitchell, J. Brian, L. Zwaigenbaum et al., “Early language and communication development of infants later diagnosed with autism spectrum disorder,” Journal of Developmental and Behavioral Pediatrics, vol. 27, no. 2, pp. S69–S78, 2006.
[8]  A. M. Wetherby, “Ontogeny of communicative functions in autism,” Journal of Autism and Developmental Disorders, vol. 16, no. 3, pp. 295–316, 1986.
[9]  W. L. Stone, O. Y. Ousley, P. J. Yoder, K. L. Hogan, and S. L. Hepburn, “Nonverbal communication in two- and three-year-old children with autism,” Journal of Autism and Developmental Disorders, vol. 27, no. 6, pp. 677–696, 1997.
[10]  R. Paul, “Assessing communication in autism spectrum disorders,” in Handbook of Autism and Pervasive Developmental Disorders, F. R. Volkmar, R. Paul, A. Klin, and D. Cohen, Eds., vol. 2, pp. 799–816, John Wiley & Sons, Hoboken, NJ, USA, 2005.
[11]  P. Yoder, R. B. McCathren, S. F. Warren, and A. L. Watson, “Important distinctions in measuring maternal responses to communication in prelinguistic children with disabilities,” Communication Disorder Quarterly, vol. 22, pp. 135–147, 2001.
[12]  H.-M. Chiang, “Naturalistic observations of elicited expressive communication of children with autism: an analysis of teacher instructions,” Autism, vol. 13, no. 2, pp. 165–178, 2009.
[13]  H.-M. Chiang, “Differences between spontaneous and elicited expressive communication in children with autism,” Research in Autism Spectrum Disorders, vol. 3, no. 1, pp. 214–222, 2009.
[14]  W. L. Stone and L. M. Caro-Martinez, “Naturalistic observations of spontaneous communication in autistic children,” Journal of Autism and Developmental Disorders, vol. 20, no. 4, pp. 437–453, 1990.
[15]  D. R. Beukelman and P. Mirenda, Augmentative and Alternative Communication. Management of Severe Communication Disorders in Children and Adults, Paul H. Brookes Publishing, Baltimore, Md, USA, 1992.
[16]  C. Lord, “Commentary: achievements and future directions for intervention research in communication and autism spectrum disorders,” Journal of Autism and Developmental Disorders, vol. 30, no. 5, pp. 393–398, 2000.
[17]  P. Mirenda, “Autism, augmentative communication, and assistive technology: what do we really know?” Focus on Autism and Other Developmental Disabilities, vol. 16, pp. 141–151, 2001.
[18]  B. T. Ogletree and W. E. Harn, “Augmentative and alternative communication for persons with Autism: history, issues and unanswered questions,” Focus on Autism and Other Developmental Disabilities, vol. 16, pp. 138–140, 2001.
[19]  A. S. Bondy and L. A. Frost, “Mands across the water: a report of the application of the picture-exchange communication system in Peru,” The Behavior Analyst, vol. 16, pp. 123–128, 1993.
[20]  A. S. Bondy and L. A. Frost, “The picture exchange communication system,” Focus on Autistic Behavior, vol. 9, pp. 1–19, 1994.
[21]  A. S. Bondy and L. A. Frost, Pictures Worth: PECS and Other Visual Communication Strategies in Autism, Woodbine House, Bethesda, Md, USA, 2002.
[22]  J. Boucher and V. Lewis, “Guessing or creating? A reply to Baron-Cohen,” British Journal of Developmental Psychology, vol. 8, pp. 205–206, 1990.
[23]  E. G. Carr and E. Kologinsky, “Acquisition of sign language by autistic children. II: spontaneity and generalization effects,” Journal of Applied Behavior Analysis, vol. 16, no. 3, pp. 297–314, 1983.
[24]  M. Carter, “Communicative spontaneity of children with high support needs who use augmentative and alternative communication systems I: classroom spontaneity, mode, and function,” Augmentative and Alternative Communication, vol. 19, no. 3, pp. 141–154, 2003.
[25]  M. Carter and H.-M. Chiang, “Spontaneity of communication in individuals with autism,” Journal of Autism and Developmental Disorders, vol. 38, no. 4, pp. 693–705, 2008.
[26]  M. Carter, G. D. Hotchkis, and M. C. Cassar, “Spontaneity of augmentative and alternative communication in persons with intellectual disabilities: critical review,” Augmentative and Alternative Communication, vol. 12, no. 2, pp. 97–109, 1996.
[27]  M. H. Charlop, L. Schreibman, and M. G. Thibodeau, “Increasing spontaneous verbal responding in autistic children using a time delay procedure,” Journal of Applied Behavior Analysis, vol. 18, no. 2, pp. 155–166, 1985.
[28]  L. Kanner, “Autistic disturbances of affective contact,” Nervous Child, vol. 2, pp. 217–250, 1943.
[29]  L. K. Koegel, “Interventions to facilitate communication in autism,” Journal of Autism and Developmental Disorders, vol. 30, no. 5, pp. 383–391, 2000.
[30]  J. C. Light, B. Roberts, R. Dimarco, and N. Greiner, “Augmentative and alternative communication to support receptive and expressive communication for people with autism,” Journal of Communication Disorders, vol. 31, pp. 153–180, 1998.
[31]  D. Preston and M. Carter, “A review of the efficacy of the picture exchange communication system intervention,” Journal of Autism and Developmental Disorders, vol. 39, no. 10, pp. 1471–1486, 2009.
[32]  J. Riechle and J. Sigafoos, “Establishing spontaneity and generalization,” in Implementing Augmentative and Alternative Communication: Strategies For Learners with Severe Disabilities, J. Reichle, J. York, and J. Sigafoos, Eds., pp. 157–192, Brookes, Baltimore, Md, USA, 1991.
[33]  D. Cantwell, L. Baker, and M. Rutter, “A comparative study of infantile autism and specific developmental receptive language disorder. IV. Analysis of syntax and language function,” Journal of Child Psychology and Psychiatry and Allied Disciplines, vol. 19, no. 4, pp. 351–362, 1978.
[34]  K. A. Kroeger and W. M. Nelson III, “A language programme to increase the verbal production of a child dually diagnosed with Down syndrome and autism,” Journal of Intellectual Disability Research, vol. 50, no. 2, pp. 101–108, 2006.
[35]  M. H. Charlop and L. K. Haymes, “Speech and language acquisition and intervention: behavioural approaches,” in Autism in Children and Adults: Etiology, Assessment and Intervention, J. L. Matson, Ed., pp. 213–240, Brooks Cole, Belmont, Calif, USA, 1994.
[36]  L. A. Kaczmarek, “Teaching spontaneous language to individuals with severe handicaps: a matrix model,” Journal of the Association for Persons with Severe Handicaps, vol. 15, pp. 160–169, 1990.
[37]  C. Potter and C. Whittaker, Enabling Communication in Children With Autism, Jessica Kingsley, London, UK, 2001.
[38]  M. Carter and G. D. Hotchkis, “A conceptual analysis of communicative spontaneity,” Journal of Intellectual and Developmental Disability, vol. 27, no. 3, pp. 168–190, 2002.
[39]  J. W. Halle, “Teaching language in the natural environment: an analysis of spontaneity,” Journal of the Association for Persons with Severe Handicaps, vol. 12, pp. 28–37, 1987.
[40]  M. Carter, “Communicative spontaneity of children with high support needs who use augmentative and alternative communication systems II: antecedents and effectiveness of communication,” Augmentative and Alternative Communication, vol. 19, no. 3, pp. 155–169, 2003.
[41]  C. Kasari, M. Sigman, and N. Yirmiya, “Focused and social attention of autistic children in interactions with familiar and unfamiliar adults: a comparison of autistic, mentally retarded, and normal children,” Development and Psychopathology, vol. 5, pp. 403–414, 1993.
[42]  P. Warreyn, H. Roeyers, and I. de Groote, “Early social communicative behaviours of preschoolers with austism spectrum disorder during interaction with their mothers,” Autism, vol. 9, no. 4, pp. 342–361, 2005.
[43]  S. Panerai, L. Ferrante, V. Caputo, and C. Impellizzeri, “Use of structured teaching for treatment of children with autism and severe and profound mental retardation,” Education and Training in Mental Retardation and Developmental Disabilities, vol. 33, no. 4, pp. 367–374, 1998.
[44]  National Research Council, Committee on Educational Interventions for Children with Autism, Division of Behavioral and Social Science and Education, Educating Children with Autism, National Academy Press, Washington, DC, USA, 2001.
[45]  J. Houghton, G. J. Bronicki, and D. Guess, “Opportunities to express preferences and make choices among students with severe disabilities in classroom settings,” Journal of the Association for Persons with Severe Handicaps, vol. 12, pp. 18–27, 1987.
[46]  D. Keen, J. Sigafoos, and G. Woodyatt, “Teacher responses to the communicative attempts of children with autism,” Journal of Developmental and Physical Disabilities, vol. 17, no. 1, pp. 19–33, 2005.
[47]  S. F. Warren, P. J. Yoder, G. E. Gazdag, K. Kim, and H. A. Jones, “Facilitating prelinguistic communication skills in young children with developmental delay,” Journal of Speech and Hearing Research, vol. 36, no. 1, pp. 83–97, 1993.
[48]  P. Yoder, S. Warren, R. McCathren, and S. Leew, “Does adult responsivity to child behavior facilitate communication development?” in Transitions in Prelinguistic Communication, A. Wetherby, S. Warren, and J. Reichele, Eds., vol. 7, pp. 39–58, Brookes, Baltimore, Md, USA, 1998.
[49]  H.-M. Chiang, “Expressive communication of children with autism: the use of challenging behaviour,” Journal of Intellectual Disability Research, vol. 52, no. 11, pp. 966–972, 2008.
[50]  B. Holden and J. P. Gitlesen, “A total population study of challenging behaviour in the county of Hedmark, Norway: prevalence, and risk markers,” Research in Developmental Disabilities, vol. 27, no. 4, pp. 456–465, 2006.
[51]  G. H. Murphy, J. Beadle-Brown, L. Wing, J. Gould, A. Shah, and N. Holmes, “Chronicity of challenging behaviours in people with severe intellectual disabilities and/or autism: a total population sample,” Journal of Autism and Developmental Disorders, vol. 35, no. 4, pp. 405–418, 2005.
[52]  R. M. Reese, D. M. Richman, J. M. Belmont, and P. Morse, “Functional characteristics of disruptive behavior in developmentally disabled children with and without autism,” Journal of Autism and Developmental Disorders, vol. 35, no. 4, pp. 419–428, 2005.
[53]  V. M. Durand and E. G. Carr, “Functional communication training to reduce challenging behavior: maintenance and application in new settings,” Journal of Applied Behavior Analysis, vol. 24, no. 2, pp. 251–264, 1991.
[54]  C. S. Englert, “Measuring special education teacher effectiveness,” Exceptional Children, vol. 50, pp. 247–254, 1983.
[55]  C. S. Englert, “Measuring teacher effectiveness from the teacher,” Focus on Exceptional Children, vol. 17, pp. 1–15, 1984.
[56]  K. A. Quill, Teaching Children with Autism: Strategies to Enhance Communication and Socialization, Delmar Publishing, New York, NY, USA, 1995.
[57]  J. Sigafoos, J. Reichle, S. Doss, K. Hall, and L. Pettitt, “‘Spontaneous’ transfer of stimulus control from tact to mand contingencies,” Research in Developmental Disabilities, vol. 11, no. 2, pp. 165–176, 1990.
[58]  H. Goldstein, “Communication intervention for children with Autism: a review of treatment efficacy,” Journal of Autism and Developmental Disorders, vol. 32, no. 5, pp. 373–396, 2002.
[59]  M. Hauck, D. Fein, L. Waterhouse, and C. Feinstein, “Social initiations by autistic children to adults and other children,” Journal of Autism and Developmental Disorders, vol. 25, no. 6, pp. 579–595, 1995.

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413