초기 말더듬 아동에 대한 부모중재 효과 = The effects of parental intervention for the early stuttering

다국어 초록 (Multilingual Abstract)

The purpose of this study is to find out how the parental intervention activated by the researcher and the child intervention by the parents can influence on the children for their stuttering frequency, pattern, its duration and accompanied physical behaviors in the early stuttering.
Eight children satisfying the following conditions were selected.
(1) The children who were taken by the parents as having stuttering disorders.
(2) The children uttering at least three times of stuttering per 100 words.
(3) The children who have developed the stuttering history over 6 months.
(4) The children who do not have any neurological disorders and have normal cognitive development.
The subjects were composed of seven male children and one female child, ranging between 3;1 years old and 6;10 years old. The result of the stuttering severity instrument said that the female child was severe and the rest of male children were extremely severe.
The study had processed the pre, mid and post assessment at the time of pre, mid and post intervention. The parental intervention activated by the researcher and the child intervention by the parents were practiced simultaneously. The researcher trained the parents of the necessary indications for the intervention, and the parents practiced what they were told by the researcher on the child. One thing to keep in mind in doing this process is that the children should not be influenced by the intervention of the researcher directly. Therefore the researcher had not met the children only except the pre and mid assessment test.
The program was made up of six levels. While the subjects of A, E, H had completed all six levels, the rest of B, C, D, F had finished only upto five levels. Twelve forty-five minute sessions were practiced in twelve weeks with an interval of one week between sessions.
The conclusions which have been reached from the results of the study are as follows:
First, the program of the intervention brought about the effective reduction of the stuttering frequency for the early stuttering. All the subjects has shown the sharp decrease in frequency in both of level one and level two. Although the honest dialogues between parents and children helped to change the parents' attitude toward the children and the case explanation might contribute to appease the negative emotional factors of the hyper excitement, tantrum and nervousness, it had also revealed that those negative emotions did not influence on the children any longer.
Second, the intervention of this study was of a great help to change the stuttering patterns of the early stuttering. The change from the repetition, struggle and block into prolongation was appeared except the case of the parents' stuttering themselves.
Third, the intervention of this study was effective to shorten the duration of the early stuttering. The children whose parents are stuttering did not bring out any significant changes at the time of pre and post assessment; however the rest had shown an outstanding decrease in stuttering.
Lastly, the intervention of this study was very effective to reduce' the consequent physical behaviors, while the children whose parents are stuttering had accompanied physical behaviors such as the tension on the jaw muscle and hand meddling, the rest subjects only had a slight facial tension which could not be detected without closer observation.
Conclusively, the parental intervention activated by the researcher and children by the parents are greatly effective to alleviate the symptoms of the early stuttering.

목차 (Table of Contents)

• 목차
• I. 서론 = 1
• 1. 연구의 의의 = 1
• 2. 연구의 목적 = 5
• 3. 용어의 정의 = 6
• II. 이론적 배경 = 7
• 1. 초기 말더듬 아동의 특성 = 7
• 2. 초기 말더듬 아동과 부모의 상호작용 = 16
• 3. 초기 말더듬 아동에 대한 중재 = 23
• 4. 초기 말더듬 아동에 대한 부모중재 = 28
• III. 연구방법 = 36
• 1. 연구대상 = 36
• 2. 연구도구 = 52
• 3. 연구설계 = 55
• 4. 연구절차 = 56
• 5. 결과처리 = 65
• IV. 결과 및 해석 = 66
• 1. 말더듬 빈도 = 66
• 2. 말더듬 형태 = 86
• 3. 지속시간 = 93
• 4. 신체적인 수반행동 = 96
• V. 논의 = 107
• 1. 연구방법에 관한 논의 = 107
• 2. 연구결과에 관한 논의 = 113
• VI. 요약 및 결론 = 122
• 1. 요 약 = 122
• 2. 결 론 = 124
• 참고문헌 = 127
• 영문초록 = 142
• 부 록 = 145