친숙한 사진을 활용한 AAC 중재가 자폐아의 활동선택하기 및 언어발달, 문제행동 감소에 미치는 효과 = The effects of AAC through familiar photograph for Autistic Spectrum Children's selecting activities, language development and behavior problems

다국어 초록 (Multilingual Abstract)

This study investigated the effects of AAC(Augmentative and Alternative Communication) using familiar photograph for preschool Autistic Spectrum Disorders(ASD). Three participants with ASD were non-verbal and exhibited non-compliant behavior problems such as temper-tantrum, ignoring direction, and crying. Employing a multiple-baseline across subjects design, a therapist evaluated the rate of activity selection, behavior problems, forms of communication, and level of receptive communication. The AAC training procedure was conducted in a lab that consisted of five active areas: art, snack, craft, bowling, and toy train areas. In an area, the children were guided to choose an activity photo they want to do. If a child did not initiate photo selection, the therapist provided physical and verbal cues. When the children successfully chose an activity photo, they were allowed to do the activity they chose. During intervention, the participants improved the rates of activity selection, and their communication functions, as well as reducing behavior problems. They also showed higher rates of maintenance at the follow-up sessions that were conducted 6 weeks after intervention.

참고문헌 (Reference)

1 윤현숙, "훈련을 통한 지시 따르기 훈련이 지시거부와 충동적인 자폐 아동의 지시 따르기의 일반화에 미치는 효과, 한국 자폐학회 학술대회" 87-104, 1998

2 신문자, "자폐아동의 언어지도 단국대학교 특수교육 연구소" 109-129, 1991a

3 신문자, "자폐아 진단평가도구 자폐아 치료교육 연구회" 14-52, 1991b

4 윤현숙, "자폐스펙트럼장애의 조기발견을 대학원 박사학위논문" 2001

5 정보인, "어린이 문제행동지도" 중앙적성출판사 1995

6 김태련, "아동기 자폐증 평정척도" 특수교육 1996

7 김승국, "사회성숙도 검사" 중앙 적성출판사 1995

8 윤현숙, "비디오 피드백 부모 교육이 자폐장애아의 언어 및 상호작용에 미치는 효과" 대한재활의학회 28 (28): 31-40, 2004

9 박은혜, "보완ㆍ대체의사소통(Augmentative and Alternative Communication) 분야에 관한 연구동향 분석: 1985년부터 1991년까지. 말-언어장애연구" 1 : 177-191, 1996

10 김정권 역, "교육진단검사" 특수교육 1994

11 윤현숙, "계열화된 사진앨범을 이용한 자기관리중재가 자폐아동의 자립적인 일상생활행동에 미치는 효과에 대한 연구" 1998

12 Glennen,S.L, "Training functional communication board use:A Pragmatic approach" 1 : 134-142, 1985

13 Filipek, P. A, "The screening diagnosis of autistic spectrum disorders" 26 : 439-484, 1999

14 Reid, "Teaching nonvocal communication skills to multi-handicapped retarded adults Journal of Applied Behavior Analysis" 591-603, 1977

15 Pierce, "Teaching daily living skills to children with autism in unsupervised settings through pictorial self-management Journal of Applied Behavior Analysis" 471-481, 1994

16 MacDuff, "Teaching children with autism to use photographic activity schedules Maintenance and generalization of complex response chains Journal of Applied Behavior Analysis" 89-97, 1993

17 Durand, "Reducing severe behavior problems among persons with dual sensory impairments An evaluation of a technical assistance model Journal of the Association for Persons with Severe Handicaps" 2-10, 1987

18 Carr, "Reducing behavior problem through functional communication training Journal of Behavior Applied Analysis" 251-264, 1985

19 Krantz, "Programming participation in family activities for children with autism Parents' use of photographic activity schedules Journal of Applied Behavior Analysis" 89-97, 1993

20 Koegel, "Improving social skills and disruptive behavior in children with autism through self-management Journal of Applied Behavior Analysis" 341-353, 1992

21 Siegel B, "Helping children with autism learn, Picture as Communication Symbols for Students with Severe Intellectual Disability" Oxford University Press Inc 12 : 244-255, 20031996

22 Fisher, "Functional communication training with and without extinction and punishment Journal of Behavior Applied Analysis" 23-36, 1993

23 Bomba, C, "Evaluating the impact of facilitated communication on the communicative competence of fourteen students with autism" 26 : 43-58, 1996

24 Carr, "Communication based intervention for problem behavior A user's guide for producing positive change" Brookes Publishing Co 1994

25 Crossley, "Case studies in facilitated communication training Topics in Language Disorder" 1-18, 1992

26 Donnellan, "Analyzing the communicative functions of aberrant behavior Journal of the Association for Persons with Severe Handicaps" 201-212, 1984

27 Hanley, G. P, "Analysis of activity preference as a function of differential consequences" 32 : 419-435, 1999

28 Duchan, J. F, "A situation pragmatics approach for supporting children with severe communication disorders." 17 (17): 1-18, 1997

29 Dixon,L.S, "A functional analysis of photo- object matching skills of severely retarded adolescents" 14 : 465-478, 1981

30 Wacker, "A component analysis of functional communication training across three topographies of severe behavior problems Journal of Behavior Applied Analysis" 417-429, 1990