中度精神遅滞児の選択性緘黙反応に対する行動療法的アプローチ(<特集>行動療法の臨床)

概要

論文の詳細を見る
A 15-years-old boy, electively mute, was picked up for discussing effectiveness of stimulus fading procedure and in vivo systematic desensitization. And speech training was also introduced in order to activate the therapy procedure. The patient had been in the special school for the handicapped for 8 years, and had never in the school situations. Outside the school, however, he was observed to be able communicate with his school friends. The goal of the treatment was to get him to respond verbally to the classmates' and homeroom teacher's call in the school situations. The treatment procedures were as follows; 1) Making the patient have some conversation with the thepapist at his home. 2) Dividing the way to his school into some steps. On each step, making him speak to the therapist with the "Robot Play". In the "Robot Play", the sub-therapist acted as the robot according to the patient's verbal orders. 3) Making him have the "Robot Play" with the therapist at the gate and the grounds of his school. Then, making him carry out some verbal orders and free conversation with the therapist. 4) Introducing him into the school building and measuring his tension levels (using the check list for tensions of his speech and face) at various places in his school. 5) Arranging of the hierarchy on the basis of the factors of person, place, and time. 6) Desensitizing and making verbal responses with the "Robot Play", according to the hierarchy. 7) Shaping his verbal responses up at the formal interaction in the class-room, after the patient could speak with his friend outside school. As a result of 34 treatment sessions, the patient has been able to make the reactions to the homeroom teacher's call in the classroom at recess time. Body contacts appeared to be effective for reducing his tension and activating his spontaneous speech. Those procedures don't appear, however, to be so effective on the classroom sessions. It would be suggested that shaping of his active speech in the school situation does not need only the stimulus fading procedure and the systematic desensitization, but also the operant training of the speech skills.
日本行動療法学会の論文
1981-11-30

中度精神遅滞児の選択性緘黙反応に対する行動療法的アプローチ(<特集>行動療法の臨床)

スポンサーリンク

概要

著者

関連論文

スポンサーリンク