Speech Pathology and Therapeutic Approaches of the Communication Disorders in Children with Cerebral Palsy
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概要
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No more than 40 years have passed since speech clinicians began to treat cerebral palsy (CP). At first, they simply characterized speech pathology for CP as a cooperational motor dysfunction of the speech organs (dysarthria). But after a few decades, speech pathology turned from the specification of proper speech disorders of CP to the integration of communication problems in CP children. As a result, speech pathology viewed CP as a developmental deviation of verbal behavior originating in physical deficiencies from birth. This change in the point of view of speech pathology seems to be related to a trend in neurology in which the concept of developmental disorder is regarded as more adequate than CP for describing a child with multiple handicaps caused by cerebral impairments.This change also exposed many unsolved problems with respect to speech therapeutic approaches to CP children. For example, these problems included how to estimate their communication disorders from multi-points of view (physiological, semiological, linguistic, pragmatical, etc.), how to undertake diagnosis, and how to propose an adequate remedial program. The other most important and difficult matter is to establish good therapeutic contract with a CP child and his mother, because it is too difficult for both mothers and speech clinicians to integrate communication problems in CP children and to specify the most important communication disorder.Speech clinicians should not be discouraged by problems in therapy, but should develop a keen insight into children who must live with the physical handicaps they are born with, the families and the communication between the child and the family. This is very difficult, but speech clinicians should try to improve themselves as clinicians.
- 日本コミュニケーション障害学会の論文