缩小差距:促进不会说话的自闭症儿童与父母之间的互动刺激

IF 2.6 3区 医学 Q2 BEHAVIORAL SCIENCES Frontiers in Integrative Neuroscience Pub Date : 2024-05-22 DOI:10.3389/fnint.2024.1374882
Rachel S. Y. Chen
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引用次数: 0

摘要

不爱说话的自闭症患者在与爱说话的人进行日常交流时,会受到 "双重移情问题 "的深刻影响。本研究重新思考了不会说话的自闭症患者所面临的交流挑战,挑战了主要关注语言和复杂交流设备(AAC)的传统方法。本研究通过强调 "交互式刺激 "这一自闭症患者之间强大的交流模式这一自然现象,主张从传统的强调语言转向身体在自闭症交流中的基础作用。这项探索的核心是引入神奇音乐垫(MMM),这是一种将人与人之间的触摸映射到音乐声音的创新互动环境。本文通过一种强有力的混合方法,将基于视频的实地调查和基于设计的研究融为一体,让三名不会说话的自闭症儿童及其母亲参与到为期五天的实证干预中。结果显示,随着父母和孩子都熟悉了新环境中的触摸,亲子互动发生了重大转变。儿童坚持自己的自主性,按照自己的节奏进行探索,并发现环境的感官特征。值得注意的是,声音的引入会提高对刺激的认识,从而产生多样化和富有表现力的刺激动作。人与人之间的接触最终会引导父母参与到孩子的感官活动中,父母通过加入和促进孩子的表现力来适应孩子的刺激,共同创造出不断延伸和发展的重复循环模式。这种合作性的刺激循环可以比作自由即兴表演,通过稳定性和积极灵活性的融合,实现个体之间的动态连贯性。通过将重点从言语转移到共同创造的感官体验,本文揭示了变革性多感官环境的价值,展望了一个重视和接受各种交流模式的世界。
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Bridging the gap: fostering interactive stimming between non-speaking autistic children and their parents
Non-speaking autistic individuals grapple with the profound impact of the ‘double empathy problem’ in their daily interactions with speaking others. This study rethinks the communication challenges faced by non-speaking autistic individuals, challenging traditional approaches that predominantly focus on speech and complex communication devices (AAC). By spotlighting the natural phenomenon of “interactive stimming,” a powerful mode of communication among autistic individuals, this study advocates for a shift from a conventional emphasis on speech towards the foundational role of the body in autistic communication. Central to this exploration is the introduction of the Magical Musical Mat (MMM), an innovative interactive environment mapping interpersonal touch to musical sounds. Through a robust mixed-methods approach integrating video-based fieldwork and design-based research, this paper engages three non-speaking autistic children and their mothers in a 5-day empirical intervention. Results reveal significant transformations in parent–child interactions as both parents and children are acquainted with touch in a new environment. Children assert their autonomy, exploring at their own pace, and discovering sensory features of the environment. Notably, the introduction of sound prompts heightened awareness of the stims, leading to diversified and expressive stim movements. Foregrounding interpersonal touch eventually guides parents into their children’s sensory activities where parents attune to the stims of their children by joining in and facilitating their expressiveness, co-creating extended, evolving patterns of repetitive cycles. The collaborative stim cycles can be likened to free improvisation, where dynamical coherence between individuals occurs through a blend of stability and active flexibility. By shifting the focus from speech to co-created sensory experiences, this paper sheds light on the value of transformative multisensory environments, envisioning a world where varied modes of communication are valued and embraced.
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来源期刊
Frontiers in Integrative Neuroscience
Frontiers in Integrative Neuroscience Neuroscience-Cellular and Molecular Neuroscience
CiteScore
4.60
自引率
2.90%
发文量
148
审稿时长
14 weeks
期刊介绍: Frontiers in Integrative Neuroscience publishes rigorously peer-reviewed research that synthesizes multiple facets of brain structure and function, to better understand how multiple diverse functions are integrated to produce complex behaviors. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Our goal is to publish research related to furthering the understanding of the integrative mechanisms underlying brain functioning across one or more interacting levels of neural organization. In most real life experiences, sensory inputs from several modalities converge and interact in a manner that influences perception and actions generating purposeful and social behaviors. The journal is therefore focused on the primary questions of how multiple sensory, cognitive and emotional processes merge to produce coordinated complex behavior. It is questions such as this that cannot be answered at a single level – an ion channel, a neuron or a synapse – that we wish to focus on. In Frontiers in Integrative Neuroscience we welcome in vitro or in vivo investigations across the molecular, cellular, and systems and behavioral level. Research in any species and at any stage of development and aging that are focused at understanding integration mechanisms underlying emergent properties of the brain and behavior are welcome.
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