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Communication Profile of a Minimally Verbal School-Age Autistic Child: A Case Study.
Language, Speech, and Hearing Services in Schools ( IF 2.2 ) Pub Date : 2020-05-11 , DOI: 10.1044/2020_lshss-19-00021
Verónica Vidal 1 , Anita McAllister 2 , Laura DeThorne 3
Affiliation  

Purpose The present clinical focus draws on an intrinsic case study to provide a thick description of the communication profile of John, a 9-year-old minimally verbal autistic student. Method Specifically, traditional behavioral assessments, classroom video observations, and semistructured interviews were used to gather information regarding John's communication profile and potential sensory-motor differences. Results Convergent evidence indicated that John's expressive profile was characterized by single words, emergent word combinations, some conventional gestures, and a low frequency of communicative initiations. Concomitant language comprehension challenges and poor intelligibility associated with motor speech impairment were also indicated. His sensory-motor profile was marked by fine motor impairment, relative strengths in gross motor abilities, and sensory differences across visual, hearing, and tactile modalities. Conclusion Direct implications for supporting minimally verbal autistic students like John include the need to (a) consider sensory-motor influences on social interaction and (b) support flexible use of multimodal communication resources, including augmentative and alternative communication. Supplemental Material https://doi.org/10.23641/asha.12202448.

中文翻译:

最小口语学龄自闭症儿童的交流档案:一个案例研究。

目的本临床研究重点是一个内在的案例研究,以对约翰(9岁,最小口头自闭症学生)的交流方式进行详尽的描述。方法特别是,传统的行为评估,课堂视频观察和半结构式访谈被用来收集有关约翰的交流档案和潜在的感觉运动差异的信息。结果越来越多的证据表明,约翰的表现力特征在于单个单词,紧急单词组合,一些常规手势以及较少的交流启动频率。还指出了伴随的语言理解挑战和与运动语音障碍相关的较差的清晰度。他的感觉运动特征以精细运动障碍为特征,总体运动能力的相对优势,以及视觉,听觉和触觉方式的感觉差异。结论支持像John这样的最少语言自闭症学生的直接含义包括需要(a)考虑感觉运动对社会互动的影响,以及(b)支持灵活使用包括增强和替代性交流在内的多式联运资源。补充材料https://doi.org/10.23641/asha.12202448。
更新日期:2020-05-11
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