著者
園山 繁樹 Sonoyama Shigeki
出版者
筑波大学心身障害学系
雑誌
心身障害学研究 (ISSN:02851318)
巻号頁・発行日
vol.28, pp.187-199, 2004-03

様々な行動問題を示したダウン症候群(モザイク型)の女性1名に対し、母親面接と本人面接において自己記録法を活用した援助アプローチを行った。対象者は18歳で、養護学校高等部3年時に急激退行といわれるような様々な行動問題を示した。行動問題は、昼夜逆転、入浴拒否、外出拒否など、様々な場面で生じていた。援助の結果、2年6ヶ月間の援助アプローチによって、退行以前の適応状態までは改善していないものの、主な行動問題の改善がもたらされた。対象者の生活史、不適応行動の変化、母親の変化、自己記録法の効果、今後の研究課題などについて考察した。そして、急激退行の改善には時間がかかること、様々な要因の検討が必要であること、援助アプローチに関する継続的な事例研究の必要性を指摘した。
著者
OKUMURA Maiko SONOYAMA Shigeki
出版者
一般社団法人 日本特殊教育学会
雑誌
Journal of Special Education Research (ISSN:21875014)
巻号頁・発行日
vol.3, no.2, pp.55-64, 2015

A person with selective mutism (SM) in adolescence sometimes reveals group adaptation difficulties such as school absenteeism, as well as other associated psychopathological symptoms such as depression; and thus their condition is typically highly complex. In this study, a high school student with SM, who experienced associated symptoms of school absenteeism, social anxiety, and depression besides suppression of speech and movement, was given feedback on voice volume after reading aloud and subjected to an in vivo exposure technique. In the voice volume feedback, as a result, the students voice volume improved by 10 dB compared to the beginning of the study and became loud enough to be easily heard. In addition, anxiety scores on speech and activity decreased, and the number of responses to the counselors increased. However, the treatment cannot be considered adequate since the student spoke only in a low voice and less frequently even after the treatment. Nonetheless, recovery from SM in adolescence is deemed difficult; thus, the intervention introduced in this study may be inferred to have had measurably positive effects.
著者
OKUMURA Maiko SONOYAMA Shigeki
出版者
一般社団法人 日本特殊教育学会
雑誌
Journal of Special Education Research (ISSN:21875014)
巻号頁・発行日
vol.3, no.2, pp.55-64, 2015

A person with selective mutism (SM) in adolescence sometimes reveals group adaptation difficulties such as school absenteeism, as well as other associated psychopathological symptoms such as depression; and thus their condition is typically highly complex. In this study, a high school student with SM, who experienced associated symptoms of school absenteeism, social anxiety, and depression besides suppression of speech and movement, was given feedback on voice volume after reading aloud and subjected to an in vivo exposure technique. In the voice volume feedback, as a result, the student's voice volume improved by 10 dB compared to the beginning of the study and became loud enough to be easily heard. In addition, anxiety scores on speech and activity decreased, and the number of responses to the counselors increased. However, the treatment cannot be considered adequate since the student spoke only in a low voice and less frequently even after the treatment. Nonetheless, recovery from SM in adolescence is deemed difficult; thus, the intervention introduced in this study may be inferred to have had measurably positive effects.