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研究生: 莫少依
Mo, Shao-I
論文名稱: 從發現典範探討輕症自閉症青少年社會互動進步
The progresses in social interaction of adolescent with mild autism spectrum disorder: A study in the paradigm of discovery
指導教授: 張正芬
Chang, Cheng-Fen
學位類別: 博士
Doctor
系所名稱: 特殊教育學系
Department of Special Education
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 156
中文關鍵詞: 社會互動現象學方法語用學輕症自閉症質性研究
英文關鍵詞: social interaction, phenomenology, pragmatics, mild autism spectrum disorder, qualitative research
DOI URL: https://doi.org/10.6345/NTNU202204977
論文種類: 學術論文
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  • 本研究以輕症自閉症青少年在社會互動的進步現象為目標,擱置以往聚焦於個體能力缺陷觀點,採用發現典範來考察其社會互動現象,整體性地揭示輕症自閉症者的互動行為。本研究招募四位育有輕症自閉症青少年的母親進行其孩子社會互動的長期觀察訪談,並以現象學方法分析訪談逐字稿,從而獲得對輕症自閉症青少年的社會互動進步表現的普遍結構描述。研究結果指出,「輕症自閉症青少年社會互動進步之普遍結構」包括五項主題,分別為:「依循著道理或軌道化的行為表現樣態」、「在溝通行動中沒有出現可以修飾行為的反饋作用」、「特定興趣領域的形成有助於溝通現象的出現」、「溝通時的語用影響取決於他人的知覺立場與反應」、以及「不激起道理對立的順應他人行為」五項主題。這五項主題不應分別來看,而是共同構成一個關於輕症自閉症者「社會互動進步現象」之整體。除了回答研究問題外,本研究可以貢獻於輕症自閉症者社會互動研究的概念反思,以及有助於實務工作者設計輕症自閉症青少年的教育訓練計劃。最後,本研究結果有助於對大眾提出這樣的倡議:與輕症自閉症者互動是相互了解與相互改善的過程,如果與輕症自閉症者互動之人可以投入此一過程,而非僅僅只是將互動問題歸究於輕症自閉症者本身的困難,則將更有利於後者的社會適應。

    This study aimed at understanding the phenomena of progresses in social interaction of adolescents with mild autism spectrum disorder (ASD). Putting aside the view of deficiency, this study adopted the paradigm of discovery and intended to grasp the phenomena of social interaction of the adolescents with mild ASD as a whole. Four mothers of adolescents with mild ASD accepted the research interview for their long-term observation of their children’s social interaction. The interview transcriptions were then analyzed with a phenomenological method and resulted in a description of the general structure of social interaction of adolescents with mild ASD. The general structure is composed with five themes: embodied rule-sticking behaviors, lacking of feedback loops in communicative interaction, other-depending pragmatic impact in communication, and complying behavior when no conflict with others. In addition to answering the research questions, the research result also provides a theoretical conceptual reflection to the studies on adolescents with mild ASD and a guidance for practitioners to design proper plans for training the adolescents. Last but not least, stemming from this research is also an advocacy to the public: the interaction with people with mild ASD is a process for mutual understanding but not only for proving their being deficient.

    第一章 緒論 第一節 研究背景與動機 1 第二節 章節概述 4 第二章 文獻探討 第一節 輕症自閉症者社會互動表現及解釋理論 8 第二節 輕症自閉症者在長期追蹤研究中的「進步」 12 第三節 輕症自閉症者在社會性人際互動課程脈絡中的「進步」17 第四節 以脈絡觀點來看輕症自閉症者社交問題的相關研究 34 第五節 本章小結 38 第三章 研究問題與研究方法 第一節 研究問題 41 第二節 研究方法 42 第四章 研究結果 第一節 四位輕症自閉症青少年的社會互動狀態結構描述 57 第二節 輕症自閉症青少年社會互動進步之普遍結構 110 第三節 例外情況與對照出的普遍結構意涵118 第五章 討論 第一節 回答研究問題 121 第二節 國小與中學階段之輕症自閉症者的人際互動表現 128 第三節 「道理行事」與「反饋闕如」與心智理論的對話 136 第四節 本研究的「可信任性」與「顯要性」 138 第六章 結論與建議 第一節 研究範圍與限制 142 第二節 未來研究之建議 143 第三節 促進與輕症自閉症青少年有效互動之建議 144 參考文獻 147 表次 表一 一般幼兒與自閉症幼兒在非口語方式分享意圖的發展順序 15 表二 一般幼兒與自閉症幼兒在社會溝通行為的發展順序 16 表三 社會能力訓練之研究 24 表四 進步的概念化整理 32 表五 研究參與者資料 47 圖次 圖一 現象學研究路徑整理 45 附錄 附錄一 訪談同意書 153 附錄二 中華心理衛生學刊「質性研究論文投稿建議」 155

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