簡易檢索 / 詳目顯示

研究生: 陳佳玉
Chen,Chia-Yu
論文名稱: 自閉兒打字溝通學習歷程之探究
An Exploration of Autistic Children’s Learning Process through Supported Typing Communication
指導教授: 劉惠美
Liu, Huei-Mei
學位類別: 碩士
Master
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: 240
中文關鍵詞: 自閉症兒童打字溝通質性研究個案研究學習歷程
英文關鍵詞: Autistic Child, Case study, Supported Typing Communication, Qualitative research, Learning process
DOI URL: https://doi.org/10.6345/NTNU202203781
論文種類: 學術論文
相關次數: 點閱:208下載:25
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 本研究旨在探討自閉症兒童接觸打字溝通之學習歷程,以及因為打字溝通的介入,而對個案本身及其家庭所帶來的變動與影響。研究進行方式以質性研究取向中的個案研究法為主,研究參與者為兩名口語不足,且以打字溝通作為主要對外溝通管道三年以上之自閉症學齡兒童及其母親,研究者透過與個案母親進行訪談(母親同時也是個案學習打字溝通的主要教學者及輔助者),以及相關資料的蒐集與整理,進一步理解個案母親帶領個案學習打字溝通的歷程及其教養信念。資料蒐集為期約6個月,透過以上進行方式,本研究之發現與結論如下:
    兩位個案在「打字溝通」學習歷程上的發展不太相同,此差異主要源自於家長初期所採納的輔助方式及其階段性教學目標不同所致。至於為何選擇採取不同的介入模式,與家長本身的信念與觀點、孩子的年齡、起始能力以及所處教育環境相關。以兩位個案的整體學習歷程來看,其中最大的共通點為個案皆能夠隨著使用時間與經驗上的進展,而改善表達內容的質與量,並且漸漸脫離被輔助者影響的程度。但與此同時,輔助者在每一次陪伴個案「輸出」時的介入多寡(碰觸或陪伴狀態),也會影響個案輸出的速度和品質,而關於這一點,也是個案目前共通的困難之一。
    學習「打字溝通」對個案來說,最大的變動及影響來自當個案能夠經由打字呈現不同的內在認知能力之後,個案能夠獲得的學習機會與資源,都更加多元及深化,同時也因學習環境及互動方式的改變,而使得個案在學習場域或日常中的情緒行為,相形之下穩定許多,在學習上的進展,也越趨明顯。同時,以個案在不同學習階段所處的教育環境來說,藉由「打字溝通」所呈現的內容能否順利取得認同,也將影響孩子的學習意願與表現,更間接影響家長與教育機構的合作狀態。
    而對於運用打字溝通時仍需特定輔助者陪伴的狀態,兩位母親皆一致認為只是暫時做為一種前進的手段,而非最終目的。母親自身如何從目前所在中介角色漸漸退場,讓孩子可以更加獨立的表現自己,自始至終,都是引領母親們前進的重要指引。對兩位母親來說,採行打字溝通至今最大的感想則是,打字溝通讓她們有機會窺見更多孩子的內心世界,雖然因為孩子的症狀或現況,仍然不免存在一些限制與焦慮,但與此同時,打字溝通的介入,也為孩子及家庭帶來更多關於未來的計畫與願景。
    最後,研究者基於研究過程中的觀察與發現,針對目前打字溝通的施行狀態與可能的發展提出自身觀點與建議,以提供考慮採行打字溝通之家庭、或作為未來研究方向者參酌。

    This study examined the learning process and the influence of using supported typing communication as the primary intervention method in two autistic children. It was conducted using qualitative case study design. The participants were two school-aged children and their mothers. Over about six months of data collection period, the researcher has come up with the following findings:
    The two cases developed differently along the learning process of supported typing communication. Their parents adopted different intervention methods mainly according to their parenting beliefs, the children’s ages, their capabilities and the educational environments. The main common feature of the two cases was that both children were able to improve the qualities and quantities of expression over time and through experience development, and thereafter they gradually became uninfluenced by their facilitators. Nevertheless, the amount of intervention from the facilitators affects the speed and quality of their outputs, which is the main common difficulty both cases have encountered.
    The most significant change and influence of learning supported typing communication lied on the various extensive learning opportunities and resources when the cases presented different inner cognitive abilities through it. In addition, the changes of learning environments and interactive patterns helped stabilize their emotional behavior and thus made significant progress on learning. Furthermore, the educational environments at different learning phases greatly affected the cases’ learning motivation and performance, and indirectly influenced the collaboration relationship between the parents and the educational institution.
    In both cases, the mothers regard supported typing communication as a means for their children to move forward and eventually express themselves independently. Their utmost reflection on adopting the supported typing communication is that it allows parents to have insight to their children’s inner worlds. Despite the existing limitations of the status quo and the anxiety about the children’s symptoms, the intervention of supported typing communication has brought more plans and visions about the future to the children and families.
    Lastly, based on the observation and findings of this study, the researcher proposed the viewpoints and suggestions for current situations of supported typing communication implementation and possible future development. These opinions could be provided as references and consideration for the families intending to adopt this communication method and future research.

    目錄 第一章 緒論……………………………………………………… 1 第一節 研究動機及背景…………………………………… 1 第二節 研究目的…………………………………………… 11 第三節 名詞釋義…………………………………………… 12 第二章 文獻探討………………………………………………… 13 第一節 自閉症兒童的溝通特徵…………………………… 13 第二節 自閉症兒童溝通介入模式的發展………………… 20 第三節 促進溝通(FC)與打字溝通的施行方式與發展…… 25 第四節 採行打字溝通對自閉兒家庭可能產生的影響…… 37 第三章 研究方法………………………………………………… 43 第一節 研究取向…………………………………………… 43 第二節 研究準備…………………………………………… 45 第三節 研究場域與參與人員……………………………… 48 第四節 資料蒐集與整理呈現……………………………… 59 第五節 信賴度與倫理……………………………………… 64 第四章 研究結果………………………………………………… 69 第一節 小翔的章回故事…………………………………… 69 第二節 威威的影音記事……………………………………125 第五章 研究結果與討論…………………………………………189 第一節 關於「打字溝通」的學習歷程與定位……………189 第二節 打字溝通對孩子及其家庭所帶來的變化與影響…196 第三節 打字溝通施行現狀之我見…………………………204 第六章 結論、省思與建議………………………………………209 第一節 研究結論……………………………………………209 第二節 研究建議與省思……………………………………211 參考文獻………………………………………………………… 213 一、中文部分……………………………………………… 213 二、英文部分……………………………………………… 217 附錄……………………………………………………………… 229 附錄一 訪談大綱及訪談時地…………………………… 229 附錄二 訪談逐字稿與研究札記舉例…………………… 231 附錄三 訪談資料分析與編碼…………………………… 234 附錄四 資料引用代碼說明……………………………… 237 附錄五 研究說明書……………………………………… 238 附錄六 研究同意書……………………………………… 240

    一、中文部分
    王大延(2005):自閉症者的社會發展。教師天地,136,54-60。
    王大延、曹純瓊 (1998):示範、時間延宕及提示對增進自閉症學童自發語言之成效研究。臺北市立師範學院學報,29,291-315。
    丘彥南、賴孟泉、徐如維、劉弘仁 (2011):DSM-5診斷標準的改變第一部份/兒童青少年精神疾病工作小組報告之一:自閉症類群障礙、溝通障礙症、智能發展障礙症、學習障礙症、注意力不足過動症之DSM-5草案內容相較於DSM-4之變革。台灣精神醫學會-DSM-5通訊,1(3),17-22。
    江宜澄 (2013) :語言治療師使用FC協助低口語身心障礙者溝通之現況。台中教育大學特教學系碩士論文(未出版)。
    何思杰(譯) (2010):我的淚水與孤獨只為聽見你 (Catherine Maurice著:Let Me Hear Your Voice—A Family’s Triumph Over Autisum)。臺北:智園出版。
    吳健忠、薛明里、孫美鈴 (2013):溝通輔具對自閉症兒童溝通成效之研究。特教論壇,14,57-75。
    宋維村 (1997):自閉症的治療。家長資源手冊。李玉霞主編。台北:中華民國自閉症基金會。
    宋維村 (2013a):DSM-5自閉症最新診斷準則及其影響。健康世界,334, 16-22。
    宋維村 (2013b):自閉症會遺傳嗎?健康世界,336,37-43。
    宋維村(2000):自閉症學生輔導手冊。教育部特殊教育小組主編。
    李育穎 (2010):自閉症兒童母親教養經驗之個案研究。 臺東大學教育學系課程與教學碩士班學位論文(未出版)。
    李明洋 (2012a):促進溝通訓練相關議題之探討。中華民國特殊教育學會年刊,233-256。
    李明洋 (2012b):談促進溝通訓練的歷史及其給予臺灣的啟示。國小特殊教育,54,13-22。
    李政賢 (譯) (2011):質性研究寫作 (H. F. Wolcott 著:Writing up qualitative research)。臺北:五南文化。
    李翠玲、黃澤洋 (2014):自閉症學童輔助溝通系統介入成效:系統性回顧與後設分析。特殊教育與輔助科技學報,7,23-49。
    林佩璇 (2000):個案研究及其在教育研究上的應用。載於中正大學主編,質的教育研究方法,239-262頁。
    林迺超、張正芬 (2011):輕症ASD兒童會話理解能力之研究。特殊教育研究學刊,36(2),51-76。
    林穎暄 (2014):特教學校教師使用訊息指認法協助低口語自閉症學生溝通之現況-以關注本位採用模式觀點。台中教育大學特教學習碩士論文(未出版)。
    邱俊皓、林初穗、張淑慧、潘惠銘 (2013):家長回應能力的改變與自閉症幼兒發展的關聯性研究。特殊教育研究學刊,38 (2),53-76。
    邱憶惠(1999):個案研究:質化取向。國立高雄師範大學教育系教育研究,7,113-127。
    胡心慈(2005):自閉症兒童的認知特色。特殊教育季刊,94,11-18。
    倪志琳 (1997 ): 環境教學法在特殊兒童語言訓練之應用。特殊教育季刊,65,13-17 頁。
    張正芬 (2014):自閉症學生鑑定辦法說明。身心障礙及資賦優異學生鑑定辦法說明。2015年8月15日取自:http://www.ntnu.edu.tw/spe/identify2014/file/12.pdf。
    曹純瓊 (2001):自閉症兒童的語言教學發展。特殊教育季刊,79,11-19。
    梁秋月(1992):自閉症、智能障礙與正常兒童溝通行為之比較研究。特殊教育研究學刊,8,95-116。
    莊安祺(譯) (2008):奇蹟的孩子:一段開啟封閉心靈的旅程( Portia Iversen著:StKange son:two mothers,two sons,and the quest to unlock the hidden world of autisum)。臺北:時報文化。
    莫少依、張正芬 (2014):不共脈絡性:輕症自閉症學生的人際互動特徵。特殊教育研究學刊,39(2),33-59。
    許美雲 (2015):如何引導自閉症患童運用打字進行溝通。2015年8月14日取自:http://www.yuning.tw/asd/?parent_id=1257。
    郭乃文 (2014):對執行功能的愛---從神經心理衡鑑與治療之反省說起。師範大學特殊教育所教育專題演講內文(未出版)。
    郭玉梅(譯)(2008):請聽我說-傾聽自閉少年的內心之歌。東田直樹著。臺北:八方出版。
    陳向明 (2000):質的研究方法與社會科學研究。北京:教育科學出版社。
    陳向明 (2002):社會科學質的研究。台北市:五南。
    教育部 (2013):身心障礙及資賦優異學生鑑定辦法。2016年7月10日取自:http://edu.law.moe.gov.tw/LawContent.aspx?id=FL009187

    曾慶烜、李淑娥 (1993):高功能自閉症兒童之語言分析。聽語會刊,9, 68-76。
    游高晏 (2013):我和地球人相處的日子。臺北:文經社。
    黃金源(2008):自閉症兒童的語言變異及促進語言發展。載於黃金源(主編),自閉症兒童的治療與教育 (88-112頁)。臺北:心理。
    黃雅芬 (2012):打字溝通使用者意見發表會會議記錄。2015年10月3日取自:https://goo.gl/zeRW2I。
    黃雅芬 (2011):以打字結合講話。2015年8月15日取自:http:// www.xn--eh1ao52bmzf.tw/index-2_knowledge_20111009.html 。
    黃雅芬 (2012):文字溝通? 打字溝通?2015年8月15日取自:http://www.xn--eh1ao52bmzf.tw/index-2_knowledge_20120418.html
    黃雅芬 (2015):協助式文字溝通基礎講義。2015年8月15日取自:http://www.xn--eh1ao52bmzf.tw/images/FC_Tutorial.pdf
    楊孟麗、謝水南(譯) (2013):教育研究法:研究設計實務第二版(Fraenkel, J. R., Wallen, N. E., & Hyun, H. H. 著:How to design and evaluate research in education /8e)。臺北:心理。
    廖淑廷 (2012):親子遊戲介入對學齡前自閉症兒童社交互動關係之療效研究。國立成功大學職能治療學系碩士論文(未出版)。
    趙惠玲、柯佳汝 (2013):打字溝通法在低口語自閉症溝通訓練教學經驗之分享。台東特教,38,18-22。
    錢莉華譯 (2008):星期三是藍色的。台北市:天下文化。
    戴惠君 (2015):地板時間法對低口語自閉症幼兒前語言期溝通能力之介入歷程與影響。台北市立教育大學語言治療學系碩士論文(未出版)。
    謝函書 (2015):跨越1公釐的勇氣-我與打字溝通星兒的敘說探究。臺北市市立大學特教學系碩士論文(未出版)。
    藍廷瑋 (2012):慶祝世界自閉症日,低口語孩子們有話要對大家說(黃雅芬彙整)。2015年8月18日取自:http://www.xn--eh1ao52bmzf.tw/index-2_knowledge_20120402.html
    顏孝羽、曾嫦嫦、宋維村 (2008):高功能自閉症學前患童的關係取向發展模式(DIR) 治療之初探。中華心理衛生學刊, 21(3), 221-244。
    顏瑞隆、張正芬 (2012):從生態系統理論談自閉症學生的學校適應。特殊教育季刊,124, 11-19。

    二、英文部分
    Alpet, C. L. & Kaiser, A. P. (1992). Training parents as milieu language teachers. Journal of Early Intervention, 16, 31-52.
    American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorder-5.
    ASHA (2014). Augmentative and Alternative Communication (AAC). Retrieved Aug. 3, 2015 from http://www.asha.org/public/ speech/ disorders/AAC.htm
    Prizant, B. M., Wetherby, A. M., Rubin, E., & Laurent, A. C. (2003). The SCERTS Model: A transactional, family‐centered approach to enhancing communication and socioemotional abilities of children with autism spectrum disorder. Infants & Young Children, 16(4), 296-316.
    Bartel, W. M. (2004). Impelmemtation of the development, individual-difference,relationship-based (DIR) model in a preshool for children with autism spectrum disorders. Dissertation Abstract International: Section B: The Science and Engineering, 65, 2612.
    Barton, M. L., Robins, D. L., Jashar, D., Brennan, L., & Fein, D. (2013). Sensitivity and specificity of proposed DSM-5 criteria for autism spectrum disorder in toddlers. Journal of Autism and Developmental Disorders, 43(5), 1184
    Bauminger, N. (2002).The Facilitation of Social-Emotional Understanding and Social Interaction in High-Functioning Children with Autism: Intervention Outcomes. Journal of Autism and Developmental Disorders, 32(4), 283-298.
    Biklen, D. (1990). Communication Unbound: Autism and Praxis.Harvard Educational Review, 60, 291-315.
    Broderick, A. A., & Kasa-Hendrickson, C. (2001). Say just one word at first: The emergence of reliable speech in a student labeled with autism. Research and Practice for Persons with Severe Disabilities, 26(1), 13-24.
    Bronfenbrenner, U. (1979). The ecology of humandevelopment: Experiments in nature and design. Cambridge. MA: Harvard University.
    Bronfenbrenner, U. (1995). Developmental ecology through space and time: A future perspective. In P. Moen, G. H. Elder, Jr., K. Lüscher (Eds.), Examining lives in context: Perspectives on the ecology of human development (pp. 619-647).Washington, DC: American Psychological Association.
    Cardinal, D. N., & Falvey, M. A. (2014). The Maturing of Facilitated Communication A Means Toward Independent Communication. Research and Practice for Persons with Severe Disabilities, 39(3), 189-194.
    Cassidy, A., McConkey, R., Truesdale-Kennedy, M., & Slevin, E. (2008). Preschoolers with autism spectrum disorders: The impact on families and the supports available to them. Early Child Developmental and Care, 178,115-128.
    Charlop-Christy, M. H. & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism, Journal of Positive Behavior Intervention, 2(2), 98-112.
    Clare, H. (2012). Every kid can: Informative pointing training manual. Retrieved Aug. 5, 2015 from: http://www.autism.org.tw /download/ news/ Ipmanuelfinal 3-11-heather.pdf.
    Crossley, R.(1992). Using facilitated communication to improve communication and access. Retrieved Aug. 1, 2015, from :www.fc2000.dk.
    Da Silva, P. C., Eira, C., Pombo, J., Silva, A. P., Da Silva, L. C.,& Martins, F., et al.(2003). Clinical program for treatment of difficulties with relating and communicating based on the D.I.R. model. Analise Psicoloica, 21(1), 31-39.
    Dawson, G., Hill, D., Spencer, A., Galpert, L., & Watson, L. (1990). Affective exchanges between young autistic children and their mothers. Journal of Abnormal Child Psychology, 18(3), 335-345.
    Duchan, J. F. (1993). Issues raised by facilitated communication for theorizing and research on autism. Journal of Speech, Language, and Hearing Research, 36(6), 1108-1119.
    Eberlin, M., McConnachie, G., Ibel, S., & Volpe, L. (1993). Facilitated communication: A failure to replicate the phenomenon. Journal of Autism and Developmental Disorders, 23(3), 507-530.
    Edelson, S. M., Rimland, B., Berger, C. L., & Billings, D. (1998). Evaluation of a mechanical hand-support for facilitated communication. Journal of Autism and Developmental Disorders, 28(2), 153-157.
    Ganz, J. B., Earles-Vollrath, T. L., Heath, A. K., Parker, R. I., Rispoli, M. J., & Duran, J. B. (2012). A meta-analysis of single case research studies on aided augmentative and alternative communication systems with individuals with autism spectrum disorders. Journal of autism and developmental disorders,42(1), 60-74.
    Goldman, S. (2008). Brief report: Narratives of personal events in children with autism and developmental language disorders: Unshared memories. Journal of Autism and developmental disorders, 38(10), 1982-1988.
    Green, G. (1994). Facilitated communication: Mental miracle or sleight of hand. Behavior and Social Issues, 4(1),69-85.
    Greenspan, S. I. (1992). Reconsidering the diagnosis and treatment of very young children with autistic spectrum or pervasive developmental disorder. Zero to Three, 13, 1-9.
    Hailpern, J., Karahalios, K., & Halle, J. (2009). Creating a spoken impact: encouraging vocalization through audio visual feedback in children with ASD. In Proceedings of the SIGCHI conference on human factors in computing systems (pp. 453-462). NY:Association for Computing Machinery.
    Happe, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of autism and developmental disorders, 36(1), 5-25.
    Howlin, P. (1989). Changing approaches to communication training with autistic children. British Journal of Disorders of Communication, 24, 151-168.
    International Society for Augmentative and Alternative Communication (2014). ISAAC position statement on Facilitated Communication. Augmentative and Alternative Communication, 30(4), 357-358.
    Iversen, P. (2007). The informative pointing method. Unpublished manuscript. Retrieved August, 8, 2011.
    Jacobson, J. W., Mulick, J. A., & Schwartz, A. A. (1995). A history of facilitated communication: Science, pseudoscience, and antiscience science working group on facilitated communication. American Psychologist, 50(9), 750.
    Janzen-Wilde, M. L., Duchan, J. F., & Higginbotham, D. J. (1995). Successful use of facilitated communication with an oral child. Journal of Speech, Language, and Hearing Research, 38(3), 658-676.
    Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.
    Klauck, S. M. (2006). Genetics of autism spectrum disorder. European Journal of Human Genetics, 14, 714-720.
    Koegel, L. K., Camarata, S.M., Valdez-Menchaca, M. & Koegel, R. L.(1998). Setting generalization of question-asking by children with autism. American Mental Retardation, 102(4), 346-357.
    Koegel, R. L. (1992). Consistent stress profiles in mothers of children with autism.Journal of Autism and Developmental Disorders, 22(2), 205-215.
    Konstantareas, M. M. (1998). Allegations of sexual abuse by nonverbal autistic people via facilitated communication: testing of validity. Child Abuse & Neglect, 22(10), 1027-1041.
    Matthew, W., Desleigh, J., Nadera, S. & Glenys, C. (2014) Facilitated Communication Training: Exploration of perceptions of ability and reducing physical support. Disability Studies Quarterly , 34(1),1-4.
    Merriam, S. B.(1988).Case study research in education. Thousand Oaks, CA: Jossey-Bass.
    Mirenda, P., & Dattilo, J. (1987). Instructional techniques in alternative communication for students with severe intellectual handicaps. Augmentative and Alternative Communication, 3, 143–152.
    Mostert, M. P. (2001). Facilitated communication since 1995: a review of published studies. Journal of Autism and Developmental Disorders, 31(3), 287-313.
    Noens, I. L., & van Berckelaer-Onnes, I. A. (2005). Captured by details: sense-making, language and communication in autism. Journal of Communication Disorders, 38(2), 123-141.
    Olney, M. F. (1995). Time and task sampling approach to validation: a quantitative evaluation of facilitated communication using educational computer games. Annual Conference of the Association for Persons with Severe Handicaps. California: SanFKancisco.
    Olszyk, R. K. (2005) Changes in symptomatology and functioning of preschoolers with austism in the context of the DIR model. Dissertation Abstract International: Section B: The Science and Engineering, 66(2-B), 1180.
    Prizant, B. M. & Wetherby, A. M. (1989). Enhancing language And communication in autism: From theory to practice. In G. Dawson (Ed.), Autism: nature, diagnosis, and treatment (pp.282-309). New York: The Guilford Press.
    Saloviita, T., Leppänen, M., & Ojalammi, U. (2014). Authorship in facilitated communication: An analysis of 11 cases. Augmentative and Alternative Communication, 30(3), 213-225.
    Schlosser, R. W., Balandin, S., Hemsley, B., Iacono, T., Probst, P., & von Tetzchner, S. (2014). Facilitated communication and authorship: A systematic review. Augmentative and Alternative Communication, 30(4), 359-368.
    Siegel, B. (1995). Brief report: Assessing allegations of sexual molestation made through facilitated communication. Journal of autism and developmental disorders, 25(3), 319-326.
    Snow, M. E., Hertzig, M. E., & Shapiro, T. (1987) Expression of emotion in young autistic children. Journal of American Child and Adolescent Psychiatry, 26(6), 836-838.
    Stock, B. (2011). Mixed messages: Validity and ethics of facilitated communication. Disability Studies Quarterly, 31(4).28-41.
    Stone, W., & Coro-Mastinez, C. M. (1990). Naturalistic of spontaneous communication in autistic children. Journal of Autism and Developmental Disorders, 20, 437-453
    Tager-Flusberg, H., Paul, R., & Lord, C. (2005). Language and communication in autism. Handbook of autism and pervasive developmental disorders, 1, 335-364.
    Weiss, M. J. S., Wagner, S. H., & Bauman, M. L. (1996). A validated case study of facilitated communication. Mental Retardation.
    Weitz, C., Dexter, M., & Moore, J. (1997). AAC and children with developmental disabilities. In S.Glennen & D. DeCoste (Eds.), Handbook of augmentative and alternative communication (pp. 395–431). San Diego, CA: Singular.
    Wendt, O. (2006). The effectiveness of augmentative and alternative communication for individuals with autism spectrum disorders: A systematic review and meta-analysis. Unpublished doctoral dissertation, Purdue University, West Lafayette, IN.
    Wetherby, A. M., Prizant, B. M., & Hutchinson, T. (1998). Communicative, social affective, and symbolic profiles of young children with autism and pervasive developmental disorder. American Journal of Speech-Language Pathology, 7,79-91.
    Wieder, S. & Greenspan, S. I. (2003). Climbing the symbolic ladder in the DIR model through floor time interactive play. Autism, 7(4), 425-35.
    Wieder, S., & Greenspan, S. I. (2005). Developmental pathways to mental health: The DIRsuper (™) model for comprehensive approaches to assessment and intervention. In K. M. Finello (Ed.), The Handbook of Training and Practice in Infant and Preschool Mental Health (pp. 377-401). San FKancisco, CA: Jossey-Bass
    Yin, R. K.(1994).Case study research: Design and methods(2nd ed.).Thousand Oaks, CA: Sage.

    下載圖示
    QR CODE