• 沒有找到結果。

第六章 結論與建議

第二節 限制與建議

壹、研究限制 一、樣本人數較少

跟過去的研究相比,雖然本研究的樣本人數並不算少,但若要詳細 分析年齡對於 AS 學生智力所造成的影響,需要在各年級 AS 學生的人數 上再做擴充,由於符合一年內未做過 WISC 的 AS 學生極少,尤其是在台 北縣是鑑定安置工作比較健全的區域,只要經過轉銜階段,幾乎都會做 智力測驗,因此,本研究耗費八個月的時間,才完成收集個案的工作,

由於各年級的 AS 樣本人數並不多,因此在探討年齡對智力的影響時,因 為細格中的人數較少,而不適合使用該種統計方式,在分析時會有其限 制。

二、無法和一般兒童配對比較

由於本研究並沒有採用一般兒童作為控制組,所以,研究結果只能 說是 AS 學生在 WISC-Ⅳ的表現情形,且也只能以整體平均數和常模比 較,以瞭解 AS 學生在各項智力分數表現的相對位置,大致推論他們在各 項分數表現的優劣,但無法確切的說,他們跟同齡的一般兒童有什麼不 同,是否因為 AS 特有的核心特質而造成兩者在智力表現上的差異。

貳、建議

一、對於施測人員

在施測時多注意 AS 受試者的情緒和行為反應,盡量降低他們焦慮緊 張的情緒,給予適當的休息和彈性時間,確認情緒和精神狀況無礙的時 候,再開始進行測驗,並且隨時注意 AS 受試者的注意力,是否有因為不 專心而干擾測驗進行的情形,主試者要特別注意測驗材料擺放的位置,

除了依照指導手冊的規定外,還要特別注意不要讓受試者可以觸摸到其 他的測驗材料,避免讓受試者能夠看到主試者的紀錄內容。給予適當的 鼓勵,降低受試者因失敗而產生的受挫感,也是很重要的,避免讓受試

者在測驗結束之後仍帶有因施測而產生的情緒反應。

二、對教育人員的建議

AS 學生有其特有的認知特質,因此,在設計教材時,應該考量 AS 學生在優弱勢能力,例如:利用 AS 學生在 VCI 上的優勢,以語文作為學 習的媒介,而以圖形作為輔助的工具,同時,注意 AS 學生在 PSI 上的弱 勢,給予時間上的彈性,替他們申請延長考試時間會者代謄答案、電腦 作答等考場服務,以彌補處理速度較慢造成的影響。

三、給未來進行 AS 智力研究的人員

由於本研究是第一個使用 WISC-Ⅳ瞭解 AS 學生智力表現的研究,在 取樣上的限制與困難,可以提供給後續的研究者思考未來研究取樣的原 則,性別比例為何?一年內是否可以做過 WISC-Ⅲ的智力測驗?雖雖然 本研究中的國小和國中 AS 學生在 WISC-Ⅳ的表現並沒有顯著的差異,且 四個因素指數的優弱勢表現趨勢也大致相同,(都是以 VCI 最優,PSI 最弱),但仔細探究,還是可以發現些許的不同處,例如:國中 AS 學生 在 WMI 以及幾個分測驗的離散情形較國小大,VCI 和 PRI 之間的差距也 較國小明顯,另外,在分測驗優弱勢的部分,也有些許不同之處,這些 資訊,值得後續的研究進行深入的探討,以釐清年齡對 AS 學生智力所造 成的影響何在。

除了繼續探究年齡對 AS 學生的影響外,將來也可以針對其他 ASD 族 群(如自閉症或高功能自閉症者)進行智力表現的比較研究,由於過去 的研究傾向支持他們有其獨特的智力組型,若能夠使用相同的測驗工具 跟本研究的 AS 學生比較,或許可以幫助我們釐清 AS 和其他 ASD 族群在 智力表現上的異同之處。

參考文獻

一、中文部分

宋維村(2000):自閉症學生輔導手冊。教育部特殊教育小組主編。

張正芬(2003):「Autism Spectrum Disorder」對台灣特殊教育的影響。

載於國立台灣師範大學特殊教育系編:「2003 特殊教育學術研討會」會 議手冊。台北:國立台灣師範大學特殊教育系。

陳心怡、張正芬、楊宗仁(2004):自閉症兒童的 WISC-III 智能組型研 究。特殊教育研究學刊,26,127-151 。

姜忠信、宋維村(2005):自閉症嬰幼兒的早期診斷:文獻回顧。臨床心理 學刊,第二卷,第一期,1-10。

張正芬、吳佑佑(2006):亞斯伯格與高功能自閉症早期發展與目前症 狀之初探。特殊教育研究學刊,31,139-164。

二、英文部分

Asperger, H. (1944). Die autistichen Psychopathen im Kindersalter. Archive

fur Psychiatrie und Nervenkrankheiten, 117,76–136.

Asperger, H. (1991). "Autistic psychopathy" in childhood. In U. Frith (Ed.),

Autism and Asperger syndrome (pp. 37—92). New York: Cambridge

University Press. (Original work published 1944).

Attwood T. (2007). The Complete Guide to Asperger’s Syndrome. Lomdon:

Jessica Kingsley.

Allen, M. H., Lincoln, A.J., & Kaufman, A. S. (1991). Sequential and simultaneous processing abilities of high-functioning autistic and language-impaired children. Journal of Autism and Developmental

Disorders, 21(4), 483-501.

Ambery, F. Z., Russell, A. J., Perry, K., Morris, R., & Murphy, D.

G.M.(2006). Neuropsychological functioning in adults with Asperger syndrome. Autism. 10(6), 551-564.

Asarnow, R. F., Tanguay, P. E., Bott, L., & Freeman, B. J. (1987). Patterns of intellectual functioning in non-retarded utistic and schizophrenic child.

Journal of Child Psychology and Psychiatry and Allied Displines, 28,

273-280.

Bray, M.A., Kehle, T.J., & Hintze, J.M. (1998). Profile analysis and the Wechsler scales. School Psychology International, 19, 209–220.

Baron-Cohen. S., Leslie, A. M. & Frith, U. (1985). Dose the autistic child have a theo- ry of mind? Cognition, 21, 37-46.

Barnhill, G., Hagiwara, R., Myles, B. S., & Simpson, R. L. (2000a). Asperger syndrome: A study of the cognitive profiles of 37 children and adolescents.

Focus on Autism & Other Developmental Disabilities, 15, 146-153.

Bartak, L., Rutter, M., & Cox, A. (1975). A comparative study of infantile autism and specific developmental receptive language disorder: I. The children. British Journal of Psychiatry, 126, 127-145.

Bruin, E. I., Verheij, F., & Ferdinand, R. F., (2006). WISC-R subtest but no overall VIQ–PIQ difference in Dutch children with PDD-NOS. Journal of

Abnormal Child Psychology. 34(2), 254-262.

Cattel, R. B. (1963).Theory of fluid and crystallize intelligence: A critical experience. Journal of Educational Psychology, 54, 1-22

Church, C., Alisanski, S., & Amanullah, S. (2000). The social, behavioural and academic experiences of children with Asperger disorder. Focus on

Autism and Other Developmental Disabilities, 15, 12-20.

Calhoun, S., & Mayes, D. S. (2005). Proseeing speed in children with clinical disoeders. Psychology in the Schools, 42, 333-343

Danoff, B., Harris, K.R., & Graham, S. (1993). Incorporating strategy

instruction within the writing process in the regular classroom: Effects on the writing of students with and without learning disabilities. Journal of

Reading Behavior, 25, 295–322.

Delong, G. R. & Dwyer, J. T. (1988). Correlation of family history with specific autistic subgroup: Asperger’s syndrome and bipolar affective disease. Journal of Autism and Developmental Disorders, 18, 593-600.

DeMyer, M., Hingtgen, J., & Jackson, R. (1981). Infantile autism reviewed: a decade of research. Schizophrenic Bulletin 7, 388-451.

Dennis, M., Lockyer, L., Lazenby, A. L., Donnelly, R. E., Wilkinson, M., &

Schoonheyt, W. (1999). Intelligence patterns among child with

high-functioning autism, phenylketonuria, and children head injury.

Journal of Autism and Development Disorders, 29, 5-17.

Edgin, J. O., & Pennington, B. F. (2005). Spatial cognition in autism

spectrum disorders: superior, impaired, or justintact? Journal of Autism

and Developmental Disorders, 35(6), 729-745.

Esther, I. B., Fop, V., & Robert, F. F.(2006).WISC-R subtest but no overall VIQ–PIQ difference in Dutch children with PDD-NOS. Journal of

Abnormal Child Psychology, 34(2), 263–271.

Ehlers, S., Ageneta, N., Gillberg, C., Sandberg, A. D., Dahlgren, S., Hjelmquist, E., & Odén, A. (1997). Asperger Syndrome, Autism and Attention Disorders: A comparative study of the cognitive profiles of 120 children. Journal of child psychology and psychiatry, 38(2), 207-217.

Fry, A. F., & Hale, s. (1996). Processing speed , working memory and fluid intelligence: Evidence for a developmental casade. Psychological Science,

7(4), 237-241

Freeman, B. J., Ritvo, E. R., Needleman, R., & Yokota, A. (1985a). The stability of cognitive and linguistic parameters in Autism: A Five-Year Prospective Study, Journal of the American Academy of Child and

Adolescent Psychiatry 24, 459–464.

Gillberg, C. (1985). Asperger’s syndrome and recurrent psychosis: a case study. Journal of Autism and Development Disorders, 15, 389-397

Gillberg, C. (1991). Outcome in autism and autistic-like conditions. Journal

of the American Academy of Child and Adolescent Psychiatry, 30,

375-382.

Green, J. (1990). Annotation: Is Asperger's a syndrome? Developmental

Medicine and Child Neurology, 32, 743-747.

Goldman-Rakic, P. S. (1988). Topography of cognition: Parallel distributed networks in primate association cortex. Annual Review of Neuroscience,

11, 137–156.

Gillberg, I. C., & Gillberg, C. (1989). Asperger syndrome—Some epidemiolo -gical considerations: A research note. Journal of Child Psychology and

Psychiatry, 30, 631-638.

Ghaziuddin, M., & Mountain-Kimchi, K., (2004). Defining the intelligence profile of Asperger syndrome: comparing with high-functioning autism.

Journal of Autism and Developmental Disorders, 34(3), 279-284.

Green, L., Fein, D., Joy, S., & Waterhouse, L. (1995). Cognitive functioning in autism: An overview. In E. Schopler & G. B. Mesibov (Eds.), Learning

and cognition in autism (pp. 13-31). New York: Plenum.

Glutting, J.J., McDermott, P.A., Prifitera, A., & McGrath, E.A. (1994). Core profile types for the WISC-III and WIAT: Their development and

application in identifying multivariate IQ-achievement discrepancies.

School Psychology Review, 23, 619– 639.

Gilchrist, A., Green, J., Cox, A., Burton, D., Rutter, M., & Le Counter, A.

(2001). Development and current functioning in adolescents with Asperger syndrome: A comparative study. Journal of Child Psychology and

Psychiatry, 42, 227-240.

Goldstein, G., Siegel, D. J., & Minshew, N. J.(1996). Wechsler IQ profiles in diagnosis of high-functioning autism. Journal of Autism and Development

Disorders, 26(4), 389-406.

Gena, B., & Taku, H., Smith, M. B., & Richard, S. (2000). Asperger

syndrome: a study of the cognitive profiles of 37 children and adolescents.

Focus on Autism and Other Developmental Disabilities, 15(3), 146-153.

Howlin, P. 2000 Outcome in adult life for more able individuals with autism and Asperger Syndrome. Autism: The International Journal of Research

and Practice 4 (1), 63–83.

Happé, F. (1994). Wechsler IQ profile and theory of mind in autism: A research note. Journal of Child Psychology and Psychiatry, 35(8), 1461-1471.

Hippler, K., & Klicpera, C. (2004). A retrospective analysis of the clinical case records of “autistic psychopaths” diagnosed by Hans Asperger and his team at University Children’s Hospital, Vienna. Autism: Mind and

Brain. Oxford University Press.

Hayashi, M., Kato, M., Iagarashi, K., & Kashima, H. (2008). Supeior fluid

intelligence in children with Asperger’s disorder. Brain and Cognition,

66,306-310

Joseph, R. M., Tager-Flusberg, H., & Lord, C. (2002). Cognitive profiles and social-communicative functioning in children with autism spectrum

disorder. The Journal of Child Psychology and Psychiatry, 43, 807-821.

Kaufman, A. S. (1975). Factor analysis of the WISC-R at eleven age levels between 6.5 and 16.5 years. Journal of Consulting and Clinical

Psychology, 43, 135–147.

Klin, A. (2000). Attributing social meaning to ambiguous visual stimuli in higher-functioning autism and Asperger syndrome: The social attribution task. Journal of Child Psychology and Psychiatry, 7, 831–846.

Kanner, J. (1943). Disturbances of affective contact. Nervous Child, 2, 217-250 .

Kail, R. (2000). Speed of information processing: Developmental change and links to intelligence. Journal of School Psychology, 38(1), 51-61.

Kail, R., & Hall, L. K. (1994). Processing speed, naming sp.eed, and reading.

Developmental Psychology, 30(6), 949-954

Kail, R., & Salthouse, T. A. (1994). Processing speed as a mental capacity.

Acta Psychology, 86, 199-225.

Kerbeshian, J., Burd, L., & Fisher, W. (1990). Asperger’s syndrome: to be or not to be? British Journal of Psychiatry, 156, 721–725.

Kail, R., & Hall, L. K. (1994). Processing speed, naming speed, and reading.

Development Psychology, 30(6), 949-954.

Koyama, T., Tachimori, H., Osada, H., & Kutiya H. (2006). Cognitive and symptom profiles in high-functioning pervasive developmental disorder not otherwise specified and attention-deficit/ hyperactivity disorder.

Journal of Autism and Developmental Disorders, 36, 373-380.

Koyama, T., Tachimori, H., Osada, H., Takeda, T., & Kutiya H. (2007).

Cognitive and symptom profiles in Asperger’s syndrome and

high-functioning autism. Psychiatry and Clinical Neurosciences, 61, 99-104.

Klin, A., Volkmar, F. R., Sparrow, S. S., Cichetti, D. V. & Rourke, B. P.

(1995). Validity and neuropsychological characterization of Asperger syndrome. Journal of Child Psychology and Psychiatry, 36, 1127–1140.

Lord, C., & Schopler, E. (1989). The role of age at assessment,

developmental level, and test in the stability of intelligence scores in young Autistic children, Journal of Autism and Developmental Disorders 19, 483–499.

Lincoln, A. J., Allen, M. H., & Kilman, A. (1995). The assessment and

interpretation of intellectual abilities in people with Autism. In E. Schopler

& G. B. Mesibov (Eds.), Learning and cognition in autism.Cp.6. New York & London: Plenum Press.

Lincoln, A. J., Courchesne, E., Kilman, B. A., Elmasian, R., & Allen, M.

(1988). A study of intellectual abilities in highfunctioning people with Autism. Journal of Autism and developmental disorder, 18(4), 505-524.

Lockyer, L. & Rutter, M. (1970). A five to fifteen year foller up study of infantile psychosis: IV, patterns of cognitive ability. British Journal of

Social and Clinical Psychology, 9, 152-163

Mayes, S .D. & Calhoun, S. L. (1999). Symptoms of Autism in young children and correspondence with the DSM, Infants and Young Children

12, 90–97.

Mayes, S. D., & Calhoun, S. L. (2003). Analysis of WISC-III, Stanford-Binet:

IV, and academic achievement test scores in children with autism. Journal

of Autism and Developmental Disorders, 33, 329-341.

Mayes, S. D., & Calhoun, S. L. (2004). Similarities and differences in

Wechsler Intelligence Scale for Children-Third edition (WISC-III) profiles:

Support for subtest analysis in clinical referrals. The Clinical

Neuropsychologist, 18, 559–572.

Mayes, S. D., & Calhoun, S. L. (2005). Influence of IQ and age in children autism: lack of support for DSM-Ⅳ Asperger’s Disorder. Journal of

Developmental and Physical Disabilities, 16, 257-272.

Mayes, S .D. & Calhoun, S. L. (2007). Wechsler intelligence scale for children-third and-fourth edition predictors of academic achievement in children with attention-deficit/hyperactivity disorder. School Psychology

Quarterly. 22(2), 234-249.

Mayes, S .D. & Calhoun, S. L. (2008).WISC-IV and WIAT-II Profiles in Children with High-Functioning Autism. Journal of Autism and

Developmental Disorders, 38, 428-439.

Mayes, S .D. , Calhoun, S . L., & Crowell, E .W. (2000). Learning Disabilities and ADHD: overlapping spectrum disorders, Journal of

Learning Disabilities 33, 417–424.

Minshew, N, J., Goldstein, G., Muenz, L. R., & Patyon, J. B. (1992).

Neuropsy- chological functioning in non-mentally retarded autistic individuals. Journal of Clinical and Experimental Neuropsychology, 14, 749-761.

Manjiviona, J., & Prior, M. (1999). Neuropsychological profiles of children’s with Asperger’s syndrome and autism. Autism, 3, 327-356.

Miller, J. N., & Ozonoff, S. (1997). Did Asperger’s cases have Asperger disorders? A research note. Journal of Child Psychology and Psychiatry,

28, 247-251.

Miller, J. N., & Ozonoff, S. (2000). The external validity of Asperger

syndrome: Lack of evidence from the domain of neuropsychology. Journal

of Abnormal Psychology, 109, 227-238.

Myles, B., & Simpson, R. L., (1988). Asperger symdrome : A guide for

education and parents. Austin, TX: PRO-ED.

Narita, T., & Koga, Y. (1987). Neuropsychological assessment of children autism. Advances in Biological Psychiastry, 16, 156-170.

Ohta, M. (1987). Cognitive disorders of infantile autism: a study employing the WISC, spatial relationship conceptualization, and gesture imitations.

Journal of Autism and Developmental Disorders, 17, 45-62.

Ozonoff, S., & Cathart, K. (1998). Effectiveness of a home program intervention for young children with Autism. Journal of Autism and

Developmental Disorders 28, 25–32.

Ozonoff, S., Pennington, B. F. & Rogers, S. J. (1991). Executive function deficits in high-function autistic individuals: Relationship to theory of mind. Journal of Child Psychology and Psychiatry, 32, 1091-1105.

Ozonoff, S., Rogers, S. J. & Pennington, B. F.(1991). Asperger’s syndrome:

evidence of an empirical distinction from high-functioning autism. Journal

of Children Psychology and Psychiatry, 32, 1107-1122.

Ozonoff, S., South, M., & Miller, J. N. (2000). DSM-Ⅳ-defied Asperger syndrome: cognitive, behavioral and early history differentiation from high-functioning autism. Autism, 4, 29-46.

Parks, S. L. (1983). The assessment of autistic children: A selective review of available instruments. Journal of Autism and Developmental Disorders, 13, 255-267.

Perlow, R., Jattuso, M., & Moore, D. D. (1997). Role of verbal working memory in complex skill acquisition. Human Performance, 10(3), 283-302.

Rumsey, J. M., & Hamburger, S. D. (1988).Neuropsychological findings in high-functioning men with infantile autism, residual state. Journal of

Clinical and Experimental Neuropsychology, 10, 210-221.

Rumsey, J. M., & Hamburger, S. D. (1990). Neuropsychological divergence of high-level autism and severe dyslexia. Journal of Autism and

Development Disorders, 20, 155-168.

Rutter, M., Lord, C., & LeCouteur, A. (1995). Autism Diagnostic Interview (Rev., 3rd ed.). Available from C. Lord, Department of Psychiatry, University of Chicago.

Sattler, J. M. (1988). Assessment of children (3rd ed.). San Diego, CA: Author.

Sattler, J. M. (2001). Assessment of children (4th ed.). San Diego, CA: Author.

Swanson, H. L. (1996). Individual and age-related difference in children’s working memory. Memory and Cognition, 24(1), 70-82.

Szatmari, P. (2000). The classroom of autism, Asperger’s syndrome, and pervasive development disorder . Canadian Journal of Psychiatry, 45, 731-738.

Schneider, S. G., & Asaronow, R. F. (1987). A comparison of

cognitive/neuro- psychological impairments of nonretarded autism and schizophrenic children. Journal of Abonormal Child Psychology, 15, 29-45.

Sattler, J., M., & Dumont, R. (2004). Aseessment of Children: WISC-Ⅳ and WPPSI-Ⅲ Supplement. San Diego, CA: Author.

Shah, A., & Frith, U. (1993). Why do autistic individuals show superior performance on the block design test? Journal of Child Psychology and

Psychiatry, 34, 1351-1364.

Shah, P., & Miyake, A. (1996). The separability of working memory resources for spatial thinking and language processing: An individual differences approach. The Journal of Experimental Psychology: General,

125(1), 4–27.

Sheinkopf, S.J. & Siegel, B. (1998). Home-based behavioral treatment of young children with autism. Journal of Autism and Developmental

Disorders, 23, 15-23.

Smith, T., Groen, A.D., & Wynn, J. S. (2000). Randomized trial of intensive early intervention for children with pervasive developmental disorders’.

American Journal on Mental Retardation 105, 269–285.

Siegel, D. J., Minshew, N. J., & Goldstein, G. (1996). Wechsler IQ profiles in diagnosis of high-functioning autism. Journal of Autism and

Developmental Disorders, 26, 389–406.

Sweetland J. D., Reina J. M., & Tatti Anne, F. (2007). WISC-Ⅲ verbal /performance discrepancies among a sample of gifted children. Gifted

children quarterly, 50(1), 7-10.

Szatmari, P., Tuff, L., Finlayson, M. A. J., & Bartolucci, G. (1989).

Asperger’s syndrome and autism: Neurocognitive aspects. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 130–136.

Szatmari, P., Tuff, L., Finlayson, M. A. J., & Bartolucci, G. (1990).

Asperger's syndrome and autism: Neurocognitive aspects. Journal of the

American Academy of Child and Adolescent Psychiatry, 29, 130-136.

Saklofske, D. H., Prifitera, A., Weiss, L. G., Rolfhus, E., & Zhu, J. (2005).

Clinial interpretation of the WISC-IV FSIQ and GAI. In: A. Prifitera, D. H.

Saklofske, & L. G. Weiss (Eds.), WISC-IV clinical use and interpretation (pp. 33–65). New York: Elsevier

Tymchuk, A. J., Simmons, J. Q., & Neafsey, S. (1977). Intellectual

characteristic of adolescent childhood psychotics with high verbal ability.

Journal of Metnal Deficiency Reasearch, 21, 133-158.

Venter, A., Lord, C., & Schopler, E. (1992). A follow-up study of high functioning autistic children. Journal of Child Psychology and Psychiatry,

33, 489–507.

Vig, S., & Jedrysek, E.(1999).Autism features in young children with

significant cognitive impairment: Autism or mental retardation? Journal of

Autism and Development Disorders, 29(3), 235-247.

Volkmar, F. R., Klin, A. & Pauls, D. (1998). Nosological and genetic aspects of Asperger syndrome. Journal of Autism Development Disorder, 28, 457–463.

Wassing, H. E. (1965). Cognitive functioning in early infantile autism: An examination of four cases by means of the Wechsler Intelligence Scale for Children. Acta Paedopsychiatrica, 32, 122-135.

Wechsler, D. (1974). Wechsler Intelligence Scale for Children-Revised

manual. New York: Psychological Corp.

Wechsler, D. (1981). Wechsler Adult Intelligence Scale-Revised manual. New York: Psychological Corp.

Wechsler, D. (1981). Wechsler Adult Intelligence Scale-Third Edition. New

Wechsler, D. (1981). Wechsler Adult Intelligence Scale-Third Edition. New