• 沒有找到結果。

在實務建議上,本研究發現自閉症兒童在 修補不同溝通中斷類型上,所遭遇到的困難程 度不一,該研究結果可作為後續評量或介入研 究參考。例如:自閉症兒童在「忽視」的中斷 類型中,最常出現不適切的修補反應,這代表 他們在主動重新開啟或延續相關話題的溝通能 力較弱。一般而言,在開啟新的交談之前最好 能先引起對方的注意,而最常使用的方式是眼 神注視(eye contact)以及邀請(greeting)。

除了可以教導自閉症兒童這類開啟交談的技能 外,也可利用玩偶、手偶進行角色扮演(role play)活動,檢視兒童在主動建立溝通互動的 能力表現(Robert & Owens, 2003)。一般的大 班兒童能夠順利修補要求澄清中斷類型的比率

高達 100%,建議未來有關語用能力的評估項 目也可加入此項向度,同時也應將修補能力應 列入自閉症早期療育中的重要目標。在修補能 力的策略教導上,應包含口語和非口語的修補 策略,以供自閉症兒童可依溝通中斷類型的不 同,選擇最適當的修補策略。父母或教學者在 日常生活中,也要多提供自閉症兒童練習語言 溝通和使用修補策略的機會,或考慮以遊戲互 動作為修補能力的介入情境。

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收稿日期:2010.11.17 接受日期:2011.06.09

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