學齡前自閉症兒童相互注意協調能力學習成效初探之研究

The Learning Efficacy of Joint Attention Teaching for Preschool Children with Autism

10.6172/BSE200703.3201007

黃鈺菁(Yu-Ching Huang)；鳳華(Hua Feng)

相互注意協調能力 ； 相互注意協調能力教學 ； 學齡前自閉症兒童 ； 單一受試實驗設計 ； joint attention teaching ； intervention ； preschool children with autism ； single-subject design ； multiple-probe design

特殊教育研究學刊

32卷1期（2007 / 03 / 01）

121 - 141

繁體中文

本研究旨在探討相互注意協調能力教學對學齡前自閉症兒童相互注意協調能力之成效。研究對象為兩名學齡前自閉症兒童，研究方法採單一受試跨行為多探試實驗設計，自變項為相互注意協調能力教學，依變項為相互注意協調能力的學習和類化成效，並以家長和教師的回饋建立社會效度。研究結論如下：一、相互注意協調能力教學能增加學齡前自閉症兒童對顯示物品、跟隨指示和跟隨注視的正確反應率；二、相互注意協調能力教學能增加學齡前自閉症兒童協調注視移動和原始宣告指示的正確表現率；三、相互注意協調能力教學能維持學齡前自閉症兒童相互注意協調能力的學習成效；四、相互注意協調能力教學能讓學齡前自閉症兒童相互注意協調能力的學習成效類化到其他對象（老師、家長）和環境中；五、家長和教師肯定相互注意協調能力教學對學齡前自閉症兒童相互注意協調能力的學習成效。

This study investigated the efficacy of joint attention teaching for children with autism. Two preschool children with autism participated in the study. A multiple-probe design across behaviors tested by single-subject experimental designs was implemented. The independent variable was joint attention teaching. The dependent variables were the percentages of learning and generalized outcomes. Feedback from mothers and teachers was analyzed for social validity. The results of the study were as follows: Joint attention teaching (1) increases the percentage of responses to showing, pointing, and gazing; (2) increases the percentage of coordinated gaze shifting and protodeclarative pointing; (3) maintains the outcomes; (4) generalizes the outcomes to other people (mothers and teachers) and places; and (5) makes positive changes, as noted by parents and teachers of preschool children with autism.

1. Adamson, L.B.,Chance, S. E.,A.M. Wetherby,S.F. Warren,J. Reichle (Eds.)(1998).Communication and language intervention series: Transitions in prelinguistic communication.Baltimore:Brookes.
2. American Psychiatric Association(1994).Diagnostic and statistical manual of mental disorders.Washington, DC:Author.
3. Baron-Cohen, S.,C. Moore,P.J. Dunham (Eds.)(1995).Joint attention: Its origins and role in development.New Jersey:Lawrence Erlbaum.
4. Baron-Cohen, S.,H. Tager-Flusberg,D. Cohen (Eds.)(1993).Understanding other minds: Perspectives from autism.Oxford, England:Oxford University Press.
5. Barresi, J.,Moore, C.(1993).Sharing in a perspective precedes the understanding of that perspective.Behavioral and Brain Sciences,16,513-514.
6. Bristol, Y.M.,Cohen, D.,Costello, E.J.,Denckla, M.,Eckberg, T.J.,Kallen, D.(1996).State of the science in autism: Report to the national institutes of health.Journal of Autism and Developmental Disorders,26(2),121-153.
7. Buffington, D.M.,Krantz, P.J.,McClannahan, L.E.,Poulson, C.L.(1998).Procedures for teaching appropriate gestural communication skills to children with autism.Journal of Autism and Developmental Disorders,28(6),535-545.
8. Butterworth, G.,C. Moore,P.J. Dunham(Eds.)(1995).Joint attention: Its origins and role in development.New Jersey:Lawrence Erlbaum.
9. Charman, T.,Swettenham, J.,Baron-Cohen, S.,Cox, A.,Baird, G.,Drew, A.(1997).Infant with autism: An investigation of empathy, pretend play, joint attention, and imitation.Developmental Psychology,33(5),781-789.
10. Charman, T.,Swettenham, J.,Baron-Cohen, S.,Cox, A.,Baird, G.,Drew, A.(1998).An experimental investigation of social-cognitive abilities in infants with autism: Clinical implication.Infant Mental Health Journal,19,260-275.
11. Corkum, V.,Moore, C.,C. Moore,P.J. Dunham(Eds.)(1995).Joint attention: Its origins and role in development.New Jersey:Lawrence Erlbaum.
12. Dawson, G.,Toth, K.,Abbott, R.,Osterline, J.,Munson, J.,Estes, A.,Liaw, J.(2004).Early social attention impairments in autism: Social orienting, joint attention, and attention to distress.Developmental Psychology,40(2),271-283.
13. Desrochers, S.,Morissett, P.,Richard, M.,C. Moore,P.J. Dunham(Eds.)(1995).Joint attention: Its origins and role in development.New Jersey:Lawrence Erlbaum.
14. Hwang, B.,Hughes, C.(2000).Increasing early social-communicative skills of preverbal preschool children with autism through social interactive training.Journal of the association for persons with severe handicaps,25(1),18-28.
15. Jones, E.A.,Carr, E.G.(2004).Joint attention in children with autism: Theory and intervention.Focus in Autism and Other Developmental Disabilities,19(1),13-26.
16. Kasari, C.,Sigmanm, M.,Mundy, P.,Yirmiya, N.(1990).Affective sharing in the context of joint attention interactions of normal, autistic, and mentally retarded children.Journal of Autism and Developmental Disorders,20(1),87-100.
17. Klinger, A.P.,Dawson, G.,S.F. Warren,J. Reichle (Eds.)(1992).Communication and language intervention series: Causes and effects in communication and language intervention.Baltimore:Brookes.
18. Koegel, L.K.,Koegel, R.L.,Harrower J.K.,Carter, C.M.(1999).Pivotal teaching interventions I: Overview of approach.Journal of the association for persons with severe handicaps,24(3),174-185.
19. Koegel, R.L.,Koegel, L.K.,McNerney, E.K.(2001).Pivotal areas in intervention for autism.Journal of Clinical Child Psychology,30(1),19-32.
20. Leung, E.H.,Rheingold, H.L.(1981).Development of pointing as a social gesture.Developmental Psychology,17(2),215-220.
21. Liszkowski, U.,Carpenter, M.,Henning, A.,Striano, T.,Tomasello, M.(2004).Twelve-month-olds point to share attention and interest.Developmental Science,7(3),297-307.
22. McArthur, B.,Adamson, L.B.(1996).Joint attention in preverbal children: Autism and developmental language disorder.Journal of Autism and Developmental Disorders,26(5),481-496.
23. McCathrem, R.B.,Warren, S.F.,Yoder, P.J.,K.N. Cole,P.S. Dale,D.J. Thal(Eds.)(1996).Communication and language intervention series: Assessment of communication and language.Baltimore:Brookes.
24. Mundy, P.(2003).Annotation: The neural basis of social impairments in autism: the role of the dorsal medial-frontal cortex and anterior cingulate system.Journal of Child Psychology and Psychiatry,44(6),793-809.
25. Mundy, P.,Crowson, M.(1997).Joint attention and early social communication: Implications for research on intervention with autism.Journal of Autism and Developmental Disorders,27(6),653-676.
26. Mundy, P.,Gomes, A.(1998).Individual differences in joint attention skill development in the second year.Infant Behavior and Development,21(3),469-482.
27. Mundy, P.,Sigman, M.,Kasari, C.(1994).Joint attention, developmental level, and symptom presentation in autism.Development and Psychopathology,6,389-401.
28. Paparella, T.,Kasari, C.(2004).Joint attention skills and language development in special needs population.Infants and Young Children,17(3),269-280.
29. Schreibman, L.,Stahmer, A.C.,Pierce, K.L.,R.L. Koegel,G. Dunlap (Eds.)(1996).Positive behavioral support: Including people with difficult behavior in the community.Baltimore:Brookes.
30. Stone, W.L.,Ousley, O.Y.,Yoder, P.J.,Hogan, K.L.,Hepburn, S.L.(1997).Nonverbal Communiation in two and three-year-old children with autism.Journal of Autism and Developmental Disorders,27(6),677-696.
31. Tomasello, M.,Barton, M.(1994).Learning words in nonostensive contexts.Developmental Psychology,30(5),639-650.
32. Tomasello, M.,C. Moore,P.J. Dunham (Eds.)(1995).Joint attention as social cognition.Joint attention: Its origins and role in development,103-130.
33. Venezia, M.,Messinger, D.S.,Thorp, D.,Mundy, P.(2004).The development of anticipatory smiling.Infancy,6(3),397-406.
34. Wellman, H.M.,S. Baron-Cohen,H. Tager-Flusberg,D. Cohen (Eds.)(1993).Early understanding of mind: The normal case.Understanding other minds: Perspectives from autism,10-39.
35. Whalen, C.,Schreibman, L.(2003).Joint attention training for children with autism using behavior modification procedures.Journal of Child Psychology and Psychiatry,44(3),456-468.
36. Yoder, P.J.,Warren, S.F.(1999).Self-initiated proto-declaratives and proto-imperatives can be facilitated in prelinguistic children with developmental disabilities.Journal of Early Intervention,22,337-356.
37. Zercher, G.,Hunt, P.,Schuler, A.,Webster, J.(2001).Increasing joint attention, play and language through peer supported play.Autism: the International Journal of Research and Practice,5,374-398.
38. 宋維村(1996)。行政院國家科學委員會專題研究計畫成果報告行政院國家科學委員會專題研究計畫成果報告,未出版
39. 杜正治譯(1994)。單一受試研究研究法。台北:心理。
40. 姜忠信、宋維村(2001)。自閉症患者相互注意協調能力的發展－回顧與前瞻。自閉症學術論文集
41. 徐澄清、蘇喜、蕭淑貞、林家青、宋維村、張班(1978)。學齡前兒童行為發展量表(CCDI)第四次修訂本。台北市:國立台灣大學醫學院公共衛生研究所。
42. 許天威(2003)。個案實驗研究法。台北:五南圖書出版社。
43. 程小危、宋維村(1994)。行政院國家科學委員會專題研究計畫成果報告行政院國家科學委員會專題研究計畫成果報告,未出版
44. 鳳華(2003)。自閉症應用行為分析研習手冊。中華民國自閉症總會。

1. 呂依庭(2016)。音樂療育課程對身心障礙生 注意力影響之研究:以高職綜合職能科為例。國立臺北藝術大學藝術與人文教育研究所學位論文。2016。1-148。