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[Establishing contact in the early stage of severe craniocerebral trauma: sound as the bridge to mute patients].

Both from a theoretical perspective and by means of several case examples, the article focuses on the issue of overcoming the disturbed pre-verbal communication behaviour presented by patients in the early stage following severe craniocerebral trauma. In patients with brain lesion, a pre-verbal, emotionally-focussed tonal language almost invariably is capable of reaching the still healthy sections of the person. Hence, it is possible for music therapy to both establish contact with the seemingly non-responsive patient and re-stimulate the person's fundamental communication competencies and experience at the emotional, social and cognitive levels.

Adult↗

Young children's communication and literacy: a qualitative study of language in the inclusive preschool.

Interactive and literacy-based language use of young children within the context of an inclusive preschool classroom was explored. An interpretivist framework and qualitative research methods, including participant observation, were used to examine and analyze language in five preschool classes that were composed of children with and without disabilities. Children's language use included spoken, written, signed, and typed. Results showed complex communicative and literacy language use on the part of young children outside conventional adult perspectives. Also, children who used expressive methods other than speech were often left out of the contexts where spoken language was richest and most complex.

Child, Preschool↗

Robarts revisited.

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Communication Methods, Total↗

Functional communication with AD patients: a caregiver training program.

The loss of functional communication in Alzheimer disease (AD) results from the disproportionate breakdowns in the pragmatic and semantic areas of language in these patients. Communication breakdown is regularly listed among the top four stressors in measures of stress and burden of AD caregivers. A caregiver training program designed around seven specific communication strategies can be used to alter communication interactions. As a pilot program, the acronym FOCUSED organized the seven strategies for easy recall (Face-to-face, Orientation, Continuity, Unsticking, Structure, Exchanges, and Direct). Significant differences in both attitude toward AD patients, knowledge of AD, and knowledge of communication strategies were shown in comparisons of pre- and posttraining assessments.

Adult↗

[Therapeutic education for young hearing-impaired children].

Modern therapeutic education of young hearing-impaired children is premised on the active use of residual hearing for helping the deaf child learn language and speech. In this case, measurement of degree of the child's hearing loss and proper fitting of hearing aids are indispensable. Today, accurate measurement of hearing can be made even in infancy by the combined use of behavioral audiometry and auditory brain stem response audiometry. Fitting hearing aids for young hearing-impaired children is possible, if there is an experienced clinician. During the period 1973-1991, I conducted a home training program to 1,613 young hearing-impaired children at the Department of Otolaryngology, Teikyo University Hospital. Out of the 1,613 children, 222 were under one year old, 481 one year old, 470 two years old, 246 three years old, 104 four years old, 69 five years old and 21 six years old. In 1983, we made a follow-up study of hearing-impaired children who had received my home training program and were receiving compulsory education at that time. According to the replies of 87 children to our questionnaire, approximately 70 per cent of the children were attending ordinary schools.

Audiometry↗

Peer-directed communicative interactions of augmented language learners with mental retardation.

Naturally occurring peer-directed communicative interactions of 13 youth with mental retardation and little or no functional speech who used the System for Augmenting Language (SAL) as their primary means of communication were described. Findings suggest that this system was an integral component of both successful and effective conversations and may be one important means of enhancing social interactions with peer communicative partners who have and do not have mental retardation.

Adolescent↗

Evaluation of an intervention program: relation between children's phonology and parents' communicative behavior.

Parents of 9 preschoolers with Down syndrome participated in a training program focusing on phonological skills. Three of the children were producing multiword utterances, but their speech was characterized by jargon and/or inconsistent errors. The remaining 6 children had very few spoken words or were mute; some relied on a Makaton sign vocabulary. Parents attended twelve 3-hour training sessions. Videotapes of parent-child interactions (made before, during, and after the program) were analyzed for number and type of children's phonological errors and rating of parents' therapeutic skills. Results showed that measures of the children's phonological abilities were correlated with their parents' interactional communication skills.

Child↗

ADA is changing the way physicians practice medicine.

Although 5 years old, the Americans with Disabilities Act of 1990 is still considered a relatively new law. Physicians' practices are influenced daily by the Act--from office hiring practices to treating disabled patients. This article is in response to several questions that have been raised concerning the scope of the Act as it applies to a physician's office when treating hearing impaired patients.

Communication Methods, Total↗