Comunicação suplementar e/ou alternativa nos transtornos invasivos do desenvolvimento

Abstract

The objective of this research is to show the possibility of inserting in language, children diagnosticated as Pervasive Developmental Disorders PDD (described in the DSM IV). We choose a language perspective where the person can be a speaker in the dialogue function, using Augmentative and Alternative Communication (AAC). As speech-pathologists we notice that such children might have attitudes that show interest in communicating needs and hopes through non-oral expression (such as eye gaze and gesture). But that would lead the speaker to quite imprecise interpretations that produce frustation and may cause an agressive behavior. What would happen if we give, to these children whith PDD, a chance to use use a non-oral communication, the AAC? What would the result of a more restricted interpretation be like? With the purpose of observing the terapeutic interaction, we made some video and audio tapes and took written notes concerning speechpathology therapies for PDD children. We also took written notes of the parents speech on their feelings and understandings about the therapeutic goals and procedures. With a therapeutic procedure that aimed interaction, we tried to find out children s wishes and favorite games, to use its use them in the therapeutic setting. This made possible to introduce possible interesting material among the Picture Communications Symbols (PCS), seeking the creation of opportunity to make choices and communication. As a result of the use of these symbols, many situations that allowed interpretation appeared. The therapist s interpretation of the use of symbols and attitudes of the children as searching for interlocution increased the attempts for communication and joint attention. Using the 4 communication board, the moments of trying to say something increased and the hostile behavior decreased. We concluded that the joint use of AAC and a interpretation interlocution searching model of therapy may be a useful way for moving PPD children to the wish and possibility for communicate.