Challenges of developing communicative interaction in individuals with congenital profound intellectual and multiple disabilities

被引:24
作者
Blain-Moraes, Stefanie [1 ]
Chau, Tom [2 ]
机构
[1] Univ Michigan, Sch Med, Dept Phys Med & Rehabil, Ann Arbor, MI 48109 USA
[2] Holland Bloorview Kids Rehabil Hosp, Bloorview Res Inst, Toronto, ON, Canada
关键词
access pathways; autonomic nervous system; congenital disability; profound intellectual and multiple disabilities; communicative interaction; BRAIN-COMPUTER-INTERFACE; MINIMAL MOTOR BEHAVIOR; CONTINGENCY AWARENESS; PEOPLE; MICROSWITCH; IMPAIRMENTS; CHILDREN; CONTEXT; ADULTS;
D O I
10.3109/13668250.2012.721879
中图分类号
G76 [特殊教育];
学科分类号
040109 ;
摘要
Background Physiological responses have been used in individuals with acquired disability to enable communicative interaction without motor movement. This study explored four autonomic nervous system (ANS) signals-electrodermal activity, skin temperature, cardiac patterns and respiratory patterns-to enable interaction with individuals born with profound intellectual and multiple disabilities (PIMD). Method A series of case studies were conducted to teach a 15-year-old individual with PIMD to voluntarily control his ANS signals for the purposes of communicative interaction. Training was carried out according to an alternating treatment single-subject research design. Results Training was unsuccessful; however, ANS signal patterns revealed issues unique to people with PIMD: profound intrasubject variability, discrepancy between physiological responses and caregiver perspectives, and the participant ' s lack of contingency awareness. Conclusions These three priority areas unique to people with congenital PIMD must be addressed before ANS signals can be used to enable communicative interaction with this population.
引用
收藏
页码:348 / 359
页数:12
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