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Prática clínica no atendimento à síndrome de Asperger com diagnóstico tardio: uma proposta em psicologia sócio históricaCamargo, Alberto José de 29 May 2015 (has links)
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Previous issue date: 2015-05-29 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / This paper is based on the report of a case of Asperger Syndrome (A.S.) with a late
diagnosis and on some remarks on classic biomedical and clinical psychology
assessment and treatment of the Asperger Syndrome.
The therapist and also a researcher, transforms the assistance of A.S. based in a
classic biomedical framework into a social - historical clinic psychology practice,
related to the assumptions of Vigotsky s Works (1924) of Mediation and Proximal
Developmental Zone (PDZ).
The patient of this case study has extreme difficulties in interpersonal relationship, in
affect expressions, and over all, extreme difficulties in starting affective affairs with
girls, despite his very good performance in academic and professional tasks.
Nevertheless, his difficulties use to lead him to unemploymente menace and to
learning déficits in his academic life. He never dares to make any questions to his
teachers and colleagues.
Aiming diagnosis purposes of difficulties and not deseases, the therapist brings
important changes in the classic clinical setting , making therapy in outside
environment, by introducing the patient s family and community into the clinical work.
This new framework of therapy has the purpose of bringing emotional and dramatical
experiences of life to the clinical work, like Veresov (2004) assumptions of the
relationship between learning and development in a dialectic way of qualitative steps
as a result of intensive emotional and cognitive experiences.
The expected effects are the development of new habilities and potentialities as a
result of some kind of compensation from the Asperger patient s level of difficulties.
Participation of family and community are fundamental to the therapy goals.
Aiming new potentialities and development of new habilities for the patient s growing
goals, the therapist made a list of steps related to his clinical new approach directed
to another therapists:
a) Diagnosis of difficulties and potentialities, instead of deseases diagnosis;
b) Life story of the patient his family and community;
c) Widening up the subjective universe;
d) Widening up the therapist and researcher role;
e) Multiple mediators proposal;
f) Sistemic studies of the patient s contexto of life;
g) Therpeutic actions directed toward the Human Rights / Este trabalho é originário de um questionamento de práticas clássicas em psicologia
clínica na assistência à Síndrome de Asperger com diagnóstico tardio.
O terapeuta, que no seu percurso de atendimento clinico e de pesquisa, acumula
formação inicial em psicologia social de orientação marxista e formação psicanalítica
posterior, transforma seu atendimento a um caso de Síndrome de Asperger baseado num
modelo biomédico clássico, em uma prática clínica fundamentada e orientada pela
Psicologia Sócio Histórica e especialmente pela obra de Vigotsky (1998, 1983, 1979), por
meio das categorias de Mediação e Zona de Desenvolvimento Proximal.
O sujeito assistido apresenta as dificuldades nos relacionamentos interpessoais, na
manifestação e expressão de afetos, na extrema dificuldade de iniciar um namoro,
ao mesmo tempo que apresenta bom desempenho acadêmico e profissional. Suas
dificuldades, no entanto, trazem enorme Prejuizo, com ameaça de perda de
emprego e acumulo de dependências na faculdade de engenharia, dada sua
extrema dificuldade de fazer perguntas a professores e colegas.
Com proposta alternativa de diagnóstico de dificuldades e não de doenças , tal
como é desenvolvido por Vigotsky em sua obra sobre Defectologia (1924), o
terapeuta promove mudanças no setting clássico de atendimento, levando o
trabalho terapêutico para situações extra consultório com o envolvimento da família
e da comunidade em que vive o sujeito.
Nas ações mediadoras e proximais de desenvolvimento foram construídas situações
para o livre acontecimento das emoções de todos os participantes, o que foi
fundamental para a vivencia de dramaticidade que Veresov (2004) aponta como
crucial para que haja saltos qualitativos na relação desenvolvimento e
aprendizagem, e neste caso clínico, para o desenvolvimento de novas habilidades e
potencias que configuram a transformação nas dificuldades relativas a Asperger ,
sendo fundamental a participação da comunidade e da família.
Visando o desenvolvimento de novas potencias e de protagonismo para o sujeito em
atendimento, o terapeuta elenca as etapas de sua proposta clínica:
a) Diagnóstico de dificuldades e potências;
b) História de vida do sujeito, de sua família e de sua comunidade;
c) Ampliação do universo de subjetivação;
d) Ampliação do papel do terapeuta e pesquisador;
e) Proposição de múltiplas mediações;
f) Leitura crítica e sistemática da realidade e do contexto de vida do sujeito;
g) Ação terapêutica conhecedora dos Direitos Humanos e orientada pelos mesmos
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Métodos clínicos fonoaudiológicos utilizados no atendimento de pacientes com transtorno global do desenvolvimento: revisão sistemática de literatura / Speech therapy methods used in clinical care of patients with pervasive developmental disorders: a systematic literature reviewFerreira, Danielle Miranda 20 February 2013 (has links)
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Previous issue date: 2013-02-20 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Introduction: The Global Developmental Disorders (GDD) are characterized by impaired
social interaction, by stereotyped and repetitive use of language and the presence of
repetitive behaviors with restricted interests (BOSA C, Gomes VF, 2004), and has indicated
speech therapy treatment. Objective: Analyze the scientific literature on clinical speech
therapy methods used in GDD patients treatments from systematic literature review.
Methods: Systematic review of literature from exploratory character. Secondary study
subsidized by previous realized studies. 46 articles were selected, published between 2000
and 2011 using search strategy in databases EMBASE, LILACS, PUBMED and SciELO, and
categorized according to the proposed therapies for the treatment of GDD and their levels.
Results: From the 46 selected articles, there was predictable diversity of proposals regarding
the analyzed variables. From the results it can be concluded that there are several proposals
for the speech therapy of GDD; associated with epistemological, methodological and cultural
diversity that characterizes the study theme approach, nationally and internationally. The
selected studies had low levels of evidence, as the patients were mostly children,
demonstrating a concern for early intervention, the therapy length ranged, but mostly of them
were realized around 6 months to 1 year. The systematic review showed itself the method
that can contribute to the speech therapy, despite the difficulties founded on this and other
studies. Conclusion: Regardless of the therapeutic approach used to treat the GDD, it is
important to recognize that, in most of analyzed publications, the researchers report the
clinical evolution of these patients, proving the importance of speech therapy, individual or
multidisciplinary / Introdução: Os Transtornos Globais do Desenvolvimento (TGD) caracterizam-se pelo
comprometimento da interação social, pelo uso estereotipado e repetitivo da linguagem e
pela presença de comportamentos repetitivos com interesses restritos (BOSA C, GOMES
VF, 2004), e tem indicação de atendimento fonoaudiológico. Objetivo: Analisar a produção
científica sobre os métodos clínicos fonoaudiológicos utilizados no atendimento de pacientes
com TGD a partir de revisão sistemática da literatura. Método: Revisão sistemática de
literatura, de caráter exploratório. Estudo secundário subsidiado por estudos previamente
realizados. Foram selecionados 46 artigos, publicados no período de 2000 a 2011 por meio
de estratégia de busca nos bancos de dados EMBASE, LILACS, PUBMED e SCIELO e
categorizados de acordo com as terapias propostas para o tratamento dos TGD e seus
níveis de evidência. Resultados: Dos 46 artigos selecionados, constatou-se previsível
diversidades de propostas em relação às variáveis analisadas. A partir dos resultados é
possível concluir que existem diversas propostas para o tratamento fonoaudiológico do
TGD; associadas à diversidade epistemológica, metodológica e cultural que caracteriza a
abordagem do tema; nacional e internacionalmente. Os estudos incluídos apresentaram
baixos níveis de evidências, quanto aos sujeitos em sua maioria eram crianças,
demonstrando uma preocupação com a intervenção precoce, o tempo de terapia variou,
mas em sua maioria eram realizados em torno de 6 meses a 1 ano. A revisão sistemática se
mostrou um método que pode contribuir na fonoaudiologia, apesar das dificuldades
encontradas neste e em outros estudos. Conclusão: Independente da abordagem
terapêutica utilizada para tratar os TGD, é importante reconhecer que, na maioria das
publicações analisadas, os pesquisadores referem evolução clínica positiva desses sujeitos,
demonstrando a importância do trabalho fonoaudiológico seja individual ou multidisciplinar
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Vzdělávací dráha dítěte s poruchou autistického spektra plnícího povinnou školní docházku v běžné třídě základní školy / Educational life course of the child with autism spectrum disorder which is fulfilling compulsory school attendance in the regular class of primary schoolKindlerová, Františka January 2012 (has links)
Title: The educational life course of the child with autism spectrum disorder which is fulfilling compulsory school attendance in the regular class of primary school Summary: The thesis deals with issues of individual integration of children with autism spectrum disorder without intellectual disability into the regular classes of primary school. The thesis reflects the fact, that the numbers of pupils with the diagnosis are constantly increasing in primary schools. The objective of this study is to determine the educational life course of the child with autism spectrum disorder which is fulfilling compulsory school attendance in the regular class of primary school and to identify risk factors and differences in the education of these children. To realize this objective method of qualitative research has been chosen - specifically, the collective case study, based on an analysis of documentation. Based on comparison of individual educational life courses of probands and the ideal educational life course that was outlined in the relevant chapter of this study, risk factors and differences in the educational life course of the children with autism spectrum disorder were identified. Among differences in the educational life course of the schoolchildren diagnosed with autism spectrum disorder the following facts...
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Vzdělávání žáků na Praktické škole dvouleté / Pupil Education at Practice Two Years SchoolBejšovcová, Jitka January 2019 (has links)
Diploma thesis Education of Practical school pupils is focused on observation pupils school achievements in two key subjects, it is Food preparation and Health education. Pupils take the final theoretical and practical exams. They obtain a certificate of studies completion and food preparation for auxiliary work qualifications. The target of this work is monitoring and recording the course of the lessons and performance of these pupils. There are two pupils who are the main participants of the study. The aim of the task is to refer about possibility of rising problems and its solutions. It is about the pupils tuition with autism, moderate mental retardation and speech development by one of them and with Asperger syndrome and mild mental retardation. Through the long-term observation of both pupils in the educational process the thesis offers possible solutions and prevention of failures or complications, in getting the required key competencies pointing towards passing the final exam and getting involved in a working process or to continue at a vocational school. In the theoretical part are recorded and described the both pupils diagnosis and anamnesis, defined the terms autism, Asperger syndrome, mild and moderate mental retardation, multiple disability and structured teaching. The theoretical...
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The Reading the Mind in the Eyes Test - Revised Version á la Andersson & Karlsson / The Reading the Mind in the Eyes Test - Revised Version á la Andersson & KarlssonAnderssson, Jenny, Karlsson, Ellen January 2010 (has links)
<p><strong>Introduction: </strong>The Reading the Mind in the Eyes Test is a widely used test for measuring aspects of social cognition. The aim of the present study was to provide results from a group of typically developing Swedish children (age 9-12) and to compare these results with children and adults in other Swedish and English studies, as well as results from a group of children with Asperger syndrome. <strong>Method: </strong>A Swedish version of the child version of the test was completed by 83 controls and by six children with Asperger syndrome. Results were compared between the two groups and with data from other studies. <strong>Results: </strong>The children in the current study did not differ on scores compared to children in the same age group in other studies. The children in the current study scored significantly lower than adults in an earlier study. The results from the children with Asperger syndrome did not differ significantly to the results from the controls.</p>
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Asperger syndrom : undervisningsmetoder och strategier i gymnasieskolanGomez, Kristian January 2009 (has links)
<p>Studiens syfte är att undersöka vilka undervisningsmetoder och strategier som tillämpas i ett urval av gymnasiala Aspergergrupper. Undersökningen lägger fokus på konkreta undervisningsstrategier, elevens grundläggande behov som måste tillgodoses i en undervisningssituation, diagnosens hinder och möjligheter samt hur undervisande lärare upplevelser sitt yrke. I studien intervjuas sex personer som alla har kopplingar till en Aspergerverksamhet. Förutom en omfattande intervjudel finns en övergripande redovisning av diagnosbegreppet samt tidigare forskning kring Aspergerelevens skolsituation med i arbetet. Några av de slutsatser som framkommer i studien är vikten av individualiserad undervisning, grundläggande anpassningsbehov av läromedel, kursmoment och övningar samt behovet av noggranna förberedelser inför ett mottagande av en Aspergerelev. Andra frågor som belyses är tänkbara lokal- och gruppsammansättningar lämpande för en AS-verksamhet.</p> / <p>The purpose of the study is to examine teaching methods and strategies that are used in some Asperger groups in secondary school. The examination focuses on concrete teaching strategies, the pupil’s basic needs, which has to be considered in a school situation, obstacles and possibilities of the diagnosis and how teachers experience their work. In this study six people are interviewed, all of them with a connection to an Asperger group. Except a comprehensive interview chapter there is a general report about the concept of the diagnosis and some earlier studies about the school situation of pupil’s with Asperger syndrome. Some of the conclusions in the study are the importance of individualized education, basic adaptability of textbooks, courses and exercises. It also shows the importance of preparations before a pupil with Asperger syndrome begins. Other questions that are being illustrated are conceivable locations and group compositions which are suitable in these sorts of schools.</p>
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Asperger syndrom : undervisningsmetoder och strategier i gymnasieskolanGomez, Kristian January 2009 (has links)
Studiens syfte är att undersöka vilka undervisningsmetoder och strategier som tillämpas i ett urval av gymnasiala Aspergergrupper. Undersökningen lägger fokus på konkreta undervisningsstrategier, elevens grundläggande behov som måste tillgodoses i en undervisningssituation, diagnosens hinder och möjligheter samt hur undervisande lärare upplevelser sitt yrke. I studien intervjuas sex personer som alla har kopplingar till en Aspergerverksamhet. Förutom en omfattande intervjudel finns en övergripande redovisning av diagnosbegreppet samt tidigare forskning kring Aspergerelevens skolsituation med i arbetet. Några av de slutsatser som framkommer i studien är vikten av individualiserad undervisning, grundläggande anpassningsbehov av läromedel, kursmoment och övningar samt behovet av noggranna förberedelser inför ett mottagande av en Aspergerelev. Andra frågor som belyses är tänkbara lokal- och gruppsammansättningar lämpande för en AS-verksamhet. / The purpose of the study is to examine teaching methods and strategies that are used in some Asperger groups in secondary school. The examination focuses on concrete teaching strategies, the pupil’s basic needs, which has to be considered in a school situation, obstacles and possibilities of the diagnosis and how teachers experience their work. In this study six people are interviewed, all of them with a connection to an Asperger group. Except a comprehensive interview chapter there is a general report about the concept of the diagnosis and some earlier studies about the school situation of pupil’s with Asperger syndrome. Some of the conclusions in the study are the importance of individualized education, basic adaptability of textbooks, courses and exercises. It also shows the importance of preparations before a pupil with Asperger syndrome begins. Other questions that are being illustrated are conceivable locations and group compositions which are suitable in these sorts of schools.
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The Reading the Mind in the Eyes Test - Revised Version á la Andersson & Karlsson / The Reading the Mind in the Eyes Test - Revised Version á la Andersson & KarlssonAnderssson, Jenny, Karlsson, Ellen January 2010 (has links)
Introduction: The Reading the Mind in the Eyes Test is a widely used test for measuring aspects of social cognition. The aim of the present study was to provide results from a group of typically developing Swedish children (age 9-12) and to compare these results with children and adults in other Swedish and English studies, as well as results from a group of children with Asperger syndrome. Method: A Swedish version of the child version of the test was completed by 83 controls and by six children with Asperger syndrome. Results were compared between the two groups and with data from other studies. Results: The children in the current study did not differ on scores compared to children in the same age group in other studies. The children in the current study scored significantly lower than adults in an earlier study. The results from the children with Asperger syndrome did not differ significantly to the results from the controls.
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AS-bra arbetskraft : En studie om personer med Aspergers syndrom (AS) och arbete / AS good as anyone : A study of people with Asperger syndrome (AS) and workÅslund, Anna, Edlund, Maria January 2009 (has links)
The purpose of this study was to highlight the type of actions that can facilitate people with Asperger syndrome to get and keep a job in the regular labour market. Four interviews were done with people who have been diagnosed with Asperger syndrome and who got a job in the regular labour market. The study shows that efforts from society and friends at work have played a role when they had got their jobs and when they managed to keep it. The study shows that these efforts have strengthened their self-image and confidence. The study also shows that adaptations in the work, the ability to control over social contacts and the importance of having a job may have contributed to the respondents stayed in the workplace. The study also shows that counseling has played a role in the investigated people’s career development and helped them to find a job. The study draws no general conclusions when the result concerns four peoples own views. However, the above factors have played a role for the respondents. The result cannot be interpreted to apply to all persons who have Asperger syndrome, it is important to see the individual behind the diagnosis. / Syftet med studien var att belysa vilken typ av insatser som kan underlätta för personer med Aspergers syndrom att få och behålla ett arbete på den reguljära arbetsmarknaden. Fyra intervjuer genomfördes med personer som har diagnosen Aspergers syndrom och som har ett arbete på den reguljära arbetsmarknaden. Studien visar att insatser från samhället och från arbetskamrater i kombination med en egen drivkraft har haft betydelse när de respondenterna fått sitt arbete och när de klarat av att behålla det. Insatserna har stärkt självbild och självförtroende. Studien visar även att anpassningar i arbetet, möjlighet att själv styra över sociala kontakter samt betydelsen av att ha ett arbete kan ha bidragit till att respondenterna stannat kvar på sin arbetsplats. Studien visar också att studie- och yrkesvägledning har haft betydelse för respondenternas karriärutveckling samt hjälpt dem till arbete. Studien drar inga generella slutsatser då resultatet avser fyra personers egna uppfattningar. Dock konstateras att ovanstående faktorer har haft betydelse för respondenterna. Slutsatserna kan heller inte tolkas att gälla alla personer som har Aspergers syndrom, det är viktigt att se individen bakom diagnosen.
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Vaiko, turinčio Aspergerio sindromą, ugdymas(is) / The teaching – learning process of a child with asperger syndromeDomarkienė, Aušra 26 June 2013 (has links)
Darbe nagrinėjamos psichologinių ir pedagoginių ugdymo(si) priemonių, socialinės aplinkos įtaka ir panaudojimo galimybės, ugdant Aspergerio sindromą turintį vaiką, bendrojo lavinimo įstaigose. / The paper analyzes the influence and usability of psychological and pedagogical education tools and the social environment educating a child with Asperger syndrome in the secondary schools.
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