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청각처리장애의 다학문적 중재 안내도 개발을 위한 기초 연구

A Basic Study for the Development of Multidisciplinary Intervention Guide Map of Auditory Processing Disorders

  • 김수진 (백석대학교 특수교육과)
  • Kim, Soo-Jin (Dept. of Special Education, Baekseok University)
  • 투고 : 2015.10.13
  • 심사 : 2015.12.20
  • 발행 : 2015.12.28

초록

청각처리장애는 정상 청력을 가졌음에도 불구하고 청각신경계에서 청각 정보를 처리하는 과정의 문제로 자신이 들은 소리를 이해하지 못한다. 본 연구는 최근 문헌들이 제시하는 청각처리장애의 중재 방법을 조사하여 청각 처리장애를 가진 아동을 위한 중재 안내도를 마련하고자 하였다. 청각처리장애를 가진 아동은 진단의 구체적 결함에 따라 Buffalo 모델과 Bellis/Ferre 모델의 유형으로 분류되고 결함을 치료하기 위한 문제중심 중재 전략과 결함의 영향을 관리하는 전반적 중재 전략이 결정된다. 그리고 문제중심 중재 전략은 두 모델의 유형별 특징에 따라 맞춤 전략으로 구성되고, 전반적 중재 전략은 보상 전략, 청능훈련, 환경수정 등이 추천된다. 이러한 중재가 진행되기 위해서는 다학문적 팀에 의해 아동의 청각 기능을 향상시킬 수 있는 다양한 중재 방법들을 선정하고 집중적이고 지속적으로 제공하여야 한다. 청각처리장애의 중재 안내도는 청각처리장애 확인, 중재, 재평가, 수정된 중재 단계로 구성되었다. 이 안내도를 통해 청각처리장애가 의심되거나 청각처리장애를 진단 받은 아동의 어려움을 줄이기 위하여 관련 임상가와 교사들이 적절한 중재 방법과 절차를 찾을 수 있도록 돕고자 하였다.

People with auditory processing disorders(APD) do not exactly understand what they hear with normal hearing levels because of difficulties in the processing of auditory information in auditory nervous system. The purposes of this study are to investigate intervention strategies suggested by current literatures and to develop a guide map for APD intervention. The problem based intervention strategies are customized to the specific deficits of a subtype of Buffalo model and Bellis/Ferre model and general intervention strategies are recommended with compensatory strategy, auditory training, environmental modification and so on. Multidisciplinary team should determine and provide various intervention strategies to improve auditory capabilities of a child with APD intensively and persistently. APD intervention guide map is organized with four steps. It helps clinicians and teachers related with the intervention of APD find appropriate intervention strategies and process in order to reduce difficulties of a child with APD and a suspected APD.

키워드

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