RESUMEN
Comparamos duas abordagens teórico-metodológicas distintas e investigamos a concepção que mães apresentam acerca do processo de desenvolvimento da comunicação mãe-bebê. Lyra e colaboradores propõem o modelo EEA, que integra uma seqüência de três padrões de organização do desenvolvimento da comunicação, denominados estabelecimento, extensão e abreviação (EEA). Esse modelo está baseado na observação longitudinal e na análise microgenética de estudos de caso a partir da perspectiva dos sistemas dinâmicos. Utilizando o procedimento de classificação múltipla, investigamos como esses três períodos do desenvolvimento da comunicação (EEA) são conceituados pelas mães. Foram pesquisadas 48 mães pertencentes a dois níveis sócio-econômicos. Os resultados encontrados fortalecem o modelo EEA, confirmando: a distinção entre as trocas face-a-face e aquelas mediadas pelo objeto (MOB); a diferenciação dos três períodos do desenvolvimento da comunicação (EEA) em ambas as trocas; e a distribuição ordenada (axial) desses três períodos, exceto, nesse último caso, para as trocas MOB, quando analisadas separadamente.
Two theoretical-methodological distinct perspectives are compared in order to study mother's conceptualization of the process of mother-infant development of communication. Based on dynamic systems perspective and relying on longitudinal microanalysis of case studies observations, Lyra and collaborators propose the EEA model for studying this process of development. This model integrates a sequence of three periods of development of this process, conceived as developmental patterns of organization: establishment, extension and abbreviation (EEA). Using a 'multiple sorting procedure', we investigated mothers' conceptualization of these three periods of development. We examined 48 mothers, from two socioeconomic levels. The results support the EEA model confirming: the distinction between face-to-face and the exchanges mediated by the object (MOB); the differentiation among the three periods of communication development (EEA) in both type of exchanges; and, an order distribution (axial) of these three periods, except for the specific analysis of the MOB type of exchanges.
Asunto(s)
Comunicación , Relaciones Madre-HijoRESUMEN
OBJECTIVE: To evaluate the pattern of developmental delay of language and to correlate the language with other developmental areas in cerebral palsy children. METHOD: Sequenced Inventory of Communication Development (SICD) was studied in 31 children with cerebral palsy of age ranging from 11 months to 48 months. Korean Denver Developmental Screening Test (DDST) was also performed in 18 children simultaneously. RESULTS: On SICD, 10 children (32.3%) showed the receptive language delay and 13 children (41.9%) showed the expressive language delay. Among 15 spastic quadriplegic children, 40% showed the delay of receptive language development, 53.3% showed the delay in expressive language development. Among 10 spastic diplegic children, 30% showed the delay of both receptive and expressive language development. One spastic right hemiplegic child showed a delay of expressive language development, but 4 left hemiplegic children showed the normal language development. One hypotonic cerebral palsy child showed a delay of both receptive and expressive language development. The expressive language was delayed more than the receptive language. SICD correlated highly with the language sector of DDST. And both SICD and DDST language sectors correlated with the other sectors of DDST (personal-social, fine motor-adaptive, gross motor), especially with the fine motor sector (r=0.912, 0.918, 0.976, p<0.001). CONCLUSION: There is a considerably high incidence of developmental delay of language in cerebral palsy children, especially among spastic quadriplegic children. The early evaluation and treatment for the developmental delay of language need to be included in a general rehabilitation program for the cerebral palsy children.