Using Total Communication With Young Children With Down Syndrome: A Literature Review and Case Study

This paper presents a literature review regarding language abilities of children with Down syndrome and presents a case study concerning the effectiveness of using Total Communication with a young child with Down syndrome. The prevalence of expressive language delays in children with Down syndrome highlights the need to develop early interventions to promote language development. The existing literature on the usefulness of Total Communication as an intervention method with children and adults with special needs is documented and a rationale for the use of Total Communication with children with Down syndrome is presented. In the case study, a single subject simultaneous treatment design was used which involved introducing 20 words during free play (10 oral and 10 Total Communication), which were matched on phonetic complexity and reinforcement value. Results indicated that comprehension was not differentially affected by the type of communication approach used. However, expressively the child was able to use manual signs many months before any understandable words were produced. The use of manual signs did not inhibit use of speech. The results of this case study suggest that the early use of Total Communication can be an effective transitional mode of communication for at least some children with Down syndrome. Further research is needed to explore individual differences between children with Down syndrome and to identify factors that predict those children who benefit most from the use of Total Communication.     

Developmental Attainment of Infants and Young Children with Down Syndrome

INFANTS and young children with Down syndrome who were living at home and attending exemplary early intervention programs were assessed by trained examiners in the five domains of the Battelle Developmental Inventory. Data was compared to the 50th percentile attainment and found that infants and young children with Down syndrome are more similar to other children in Personal Social and Adaptive Domains and less similar in Communication and Cognitive Domains. These differences begin to show more dramatically as the child reaches the age of 36 months. The older the child the greater the measured differences. Documenting and understanding this uneven developmental path is significant in program planning.     

Racial Perceptions of Young Children: A Review of Literature Post-1999

It has been argued that intervention strategies designed to reduce racial prejudice in young children have been based on weak theoretical models of racial stereotyping and prejudice with little effect on the reduction of racial bias. This paper examines the social-cognitive and intergroup scholarship post-Bigler (J Soc Issues 55(4), 687–705, 1999), with an emphasis on the development of racial prejudice in young children. The purpose of this paper is not to argue for a particular theoretical approach, but to provide an overview of some of the important pieces of research. Findings indicate that social learning and cognitive development models need to be understood when implementing curriculum designed to reduce racist beliefs and attitudes in young children.     

Less Stress,More Rewarding: Parenting Children With Down Syndrome

Objective. We argue that, compared to other children with disabilities, parents of children with Down syndrome may experience less stress and more rewards. Design. After reviewing changes in studies examining parenting children with disabilities, we note how specific genetic disorders predispose children to different, etiology-related behaviors, which in turn predispose their parents to particular reactions. We then survey studies of both stress and rewardingness in parents of children with Down syndrome versus children with other disabilities. Results. Parents of children with Down syndrome report less stress and more child-related rewards than parents of children with other disabilities; indeed, parents of children with Down syndrome may feel equally rewarded compared to parents of same-aged typical children. Conclusions. By comparing feelings of parents of children with Down syndrome versus children with other disabilities, we begin to understand which child behaviors bring about which parental reactions. Such information provides both theoretical and practical benefits to professionals interested in parenting.     

Predictors of Spelling Ability in Children With Down Syndrome

This study examined whether there are processing differences between children with Down syndrome (DS; n = 22; 7 years 8 months to 13 years 10 months) and typically developing children (TD; n = 22; 6 years 6 months to 10 years 10 months), matched for receptive vocabulary. The TD children performed better on tests of nonverbal intelligence (matrices), phonological awareness (sound deletion), and phonological short-term memory (digit span), as well as spelling accuracy (30 single words). Separate regression analyses revealed that nonverbal intelligence and phonological awareness were the best predictors of spelling accuracy for TD children, whereas receptive vocabulary and phonological short-term memory were the best predictors for children with DS. An examination of spelling errors suggested that although children with DS do use some phonological awareness during spelling, deficits in short-term memory appear to limit success. The implications of these results for intervention studies are briefly discussed.     

Stress in Families of Young Children with Down Syndrome, Williams Syndrome, and Smith-Magenis Syndrome

This study examined whether stress levels differ in families of young children with three different genetic etiologies of mental retardation, and whether child characteristics associated with those genetic etiologies may help explain these differences. Participants were sixty families of young children with Down syndrome, Williams syndrome, and Smith-Magenis syndrome. All children were between the ages of 3 and 10 years. Parents completed Achenbach's Child Behavior Checklist, the Questionnaire on Resources and Stress-Friedrich edition, and a demographic questionnaire. Families of children with Down syndrome experienced significantly less Pessimism than the other two etiology groups and significantly less Parent and Family Problems than families of children with Smith-Magenis syndrome. The strongest predictor of Parent and Family Problems was maladaptive behavior in Smith-Magenis syndrome, younger age in Down syndrome, and both maladaptive behavior and younger age in Williams syndrome. Maladaptive behavior predicted Pessimism in families of children with Smith-Magenis syndrome, but none of the variables examined significantly predicted Pessimism in the other two syndromes. The importance of behavioral phenotype research is discussed for practitioners working with young children with mental retardation and their families.     

Stress in Families of Young Children with Down Syndrome,Williams Syndrome,and Smith-Magenis Syndrome

This study examined whether stress levels differ in families of young children with three different genetic etiologies of mental retardation, and whether child characteristics associated with those genetic etiologies may help explain these differences. Participants were sixty families of young children with Down syndrome, Williams syndrome, and Smith-Magenis syndrome. All children were between the ages of 3 and 10 years. Parents completed Achenbach's Child Behavior Checklist, the Questionnaire on Resources and Stress-Friedrich edition, and a demographic questionnaire. Families of children with Down syndrome experienced significantly less Pessimism than the other two etiology groups and significantly less Parent and Family Problems than families of children with Smith-Magenis syndrome. The strongest predictor of Parent and Family Problems was maladaptive behavior in Smith-Magenis syndrome, younger age in Down syndrome, and both maladaptive behavior and younger age in Williams syndrome. Maladaptive behavior predicted Pessimism in families of children with Smith-Magenis syndrome, but none of the variables examined significantly predicted Pessimism in the other two syndromes. The importance of behavioral phenotype research is discussed for practitioners working with young children with mental retardation and their families.     

Using Single-Stroke Logo Programs With Young Children

No abstract available for this article.     

Family Influences on Adaptive Development in Young Children with Down Syndrome

In this study we investigated the extent to which the family environment predicted differences in trajectories of adaptive development in young children with Down syndrome. The sample was comprised of 54 children with Down syndrome and their families who were studied from infancy through the age of 5 years as part of a longitudinal study of children with disabilities. Hierarchical linear modeling (HLM) was used to estimate the parameters of hierarchical growth models in domains of adaptive development. Results indicated that growth in communication, daily living skills, and socialization domains were predicted by measures of the family environment (i.e., family cohesion and mother-child interaction) above and beyond that predicted by maternal education. Further, Bayley MDI measures during infancy did not predict changes in adaptive development in any of the domains. The results are discussed in terms of implications for service provision and for expanding theoretical frameworks to include the development of children with disabilities.     

Development in Children With Down Syndrome: facts,findings, the future

This broad overview of progress in our understanding of Down syndrome and of the problems it presents for children affected by it was prompted by the occasion of the 20th Anniversary of the Down Syndrome Research Program at the Fred and Eleanor Schonell Special Education Research Centre, The University of Queensland. This internationally‐acclaimed program has focused on many aspects of development in Down syndrome and on how Down syndrome impacts on the lives of children and their families. Some of the many contributions the Schonell team have made to our knowledge of Down syndrome are covered in other papers in this special issue and will also be mentioned below. In evaluating the role of this work, however, it is important to put it into context. This paper therefore provides a brief‐‐and necessarily selective‐‐ account of some past and present findings from research into Down syndrome and makes some tentative suggestions as to what may be important avenues of investigation for the next generation of researchers.     

A Study of Functional Literacy Skills in Young Adults with Down Syndrome

This paper presents data from a study of young adults with Down syndrome who were born either just before, or during the period when radical changes to special education services for people with intellectual disabilities were introduced. The specific aim of the study was to examine the development of language and literacy skills in a group of young adults with Down syndrome, some of whom had been educated at a time when there was an increase in expectations for achievement and opportunity to learn. Results showed that all but one of the young adults had learned to read, though for some, these skills were limited. In general, there was evidence of a positive relationship between age (for those born after 1970), attendance at an integrated school situation, and the achievement of more advanced reading and language skills. It was also evident that learning to read provides both a functional daily living skill and a satisfying recreational activity for young adults with Down syndrome.     

一例唐氏综合症儿童语言能力的个案研究

通过对一例14岁唐氏综合症儿童的汉语词类、句长、句法结构等方面在校的自发性语言的研究,结果发现1.个案使用的实词数大于虚词数;2.个案语言中7种基本的句子结构均已出现;3.个案已经出现结构复杂、逻辑性强的单句,并开始有意识地运用偏正关系的复句;4.在运用基本汉语语法的能力方面,个案语言发展水平大致相当于正常儿童3～6岁水平。     

Enhancing Communication and Language Development in Young Children With Developmental Delays and Disorders

Research concerning the determinants affecting access to postsecondary education has primarily been conducted in two spheres: academic preparation and financial aid. Although these two strands of literature are often treated as oppositional hypotheses, they need not be. This article fuses the two bodies of research while discussing the relatively untreated role of information concerning both academic preparation and financial aid as an important determinant in a student's probability of accessing postsecondary education. The evolution of empirical models regarding important determinants in postsecondary access are presented with the proposition of next steps, including the role of information, that will allow for a more fully specified model in studying what variables affect whether a student continues her education after high school graduation.     

Nonsocial Play Patterns of Young Children With Communication Disorders: Implications for Behavioral Adaptation

It has been well established that young children with communication disorders (CD) have considerable difficulties interacting socially with peers in free-play settings. The central purpose of this study was to determine whether behavioral adaptations of children with CD could contribute to their peer interaction problems. To accomplish this, the behavioral patterns of reticent, solitary-passive, and solitary-active subtypes of nonsocial play of children with CD were observed in unstructured playgroup settings and compared to the nonsocial play of matched groups of typically developing children. Also examined was whether the associations with peer social interaction measures and child and family characteristics differed among the reticent, solitary-passive, and solitary-active subtypes and whether the context factors of the developmental status and familiarity of peers influenced these patterns. Results revealed that preschool children with CD do not exhibit distinct patterns of nonsocial play and provide no evidence for situation-specific (i.e., with peers) behavioral adaptations despite difficulties interacting with peers. The developmental characteristics of or familiarity with one's peers did not influence these results. Moreover, the peer social interaction patterns corresponding to each subtype, as well as child and family characteristics associated with each subtype, were also similar for both groups of children. Recommendations for preventive intervention programs to minimize future peer interaction problems emphasizing social-information and emotional regulation processes were presented.     

被拒幼儿行为问题的个案研究

被拒绝幼儿是指在群体中受到排挤和拒绝的幼儿。在幼儿成长过程中,幼儿良好的交往行为有利于其健康人格形成。文章运用同伴提名法选出班级内被拒绝幼儿,对其进行行为观察、家庭访谈、与教师沟通等方式了解幼儿交往行为状况并分析其成因,提出改善其同伴交往行为的策略。     

Providing Quality Early Care and Education to Young Children Who Experience Maltreatment: A Review of the Literature

The current paper highlights the few studies that examine the role of early care and education on the developmental and early academic outcomes of children who experience maltreatment. First, we argue that children who experience maltreatment are at significant risk for poor developmental outcomes as a result of the chronic exposure to stress that is typical of this population. Recent evidence emphasizing the effects of stress on brain development is discussed. Next, the role of quality early care and education (ECE) experiences for children receiving services from child protective agencies are explored, underscoring three particular studies that examine the early educational experiences of children who receive child protective services as a result of maltreatment or exposure to violence. Finally, we focus on current approaches to improve the outcomes of children who experience maltreatment, within the context of ECE, and the implications for future research. Overall, this review serves as a call for international research efforts to explore the role of ECE on the developmental and early educational outcomes of this vulnerable population of children.     

特殊幼儿融合教育个案研究报告

本文运用个案研究法,通过观察记录、访谈记录、调查问卷、环境分析、教育建议与结果资料分析探讨成功的特殊幼儿融合教育经验,为特殊教育工作者、家长、幼儿园教师提供适当的建议。研究内容包括:特殊幼儿家长需求;普通幼儿家长对融合教育认识及需求;幼儿园教师对融合教育认识及需求;特殊幼儿与普通幼儿互动情况;特殊幼儿融合教育幼儿园所需支持辅助。提出几条建议:体制的保障,特殊教育师资培训,专业人员支持,家庭成员提供支持辅助。     

两种游戏治疗干预孤独症幼儿沟通行为案例

本研究旨在游戏治疗实践中探讨指导式和非指导式游戏治疗对改善某孤独症幼儿沟通行为及减少刻板行为的效果.采用单一被试研究中的交替处理设计(A-B-C-B-C)的方法,观察某融合幼儿园的一名孤独症幼儿在指导式和非指导式游戏治疗过程中沟通行为及刻板行为的表现,结果发现:游戏治疗阶段个案的沟通回合增加;非指导式游戏治疗能有效减少个案的刻板行为,有利于增进孤独症个案的沟通意向,提高其沟通主动性,并且可以有效减少其刻板行为.     

Sleep Disturbance and Expressive Language Development in Preschool‐Age Children With Down Syndrome

Recent evidence has suggested that sleep may facilitate language learning. This study examined variation in language ability in 29 toddlers with Down syndrome (DS) in relation to levels of sleep disruption. Toddlers with DS and poor sleep (66%, n = 19) showed greater deficits on parent‐reported and objective measures of language, including vocabulary and syntax. Correlations between sleep and language were found in groups with equivalent medical and social backgrounds and after control for relevant behavioral comorbidities, including autism symptoms. These results emphasize the important role of quality sleep in all children's expressive language development, and may help increase our understanding of the etiology of language deficits in developmental disorders, potentially leading to new treatment approaches.     

高功能自闭症幼儿语用交流行为特征的个案研究

对4名高功能自闭症幼儿及对照组的普通幼儿在自然情境中亲子互动的语用交流行为进行为期18个月的追踪研究,结果发现,自闭症幼儿的语用交流行为参与度与普通幼儿无显著差异,但在言语倾向水平与言语行动水平的具体类型上存在差异,主要表现为难以维持或深入某一交流情境以及难以使用高程度交互类型等特征,总体上呈现出"高发起、低交互、表面化"的异常特征.