The Evaluation of a Child with Auditory Perceptual Deficiencies: An Interdisciplinary Approach

E. Protti, M. Young, P. Byrne
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引用次数: 5

Abstract

Auditory perception has developed into a popular term, and is frequently used in the literature pertaining to the learning-disabled child. In reviewing the various definitions of auditory perception, it becomes evident that the term has different implications depending upon each professional's viewpoint. To the reading therapist, auditory perceptual skills pertain to the efficiency that a child "can readily isolate the individual sounds within a spoken word" (Rosner 1979) and to the child's skills in the recognition of words as symbols (Schain 1977). The speech-language pathologist interprets auditory perception in light of the appropriate development of adequate linguistic skills, whereas the audiologic community defines auditory perception as the degree to which a child can process auditory signals, especially in unfavorable acoustic environments. A team involved in the perceptual assessment of a child with a learning problem must be guided by the following concerns. First, it must be stressed that relying upon only one viewpoint of central auditory perception results in a very limited scope, similar to the proverbial blind men each describing his own impression of the elephant. One gentleman authoritatively outlines the beast as long, smooth, and curved as he touches and describes the animal's tusks. Another fellow argumentatively reports his impression of the animal as being thin and flat, triangular in shape, and rough in texture, as he examines its huge ear. Each reporter's impressions are limited by his own perceptions. It is quite apparent however that only a summary of all the reports adequately describes the physique of the elephant. Likewise, each professional involved in the evaluation and rehabilitation of a child with learning differences must employ a holistic philosophy requiring the coordination of various disciplines.
儿童听觉知觉缺陷的评估:跨学科的方法
听觉感知已经发展成为一个流行的术语,并且经常在有关学习障碍儿童的文献中使用。在回顾听觉感知的各种定义时,很明显,根据每个专业人士的观点,这个术语具有不同的含义。对于阅读治疗师来说,听觉感知技能与儿童“能够轻易地将一个口语单词中的单个声音分离出来”的效率有关(Rosner 1979),与儿童将单词识别为符号的技能有关(Schain 1977)。语言病理学家根据适当发展的语言技能来解释听觉,而听力学团体则将听觉定义为儿童处理听觉信号的程度,特别是在不利的声学环境中。对有学习问题的儿童进行感性评估的团队必须遵循以下几点。首先,必须强调的是,仅仅依靠中央听觉感知的一种观点会导致非常有限的范围,类似于谚语所说的盲人各自描述自己对大象的印象。一位绅士权威性地描绘出这种野兽的轮廓,他触摸到的是长、光滑、弯曲的,并描述了它的象牙。另一位同事在检查它巨大的耳朵时,有争议地报告说,他对这种动物的印象是又薄又平,形状呈三角形,质地粗糙。每个记者的印象都受限于他自己的看法。然而,很明显,只有所有报告的摘要才能充分描述大象的体格。同样,参与评价和康复有学习差异的儿童的每个专业人员必须采用一种需要各学科协调的整体哲学。
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