“I Have a Different Perspective as I Am Working Through This”

IF 1.8 4区医学 Q1 LINGUISTICS

Topics in Language Disorders Pub Date : 2024-01-01 DOI:10.1097/tld.0000000000000333

L. DeThorne, Kelli Pierce, Mariesa Rang, Sabrina Schafer, Karli VanRyswyk, Henry Angulo-Jiménez

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引用次数: 2

Abstract

Whereas the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) characterizes autism as a neurological disorder typified by impairment in social communication and restricted interests/repetitive behaviors (American Psychiatric Association, 2013), the neurodiversity paradigm focuses on autism as a form of neurological diversity that may be central to a person's identity. The purpose of this study was to pilot the Autism Understanding Tool for Introspection and Evaluation (AUTIE) as a means to encourage and examine speech–language pathologists' (SLPs) reflections on autism. We utilized purposeful maximum variation sampling to recruit nine SLPs (one being a graduate student) and administered a “think aloud” procedure with video conferencing to elicit their reflections while taking the AUTIE. Participant reflections were analyzed using three sequential phases of inductive thematic analysis. The analysis of 270 self-reflective comments led to eight key themes that were each associated with comments from four or more of the nine participating SLPs: (a) acknowledgment of divergent perspectives, (b) specification of environmental barriers, (c) importance of autistic identity, (d) questioning the concept of normality, (e) resolving tensions through person-centered care, (f) integrating multiple forms of expertise, (g) parallels with other marginalized identities, and (h) changes in views over time. We contextualized the themes by embedding examples within analytic narratives from two autistic SLP participants Results supported use of the AUTIE as a tool to elicit meaningful reflection about the divergent and evolving views of autism. Implications focused on the need to address this complex landscape both within our individualized clinical practice and our professional field at large.

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"我在经历这件事时有了不同的视角

精神疾病诊断与统计手册第五版》（DSM-5）将自闭症定性为一种神经障碍，其典型特征是社交沟通障碍和兴趣受限/行为重复（美国精神病学协会，2013 年），而神经多样性范式则将自闭症视为一种神经多样性形式，可能是个人身份的核心。本研究的目的是试用自闭症自省与评估理解工具（AUTIE），以鼓励和检查语言病理学家（SLPs）对自闭症的反思。我们利用有目的的最大变异抽样招募了九名语言病理学家（其中一名是研究生），并通过视频会议实施了 "大声思考 "程序，以激发他们在使用 AUTIE 时的反思。通过三个连续阶段的归纳主题分析，对参与者的反思进行了分析。通过对 270 条自我反思评论的分析，我们得出了八个关键主题，每个主题都与九名参与的辅助心理学家中四名或更多人的评论相关联：（a）承认不同的观点，（b）明确环境障碍，（c）自闭症身份的重要性，（d）质疑正常的概念，（e）通过以人为本的护理解决紧张关系，（f）整合多种形式的专业知识，（g）与其他边缘化身份的相似之处，以及（h）随着时间的推移观点的变化。我们将实例嵌入两名自闭症辅助治疗师参与者的分析叙述中，从而将这些主题背景化。结果支持将 AUTIE 作为一种工具，以引起对自闭症的不同和不断演变的观点进行有意义的反思。其意义在于，我们需要在个人化的临床实践和整个专业领域中解决这一复杂的问题。

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来源期刊

Topics in Language Disorders Multiple-

CiteScore

3.50

自引率

0.00%

发文量

期刊介绍： Topics in Language Disorders (TLD) is a double-blind peer-reviewed topical journal that has dual purposes: (1) to serve as a scholarly resource for researchers and clinicians who share an interest in spoken and written language development and disorders across the lifespan, with a focus on interdisciplinary and international concerns; and (2) to provide relevant information to support theoretically sound, culturally sensitive, research-based clinical practices.