A PREPARING STUDY ON THE QUALITY OF RECIPROCAL COMMUNICATION IN PERSONS WITH SEVERE DEVELOPMENTAL DISABILITIES

在研究中，我们强调与非残疾人建立互动交流和人际互动对促进严重发育性残疾人（SDD）的社会参与和融入至关重要。我们从“生活质量”的角度将这些交流和互动定义为“互惠交流质量”。本研究的目的是寻找影响结直肠癌患者生活质量的因素，以及沟通与生活质量之间的关系。研究结果如下：1.幼儿园自由游戏情境中，SDD被试与周围人的沟通过程存在显著的不平衡。为了分析他人对他的交流行为的反应，尝试引入一种新的游戏设置来应用增强交流装置。虽然由于欧洲大陆的不受控制的因素， ...更多信息 n个，2.对SDD患者生活质量的研究范式进行了探讨，提出了生活质量的概念，并提出了支持SDD患者生活质量改善的研究范式，进一步的研究应在SDD患者这一边进行，使“受试者”的生活质量得到改善。3.生活质量应该被看作是SDD患者权利的扩展，意味着SDD患者选择权和行为选择权的增加。第二章以日本特殊功能障碍者的住宿设施中的膳食选择为例进行了研究。第三章还介绍了瑞典社会中的辅助性和替代性交流的研究数据。第四章介绍了幼儿园生活中特殊功能障碍幼儿与非残疾儿童之间互动的变化。适当的互动机会和教师的干预，以增加他们的互动自然被发现是至关重要的。少

In the study, we emphasized the establishment of interective communication and interpersonal interaction with people without disability was critical to promote social participation and integration for persons with severe developmental disabilities (SDD). We defined these communication and interaction, as "the quality of reciprocal communication(CRC)" from the viewpoint of "the quality of life". This preparing study was done to find factors to improve CRC, and functional relationship between communication and QOL for these population. Results were as follows :1.Significant umbalance was found in the communication process of free play setting at a kindergarten between a subject with SDD and other people around him. In order to analyze other people's responses to his communication behavior, a new play setting was tried to introduce for application of augmentative communication device. Although its substantial application had not proceeded because of uncontrolled factors in the kindergarte … More n, CRC level itself was though to be improved as the result of subject's natural behavior change with increase of louder requesting vocal response.2.Research paradigm was also discussed on QOL of persons with SDD.The concept of QOL was meaningful as far as propoting paradigm change in research that should support to improve their QOL.Further research should implement on their side so that "subjects" would be changed to people surounding persons with SDD.It was mentioned that school education and QOL was closely related at the last chapter.3.QOL should be though as expansion of rights for persons with SDD.It means increase of their options and selection of behavior. Research results of meal options in Japanese residential facilities for SDD were shown as an example at chapter two.4.Research data of augmentative and alternative communication of current Swedish society was also shown at chapter three.5.Change of interaction between a young child with SDD and children without disabilities in the life of a kindergarten was shown at chapter four. Appropriate oppotunities to interact each other and teacher's intervention to increase their interaction naturally were found to be critical. Less