Clinical Study on Negotiation as Process of Emergence of Meaning and/or Co-Construction of Word with Children with Congenital Deafblindness

本研究旨在探讨先天性聋盲儿童与成人对“家庭词”意义的产生和/或共同建构的“协商”过程，并对其进行分析；(1)儿童对手势动作的表达，(2)对动作的确认，(3)成人对动作意义的解读和下一步活动的建议，(4)儿童对建议活动或拒绝动作的接受。本研究对象如下：病例N：早产儿；失明的，听力不好的；case J：电荷关联；部分视力的，失聪的；病例D：原因不明；部分视力的，失聪的；病例M：早产；失明的，听力不好的；谈判发生在与案例N和案例d的一些互动和/或游戏中。这个过程是通过对录像片段的微观分析来确定的。在案例J中，儿童的手势表情的确认是困难的，因为儿童接受成人的确认动作作为一种指示和/或禁止。在案例D中，儿童与成人之间身体依恋的形成是协商发生的先决条件，并导致儿童手势印象意义的共同建构。

This research was investigated aimed to identify "negotiation" process on emergence of meaning and/or co-construction of "domestic word" between children with congenital deafblindness and adults and to analyze the process; 1)child's expression of gestural movement, 2) confirming of the movement, 3) adult's interpretation about the meaning of the movement and suggestion of the next activity, and 4) child's accept ion for the suggested activity or refusal movement.Subjects of this research were as follows :Case N : Prematurity; blind, hard of hearing; age of fiveCase J : Charge Association ; partially sighted, deaf; age of sixCase D : Unknown Causes ; partially sighted, deaf ; age of twelveCase M : Prematurity ; blind, hard of hearing; age of fourNegotiation has occurred in some interactions and/or plays with Case N and Case D. The process was identified by micro-analyzing the videotaped episodes. In Case J, the confirming of the child's gestural expression was difficult because the child accepts the confirming movement from the adult as a kind of direction and/or prohibition. In Case D, formation of body attachment between the child and adults was a precondition for emergence of the negotiation and it leaded to the co-construction of meaning about child gestural impression.