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    Title: 動勢擷取介入對自閉症類群障礙幼兒社會參與之療效研究
    Effects of Dongshi movement intervention on social engagement in young children with autism spectrum disorder
    Authors: 蘇怡菁
    Su, Yi-Ching
    Contributors: 姜忠信
    李宗芹
    Chiang, Chung-Hsin
    Lee, Tsung-Chin
    蘇怡菁
    Su, Yi-Ching
    Keywords: 自閉症類群障礙幼兒
    舞蹈動作治療
    動勢擷取介入
    情感諧調
    共享式參與
    Autism spectrum disorder
    Dance movement therapy
    Dongshi movement intervention
    Affect attunement
    Joint engagement
    Date: 2019
    Issue Date: 2019-08-07 16:32:44 (UTC+8)
    Abstract: 研究目的：共享式參與（joint engagement, JE）為自閉症類群障礙症（autism spectrum disorder, ASD）幼兒的核心缺陷之一，就相互主體性的發展脈絡來探究JE缺陷的心理病理機制，一般發展幼兒最先出現人-人遊戲，以身體互動來建立雙方的情感連結，並逐漸在遊戲中加入玩具而發展出JE。故本研究旨在以動勢擷取介入透過身體互動與ASD幼兒進入情感諧調，使其產生與人互動及分享的內在動機，增加自然發展出JE的機會。
    研究方法：本研究以3名2歲至4歲的中低功能ASD幼兒為對象，採單一受試實驗設計之多基準線跨受試設計與多探試設計，分為基線期、介入期及追蹤期三個階段。以結構身體活動評估基線期表現，介入期則進行每週2次、每次40分鐘、共17至19次介入，針對身形力度、韻律密度、感覺強度之身體動勢三面向進行擷取介入，在各階段皆以親子自由遊戲評估家長類化與維持效果。由獨立評分員觀看影片針對各項療效指標編碼，療效指標包括投入與人的互動與協調一致的共享式參與（coordinated joint engagement, CJE）合計時間、眼神注視時間、自發溝通動作及語音合計次數，並以身體動勢量表評估動勢改變歷程。
    研究結果：研究結果發現，主要療效指標在介入後皆有進步的趨勢，但趨勢不穩定，類化及維持效果則不明顯，而身體動勢各面向在介入後皆趨向適中範圍。
    總結：本研究之結果顯示動勢擷取介入對人際參與有介入效果，而趨勢不穩定與類化及維持效果不明顯之問題，仍需考慮介入強度之影響，以及療效指標與測量方式的選擇。此外，本研究指出，應留意除JE之外，單純與人互動過程中也可能出現具分享意圖的行為，並強調與ASD幼兒達到情感連結與建立關係之重要性。最後，討論本研究限制、未來研究方向及臨床應用。
    Purpose: Joint engagement (JE) is one of the core deficits in young children with autism spectrum disorder (ASD). In typical development of intersubjectivity, person-person game occurs first when caregiver interacts with their baby before 6 months. Affect connection between infant and caregiver is developed mainly through body interaction. Then, JE occurs when the toys are added to the games during caregiver-infant interaction after 6 months. The purpose of this study was to explore the effects of Dongshi movement intervention, which established affect attunement with young children with ASD through body interaction to increase their motivation to interact and share interests with others, so to develop JE naturally.
    Methods: Three young children aged 2-4 years with middle-to-low functioning ASD were recruited. The study used a single case design with multiple baseline design across cases and multiple probe design, including baseline, intervention and follow-up phases. The structural body assessment was used to evaluate behaviors of participants at baseline. In intervention phases, Dongshi movement intervention consisted of 17-19 sessions with 40 minutes per session and twice a week. Caregiver-child free play interaction was used to evaluate generalization in all phases. The primary outcome measures included the total time of engaging in interaction with person and coordinated joint engagement (CJE), time of eye contact, and the total times of spontaneous communication with actions and voice or language. The body Dongshi inventory was used to evaluate the changing process of body Dongshi.
    Results: Results showed that intervention effects for primary outcome measures of social engagement were observed in three participants, but all the trends were not stable. Effects of generalization and maintenance were not obvious. Effects of body Dongshi were observed in three participants.
    Conclusions: Results showed the intervention effects on social engagement. However, the trends were not stable, and effects of generalization and maintenance were not obvious. The present study found that the behaviors with motivation to interact and share interests with others not only occurred in JE, but also revealed while engaging in interaction with person even if there isn’t any toy or object. Furthermore, the present study emphasized the importance of establishing affect connection and relationship to improve their social engagement in young children with ASD. Finally, research limitations in the current study were discussed. The author also provided suggestions for the future studies and clinical practice.
    Reference: 王天苗、蘇建文、廖華芳、林麗英、鄒國蘇、林世華（1998）：嬰幼兒綜合發展測驗之編製報告。《測驗年刊》， 45，19-46。
    江淑蓉、彭雅凌、姜忠信、林家慶（2012）：共享式注意力多元介入方案療效研究：三名學前中高功能自閉症男童的探究。《特殊教育研究學刊》，37(2)，59-84。
    杜正治（譯）（1994）：《單一受試研究法》（原作者：J. W. Tawney, D. L. Gast）。台北市：心理出版社。（原著出版年：1984）
    李宗芹（2001）：《傾聽身體之歌－舞蹈治療的發展與內涵》。台北市：心靈工坊。
    李宗芹（2010）：《身體力場：舞蹈治療中的身體知識》。輔仁大學心理學研究所博士論文（未出版）。
    李宗芹（2016）：《自閉症幼兒人際參與探究：以動勢擷取介入為路徑》。台北市：師大書苑。
    姜忠信（2004）：《發展自閉症幼兒篩檢工作-T-STAT的建立（1/3）》。國科會專題報告。（NSC93-2413-H-194-017）
    劉惠美、曹峰銘（2010）：《華語嬰幼兒溝通發展量表（台灣版）》。台北市：心理出版社。
    盧台華、陳心怡（修訂）（2009）：《適應行為評量系統第二版-幼兒版》（原作者：Harrison, P., & Oakland, T. ）。台北市：中國行為科學社。（原著出版年：2003）
    賴孟泉、高淑芬（2010）：自閉症類群。《臺灣醫學》，14(4)，401-411。
    Adamson, L. B., Bakeman, R., & Deckner, D. F. (2004). The development of symbol-infused joint engagement. Child development, 75(4), 1171-1187.
    Adamson, L. B., Bakeman, R., Deckner, D. F., & Romski, M. (2009). Joint engagement and the emergence of language in children with autism and Down syndrome. Journal of autism and developmental disorders, 39(1), 84.
    Adler, J. (Writer/Director). (1968). Looking for me. (Film). (Available from Extension Media Center, U of CA, Berkeley, CA, 94720, or NYU Film Library, 26 Washington Place, New York, NY, 10003.)
    American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision; DSM-IV-TR). Washington, DC: American Psychiatric Association.
    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.; DSM-5). Washington, DC: American Psychiatric Association.
    Bakeman, R., & Adamson, L. B. (1984). Coordinating attention to people and objects in mother-infant and peer-infant interaction. Child development, 1278-1289.
    Behrends, A., Müller, S., & Dziobek, I. (2012). Moving in and out of synchrony: A concept for a new intervention fostering empathy through interactional movement and dance. The Arts in Psychotherapy, 39(2), 107-116.
    Brazelton, T. B., Tronick, E., Adamson, L., Als, H., & Wise, S. (1975). Early mother-infant reciprocity. Parent-infant interaction, 33(137-154), 122.
    Buffington, D. M., Krantz, P. J., McClannahan, L. E., & Poulson, C. L. (1998). Procedures for teaching appropriate gestural communication skills to children with autism. Journal of Autism and Developmental Disorders, 28(6), 535-545.
    Butterworth, G., & Jarrett, N. (1991). What minds have in common is space: Spatial mechanisms serving joint visual attention in infancy. British journal of developmental psychology, 9(1), 55-72.
    Calvo-Merino, B., Glaser, D. E., Grèzes, J., Passingham, R. E., & Haggard, P. (2005). Action observation and acquired motor skills: An fMRI study with expert dancers. Cerebral Cortex, 15, 1243–1249.
    Carpenter, M., & Liebal, K. (2011). Joint attention, communication, and knowing together in infancy. Joint Attention: New Developments in Psychology, Philosphy of Mind, and Social Neuroscience, 159-182.
    Carpenter, M., Nagell, K., Tomasello, M., Butterworth, G., & Moore, C. (1998). Social cognition, joint attention, and communicative competence from 9 to 15 months of age. Monographs of the society for research in child development, i-174.
    Charman, T., Swettenham, J., Baron-Cohen, S., Cox, A., Baird, G., & Drew, A. (1997). Infants with autism: an investigation of empathy, pretend play, joint attention, and imitation. Developmental psychology, 33(5), 781.
    Chiang, C. H., Chu, C. L., & Lee, T. C. (2016). Efficacy of caregiver-mediated joint engagement intervention for young children with autism spectrum disorders. Autism, 20(2), 172-182.
    Chiang, C. H., Soong, W. T., Lin, T. L., & Rogers, S. J. (2008). Nonverbal communication skills in young children with autism. Journal of autism and developmental disorders, 38(10), 1898.
    Cooper, J. O., Heron, T. E., & Heward, W. L. (2006). Applied behavior analysis (2nd Ed). New Jersey: Pearson.
    Costonis, M. (1978). Therapy in motion. Chicago: University of Illinois Press.
    Cross, E. S., Hamilton, A. F. d. C., & Grafton, S. T. (2006). Building a motor simulation de novo: Observation of dance by dancers. NeuroImage, 31, 1257–1267.
    Curcio, F. (1978). Sensorimotor functioning and communication in mute autistic children. Journal of Autism and Developmental Disorders, 8(3), 281-292.
    Erfer, T. (1995). Treating children with autism in a public school system. In F. Levy (Ed.), Dance and other expressive therapies. When words are not enough (pp. 191–211). London: Routledge.
    Greenspan, S. I., & Wieder, S. (2006). Engaging autism: Using the floortime approach to help children relate, communicate, and think. Da Capo Lifelong Books.
    Hartshorn, K., Olds, L., Field, T., Delage, J., Cullen, C., & Escalona, A. (2001). Creative movement therapy benefits children with autism. Early Child Development and Care, 166(1), 1-5.
    Haze, N., & Stromsted, T. (1994). An interview with Janet Adler. American Journal of Dance Therapy, 16(2), 81-90.
    Hobson, P. (2004). The cradle of thought: Exploring the origins of thinking. Pan Macmillan.
    Hwang, B., & Hughes, C. (2000). Increasing early social-communicative skills of preverbal preschool children with autism through social interactive training. Research and Practice for Persons with Severe Disabilities, 25(1), 18-28.
    Jones, E. A., & Carr, E. G. (2004). Joint attention in children with autism: Theory and intervention. Focus on autism and other developmental disabilities, 19(1), 13-26.
    Jonsson, C. O., Clinton, D., Fahrman, M., Mazzaglia, G., Novak, S., & Sörhus, K. (2001). How do mothers signal shared feeling-states to their infants? An investigation of affect attunement and imitation during the first year of life. Scandinavian Journal of Psychology, 42(4), 377-381.
    Kaale, A., Smith, L., & Sponheim, E. (2012). A randomized controlled trial of preschool‐based joint attention intervention for children with autism. Journal of Child Psychology and Psychiatry, 53(1), 97-105.
    Kanner, L (1943) Autistic disturbances of affective contact. Nervous Child, 2(3), 217-250.
    Kasari, C., Freeman, S., & Paparella, T. (2006). Joint attention and symbolic play in young children with autism: A randomized controlled intervention study. Journal of Child Psychology and Psychiatry, 47(6), 611-620.
    Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of autism and developmental disorders, 40(9), 1045-1056.
    Koehne, S., Behrends, A., Fairhurst, M. T., & Dziobek, I. (2016). Fostering Social Cognition through an Imitation-and Synchronization-Based Dance/Movement Intervention in Adults with Autism Spectrum Disorder: A Controlled Proof-of-Concept Study. Psychotherapy and psychosomatics, 85(1), 27-35.
    Krstovska-Guerrero, I., & Jones, E. A. (2013). Joint attention in autism: Teaching smiling coordinated with gaze to respond to joint attention bids. Research in Autism Spectrum Disorders, 7(1), 93-108.
    Legerstee, M., Markova, G., & Fisher, T. (2007). The role of maternal affect attunement in dyadic and triadic communication. Infant Behavior and Development, 30(2), 296-306.
    Levy, F. (1988). Dance movement therapy—a healing art. Reston, VA: The American Alliance for Health, Physical Education, Recreation and Dance.
    Lewy, A. L., & Dawson, G. (1992). Social stimulation and joint attention in young autistic children. Journal of abnormal child psychology, 20(6), 555-566.
    Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism Diagnostic Observation Schedule (ADOS). Los Angeles, CA: Western Psychological Services.
    Moore, C., & Corkum, V. (1998). Infant gaze following based on eye direction. British journal of developmental psychology, 16(4), 495-503.
    Mundy, P., Block, J., Delgado, C., Pomares, Y., Van Hecke, A. V., & Parlade, M. V. (2007). Individual differences and the development of joint attention in infancy. Child development, 78(3), 938-954.
    Mundy, P., & Newell, L. (2007). Attention, joint attention, and social cognition. Current Directions in Psychological Science, 16(9), 269-274.
    Mundy, P., Sigman, M., & Kasari, C. (1990). A longitudinal study of joint attention and language development in autistic children. Journal of Autism and developmental Disorders, 20(1), 115-128.
    Mundy, P., Sigman, M., Ungerer, J., & Sherman, T. (1986). Defining the social deficits of autism: The contribution of non-verbal communication measures. Journal of child psychology and psychiatry, 27(5), 657-669.
    Murray, L., Trevarthen, C., Field, T. M., & Fox, N. A. (1985). Social perception in infants. Social perception in infants.
    Muzammal, M. S., & Jones, E. A. (2017). Social-communication intervention for toddlers with autism spectrum disorder: Effects on initiating joint attention and interactions with mother. Journal of Developmental and Physical Disabilities, 29(2), 203-221.
    Ramachandran, V. S., & Seckel, E. L. (2011). Synchronized dance therapy to stimulate mirror neurons in autism. Medical hypotheses, 76(1), 150-151.
    Rizzolatti, G., & Craighero, L. (2004). The mirror-neuron system. Annual Review of Neuroscience, 27, 169-192.
    Rogers, S. J., & Dawson, G. (2010). Early Start Denver Model for young children with autism: Promoting language, learning, and engagement. New York: The Guilford Press.
    Rollins, P. R., & Greenwald, L. C. (2013). Affect Attunement during Mother-Infant Interaction: How Specific Intensities Predict the Stability of Infants` Coordinated Joint Attention Skills. Imagination, Cognition and Personality, 32(4), 339-366.
    Rutter, M., Bailey, A., & Lord, C. (2003). The social communication questionnaire: Manual. Los Angeles, CA: Western Psychological Services.
    Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview-revised. Los Angeles, CA: Western Psychological Services, 29, 30.
    Samaritter, R., & Payne, H. (2013). Kinaesthetic intersubjectivity: A dance informed contribution to self-other relatedness and shared experience in non-verbal psychotherapy with an example from autism. The Arts in Psychotherapy, 40(1), 143-150.
    Samaritter, R., & Payne, H. (2017). Through the Kinesthetic Lens: Observation of Social Attunement in Autism Spectrum Disorders. Behavioral Sciences, 7(1), 14.
    Scaife, M., & Bruner, J. S. (1975). The capacity for joint visual attention in the infant. Nature, 253(5489), 265-266.
    Scharoun, S. M., Reinders, N. J., Bryden, P. J., & Fletcher, P. C. (2014). Dance/movement therapy as an intervention for children with autism spectrum disorders. American Journal of Dance Therapy, 36(2), 209-228.
    Scruggs, T. E., & Mastropieri, M. A. (1998). Summarizing single-subject research: Issues and applications. Behavior modification, 22(3), 221-242.
    Scruggs, T. E., Mastropieri, M. A., & Casto, G. (1987). The quantitative synthesis of single-subject research: Methodology and validation. Remedial and Special education, 8(2), 24-33.
    Seibert, J. M., Hogan, A. E., & Mundy, P. C. (1982). Assessing interactional competencies: The early social communication scales. Infant Mental Health Journal, 3(4), 244-258.
    Shire, S. Y., Shih, W., Chang, Y. C., Bracaglia, S., Kodjoe, M., & Kasari, C. (2019). Sustained Community Implementation of JASPER Intervention with Toddlers with Autism. Journal of autism and developmental disorders, 1-13.
    Sigman, M., & Capps, L. (1997). Children with autism: A developmental perspective (Vol. 34). Harvard University Press.
    Stern, D. N. (1985). The Interpersonal World of the Infant. A View from Psychoanalysis and Developmental Psychology. New York (Basic Books).
    Stone, W. L., Coonrod, E. E., & Ousley, O. Y. (2000). Brief report: screening tool for autism in two-year-olds (STAT): development and preliminary data. Journal of autism and developmental disorders, 30(6), 607-612.
    Sullivan, M., Finelli, J., Marvin, A., Garrett-Mayer, E., Bauman, M., & Landa, R. (2007). Response to joint attention in toddlers at risk for autism spectrum disorder: a prospective study. Journal of autism and developmental disorders, 37(1), 37-48.
    Taylor, B. A., & Hoch, H. (2008). Teaching children with autism to respond to and initiate bids for joint attention. Journal of Applied Behavior Analysis, 41(3), 377-391.
    Tortora, S. (2005). The Dancing Dialogue: Using the Communicative Power of Movement with Young Children. Redleaf Press. 10 Yorkton Court, St. Paul, MN 55117-1065.
    Trevarthen, C. (1979). Communication and cooperation in early infancy. A description of primary intersubjectivity. In M. Bullowa (Ed.), Before speech: The beginning of human communication (pp. 321–347). London: Cambridge University Press.
    Trevarthen, C. (1998). The concept and foundations of infant intersubjectivity. In S. Bra/ ten (Ed.), Intersubjective communication and emotion in early ontogeny (pp. 15–46). Cambridge: Cambridge University Press.
    Trevarthen, C. (1999). Musicality and the intrinsic motive pulse: Evidence from human psychobiology and infant communication. Musicae Scientiae, Special Issue, 1999, 157–213.
    Trevarthen, C., & Aitken, K. J. (2001). Infant intersubjectivity: Research, theory, and clinical applications. Journal of child psychology and psychiatry, 42(1), 3-48.
    Trevarthen, C., & Daniel, S. (2005). Disorganized rhythm and synchrony: Early signs of autism and Rett syndrome. Brain and Development, 27, S25-S34.
    Tronick, E., Als, H., Adamson, L., Wise, S., & Brazelton, T. B. (1978). The infant`s response to entrapment between contradictory messages in face-to-face interaction. Journal of the American Academy of Child psychiatry, 17(1), 1-13.
    Warreyn, P., & Roeyers, H. (2014). See what I see, do as I do: Promoting joint attention and imitation in preschoolers with autism spectrum disorder. Autism, 18(6), 658-671.
    Whalen, C., & Schreibman, L. (2003). Joint attention training for children with autism using behavior modification procedures. Journal of Child Psychology and Psychiatry, 44(3), 456-468.
    Whalen, C., Schreibman, L., & Ingersoll, B. (2006). The collateral effects of joint attention training on social initiations, positive affect, imitation, and spontaneous speech for young children with autism. Journal of autism and developmental disorders, 36(5), 655-664.
    Williams, J., Whiten, A., Suddendorf, T., & Perrett, D. I. (2001). Imitation, mirrorneurons, and autism. Neuroscience and Biobehavioral Reviews, 25(4), 287-295. 
    Description: 碩士
    國立政治大學
    心理學系
    104752003
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0104752003
    Data Type: thesis
    DOI: 10.6814/NCCU201900378
    Appears in Collections:[Department of Psychology] Theses

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