Promotion de l'accès à la communication, du choix et de l'agentivité pour les élèves autistes
Titre original en anglais : Promotion of Communication Access, Choice, and Agency for Autistic Students
Donaldson, A. L., corbin, e., Zisk, A. H., & Eddy, B. (2022). Promotion of Communication Access, Choice, and Agency for Autistic Students. Language, Speech, and Hearing Services in Schools, 54(1), 140-155. https://doi.org/10.1044/2022_lshss-22-00031
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Auteurs
Résumé
OBJECTIF : Les familles et les professionnels considèrent souvent la communication améliorée et alternative (CAA) comme un « dernier recours » pour les personnes ayant des difficultés de communication ; cependant, des adultes autistes parlants ont rapporté qu'ils auraient bénéficié d'un accès à la CAA lorsqu'ils étaient enfants. Ce tutoriel examine l'histoire de cette pratique du « dernier recours » et sa perpétuation au sein du modèle médical du handicap. Le tutoriel porte sur l'accès à la communication, le choix et l'agentivité des élèves autistes. MÉTHODE : Nous fournissons un bref aperçu de la communauté de la CAA et de sa terminologie privilégiée, passons en revue l'histoire des approches traditionnelles de la recherche sur la CAA et l'autisme, puis examinons la relation entre les modèles du handicap et le capacitisme, ainsi que les conceptions de la langue parlée comme priorité d'intervention. Les études sur ce sujet sont rares, et résister au capacitisme exige de reconnaître et d'honorer les expériences et l'expertise des personnes handicapées. Par conséquent, nous valorisons l'expertise autiste dans le cadre de la pratique fondée sur les données probantes et examinons les expériences des personnes autistes et la langue parlée. Enfin, nous considérons le rôle de l'orthophoniste (SLP) dans l'évaluation et proposons des stratégies et recommandations fondées sur l'autisme pour le soutien à la communication. CONCLUSIONS : Les élèves autistes parlants qui pourraient bénéficier de la CAA peuvent ne pas avoir accès à la CAA en raison de la priorisation de la langue parlée et d'un manque de sensibilisation aux bénéfices de la CAA. Nous recommandons que les orthophonistes et les professionnels en milieu scolaire soutiennent et facilitent l'accès, le choix communicatif et l'agentivité en mettant en oeuvre des stratégies de communication multimodales incluant l'utilisation de la CAA pour les élèves autistes, quel que soit leur statut concernant la langue parlée. La promotion de tous les types de communication et la garantie d'occasions de communication à travers de multiples modalités sont primordiales pour l'agentivité et l'autodétermination d'un enfant, tout comme la normalisation de la CAA.
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