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El uso comunicativo del señalamiento en el autismo: perfil evolutivo y factores relacionados con el cambio

Published online by Cambridge University Press:  12 May 2020

L. Camaioni ,
P. Perucchini ,
F. Muratori ,
B. Parrini  and
A. Cesari
L. Camaioni
Affiliation:
Departamento de Psicología Evolutiva, Universidad de Roma La Sapienza, Via dei Marsi 78, 00185Roma, Italia
P. Perucchini
Affiliation:
Departamento de Ciencias Educativas, Universidad de Roma Tres, Roma, Italia
F. Muratori
Affiliation:
Instituto Científico Stella Maris, Universidad de Pisa, Pisa, Italia
B. Parrini
Affiliation:
Instituto Científico Stella Maris, Universidad de Pisa, Pisa, Italia
A. Cesari
Affiliation:
Instituto Científico Stella Maris, Universidad de Pisa, Pisa, Italia
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Resumen

Propósito

Describir perfiles longitudinales diferentes en las capacidades comunicativas y la gravedad de los síntomas en el autismo temprano.

Métodos

Se examinó a cinco niños con autismo de 3;3-4;10 años de edad en la línea de base en cuanto a la producción y la comprensión del señalamiento imperativo y declarativo en intervalos de unos 4 meses. Concurrentemente con estas sesiones, se evaluó a los niños desde el punto de vista de las capacidades cognitivas y comunicativas y la gravedad de los síntomas.

Resultados

Cuatro sujetos mostraron un retraso de leve a importante en las capacidades comunicativas y lingüísticas. En cuanto a la producción, todos los niños mostraron el señalamiento imperativo y sólo uno el declarativo. En cuanto a la comprensión, dos sujetos mostraron el mismo perfil que en la producción ("sólo imperativo" y "primero imperativo-después declarativo", respectivamente). Un niño no mostró una comprensión clara de los gestos de señalamiento producidos por el experimentador y un niño pudo comprender ambos señalamientos en la misma sesión. Las puntuaciones globales de la Escala de Evaluación del Autismo Infantil (CARS) tendían a disminuir a través de las sesiones para todos los sujetos y se identificaron perfiles individuales diferentes.

Dis-cusión

El señalamiento declarativo o de compartir experiencias surgió después sólo en un niño; estuvo ausente en cuatro niños como producción y en dos niños como comprensión. Una conclusión preliminar basada en la puntuación de la CARS es que el autismo implica síntomas que pueden disminuir a través del tiempo incluso si los niños difieren en el perfil decreciente relativo a puntuaciones específicas.

Keywords

autismoseñalamientoCARS
Type
Artículo Original
Information
European Psychiatry (Ed. Española) , Volume 10 , Issue 6 , September 2003 , pp. 368 - 376
Copyright
Copyright © European Psychiatric Association 2003

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References

Bibliografía

A.VV. ICD 10: the ICD-10 classifícatíon of mental and behavioural disorders. Geneva: World Health Organization; 1992.Google Scholar
Abrahamsen, EP, Mitchell, JR. Communication and sensory-motor functioning in children with autism. J Autism Dev Disord 1990;20:75–85.CrossRefGoogle Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC: A.P.A; 1994.Google Scholar
Baird, G, Charman, T, Baron-Cohen, S, Cox, A, Swettenham, J, Wheelwright, S, et al. A screening instrument for autism at 18 months of age: a 6-year follow-up study. J Am Acad Child Adolesc Psychiatry 2000;39:694–702.CrossRefGoogle ScholarPubMed
Baron-Cohen, S. Perceptual role-taking and protodeclara-tive pointing in autism. Br J Dev Psychol 1989;7:113–27.CrossRefGoogle Scholar
Baron-Cohen, S, Alien, J, Gillberg, C. Can autism be detected at 18 months? The needle, the haystack and the CHAT. Br J Psychiatry 1992;161:839–43.CrossRefGoogle ScholarPubMed
Baron-Cohen, S, Cox, A, Baird, G, Swettenham, J, Nightingale, N, Morgan, K, et al. Psychological markers in the detection of autism in ínfancy in a large population. Br J Psychiatry 1996; 168:158–63.CrossRefGoogle ScholarPubMed
Bates, E, Camaioni, L, Volterra, V. The acquisition of performatives prior to speech. Merrill-Palmer Q 1975;21(3):205–26.Google Scholar
Bates, E, Benigni, L, Bretherton, I, Camaioni, L, Volterra, V. The emergence of symbols. Cognition and communication in infancy. New York: Academic Press; 1979.Google Scholar
Camaioni, L, Caselli, MC, Volterra, V, Luchenti, S. Questionario sullo sviluppo comunicativo e linguistico nel secondo anno di vita. Firenze: Organizzazioni Speciali; 1992.Google Scholar
Camaioni, L, Caselli, MC, Longobardi, E, Volterra, V. A parent report instrument for early language assessment. First Language 1991;11:345–59.CrossRefGoogle Scholar
Camaioni, L, Perucchini, P, Muratori, F, Milone, A. A longitudinal examination of the communicative gestures déficit in young children with autism. J Autism Dev Disord 1997;27:715–25.CrossRefGoogle ScholarPubMed
Camaioni, L. The development of intentional communication: a re-analysis. In: Nadel, J, Camaioni, L, editors. New perspectives in early communicative development. London: Routledge; 1993. p. 82–96.Google Scholar
Camaioni, L. Early language. In: Brenner, G, Fogel, A, edi The Blackwell handbook of infant development. Oxford: Blackwell; 2001. p. 404–26.Google Scholar
Curcio, F. Sensorimotor functioning and communication in mute autistic children. J Aut Child Schizophrenia 1978;2:264–87.Google Scholar
Desrochers, S, Morisette, P, Ricard, M. Two perspectives on pointing in infancy. In: Moore, C, Duham, PJ, editors. Joint attention. Its origins and role in development. Hillsdale, NJ: Erlbaum; 1995.Google Scholar
Garfin, G, McCallon, D, Cox, R. Validity and reliability of the childhood autism rating scale with autistic adolescents. J Autism Dev Disord 1988;18:367–78.CrossRefGoogle ScholarPubMed
Gillberg, C, Coleman, M. The biology of the autistic syndromes. Cambridge University Press; 2000.Google Scholar
Goodhart, F, Baron-Cohen, S. How many ways can the point be made? Evidence from children with and without autism. First Language 1993;13:225–33.CrossRefGoogle Scholar
Griffiths, R. The abilities of babies. North Dean: The Test Agency Ltd; 1954.Google Scholar
Loveland, K, Landry, S. Joint attention and language in autism and developmental language delay. J Autism Dev Disord 1986;16:335–49.CrossRefGoogle ScholarPubMed
Masi, G, Cosenza, A, Mucci, M, Brovedani, P. Open tiial of risperidone in 24 young children with pervasive developmental disorders. J Am Acad Child Adolesc Psychiatry 2001;40:1206–14.CrossRefGoogle ScholarPubMed
Mesibov, GB, Schopler, E, Schaffer, B, Michal, N. Use of the childhood autism rating scale with autistic adolescents and adults. J Am Acad Child Adolesc Psychiatry 1989;28:538–41.CrossRefGoogle ScholarPubMed
Mundy, P, Sigman, M, Kasari, C. A longitudinal study of joint attention and language development in autistic children. J Autism Dev Disord 1990;20:115–28.CrossRefGoogle ScholarPubMed
Mundy, P, Sigman, M, Kasari, C. Joint attention, developmental level, and symptom presentation in autism. Dev Psychopathol 1994;6:389–401.CrossRefGoogle Scholar
Mundy, P, Sigman, M, Ungerer, J, Sherman, T. Defining the social déficits of autism: the contribution of non-verbal communication measures. J Child Psychol Psychiatry 1986;27:657–69.CrossRefGoogle ScholarPubMed
Nicolson, R, Awad, G, Sloman, L. An open trial of risperidone in young autistic children. J Am Acad Child Adolesc Psychiatry 1998;37:372–6.CrossRefGoogle ScholarPubMed
Ozonoff, S, Cathcart, K. Effectiveness of a home program intervention for young children with autism. J Autism Dev Disord 1998;28:25–32.CrossRefGoogle ScholarPubMed
Perucchini, R. Sviluppo delle funzíoni richiestiva e dichiarativa del gesto di indicare. Giomale Italiano di. Psicología 1997;4:813–37.Google Scholar
Rogers, SJ. Brief report: early intervention in autism. J Aut Dev Disord 1996;26:243–6.CrossRefGoogle ScholarPubMed
Rogers, SJ, DiLalla, DL. Domains of the childhood autism rating scale: relevance for diagnosis and treatment. J Autism Dev Disord 1994;24:115–28.Google Scholar
Rogers, SJ, Lewis, HC. An effective day treatment model for young children with pervasive developmental disorders. J Am Acad Child Adolesc Psychiatry 1989;28:207–14.CrossRefGoogle ScholarPubMed
Schopler, E, Reichler, RJ, Renner, BR. The child autism rating scale (CARS). Revised. Los Angeles: Western Psychological Services; 1988.Google Scholar
Sigman, M. Change and continuity in the development of children with Autism. The Signal 1999;7:1–14.Google Scholar
Stella, J, Mundy, P, Tuchman, R. Social and non-social factors in the childhood autism rating scale. J Autism Dev Disord 1999;29:307–17.CrossRefGoogle Scholar
Stone, WL, Caro-Martinez, LM. Naturalistic observations of spontaneous communication in autistic children. J Autism Dev Disord 1990;20:437–53.CrossRefGoogle ScholarPubMed
Uzgiris, IC, Hunt, JMV. Assessment in infancy. Ordinal scales of psychological development. Urbana: University of Illinois Press; 1975.Google Scholar
Wetherby, AM. Ontogeny of communicative functions in autism. J Autism Dev Disord 1986:16:295–316.CrossRefGoogle ScholarPubMed