問： 孩子國一，患有自閉症，只能說出少許需求式口語，例如「我要去買麵包」、「我要吃雞腿」，請問要如何拉長他講的句子？ 另外，他很容易驚恐，只要家人講話稍微大聲一點，他就會害怕，有什麼方法可讓他不那麼容易就害怕？（章先生）
答：章先生提出的問題，是許多自閉症患者共同的問題，也是特質之一。就語言來說，若要延長孩子講話的句子，最好根據他所表達句子的原有架構，予以變化，例如他說「我要吃雞腿」，可以訓練他「吃什麼樣的雞腿？」 究竟是「烤雞腿」，還是「滷雞腿」，以及「何時要吃雞腿？」是吃飯時配著吃，還是飯後再吃，藉著他的原意，鼓勵他表達「我要吃放在桌上烤的雞腿」。
當然，要訓練自閉兒能說得更完整，有時需要語言治療師協助。至於自閉症兒童對於大聲講話所表現的害怕，則是可以理解的，這是他們先天上在感官刺激的過度敏感。
因此家長不妨平常居家，包括音響、電視所發出的聲音，盡量多元性，例如音樂有交響樂、搖滾、民謠等，從小聲到略大聲，讓他慢慢適應其中的變化，透過漸進式的改變，讓病童不致對聲響過度敏感。
（諮詢醫師：台北林口長庚兒童心智科主任張學岭）（詹建富）
2008-09-28
So that autistic children access to diverse voices
Q: children of a country, with autism, only needs a little out-spoken, for example, "I want to buy bread," "I want to eat chicken," I would like to ask him to talk about how to lengthen the sentence? In addition, he is very easy to panic, as long speech a little family members speak up, he would be afraid of, and the means by which he is not so easy to fear? (Chapter President)
A: Mr. Zhang, is common in many autistic, is also one of the characteristics. On the language, to extend the children's speech sentence, in accordance with the best expression of his original sentence structure be changed, for example, he said, "I want to eat chicken," he can be trained "to eat what kind of chicken?" What is "roast chicken" or "Lu Ji legs," and "when to eat chicken?" Is equipped with a meal to eat, or eat a meal, with the aid of his intention to encourage the expression of his "I want to eat The roasted chicken on the table. "
Of course, to train autistic children can be even more complete, it is sometimes necessary language therapists to help. As for autistic children to speak the speech by the performance of the fear is understandable, it is their inherent in the over-sensitive to sensory stimuli.
Therefore, parents may wish to ordinary home, including audio, television voice, and diversity as far as possible, for example, symphony music, rock, folk, and so on, from a little loud in a low voice to let him slowly adapt to the changes through gradual Change, so that children will not be over-sensitive to the noise.
(Physicians Advisory: Taipei Linkou Chang Gung Children's director of mental Zhang Xueling) (Zhan Jian Fu)
2008-09-28
View more information, see the World Journal reported that e-ePaper
