「產兒科護理學-發展遲緩與特殊兒童護理」自閉症Autism Spectrum Disorder (ASD)

兒童發展現象Child Development

兒童發展是一個連續的過程,從嬰兒期的基礎發展到青少年期的複雜思維
Child development is a continuous process that begins with basic development in infancy and progresses to complex thinking in adolescence.
嬰兒期(0-1歲)感覺動作發展為主,透過口唇、肛門等方式探索世界;發展客體永久性概念。
Infancy (0-1 years): Primarily focused on sensory and motor development, infants explore the world through their mouths and anus. They also develop the concept of object permanence.
幼兒期(2-3歲)語言發展迅速,開始有自我意識,喜歡模仿成人行為,對周遭事物充滿好奇。
Toddlerhood (2-3 years): Language develops rapidly, self-awareness emerges, and children enjoy imitating adults and are curious about their surroundings.
學前期(4-6歲)社交能力提升,開始與同儕互動,對性別角色產生興趣,對男女生殖器感到好奇。
Early childhood (4-6 years): Social skills improve, children begin to interact with peers, develop an interest in gender roles, and become curious about their bodies.
學齡期(7-12歲)具體運思階段,有質量保留的概念,社交能力進一步發展,自我意識增強,學習能力提升。
Middle childhood (7-12 years): Children enter the concrete operational stage, understanding concepts such as conservation. Social skills continue to develop, self-awareness increases, and learning abilities improve.
青少年期(13歲以上)抽象思考能力發展,建立自我認同,尋求獨立,對異性產生興趣。
Adolescence (13+ years): Abstract thinking develops, self-identity is formed, independence is sought, and interest in the opposite sex emerges.

然而,並不是所有的孩子都按照上述的發展順序和速度成長。自閉症 是一種神經發展障礙,屬於發展遲緩的一種。自閉症兒童在社交互動、溝通、行為等方面可能存在明顯的困難,例如他們可能對他人不感興趣、語言發展遲緩、或者重複刻板的行為。儘管如此,透過早期的干預和治療,許多自閉症兒童可以取得顯著的進步。
However, not all children develop at the same pace or in the same way. Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder and a type of developmental delay. Children with ASD may have significant difficulties in social interaction, communication, and behavior, such as a lack of interest in others, delayed language development, or repetitive behaviors. Despite these challenges, many children with ASD can make significant progress with early intervention and therapy.

關於自閉症兒童的敘述

自閉症兒童常見的社交互動特徵為出現孤立的人際互動,缺乏目光接觸
自閉症兒童通常對環境的改變感到不安,需要一個穩定、可預測的環境。
難以接受改變的僵化思考模式,這是自閉症兒童的另一種常見特徵,他們傾向於堅持固定的習慣和儀式。
自閉症的治療通常是多面向的,包括行為治療、語言治療、職能治療、藥物治療等,但藥物治療主要針對伴隨自閉症出現的共病症,如焦慮、注意力不足過動症等,而非直接改善核心症狀。

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