Aural Rehab - Auditory Verbal + Erikson's Stages of Development

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Mission of the Auditory-Verbal approach

help children who are deaf or hard of hearing to learn to use their listening potential to communicate through spoken language

Listening

focus of the Auditory Verbal approach which leads to the natural development of speech and language

Auditory-Verbal Philosophy

the goal of the AV practice is that children who are deaf or hard of hearing grow up in regular learning and living environments, enabling them to become independent and contributing citizens. Auditory verbal practice supports the right of children with all degrees of hearing impairment to develop the ability to listen and communicate using spoken language

Parental participation

the AV approach embraces the view that children learn language most easily when actively engaged in relaxed, meaningful interaction with supportive parents and caregivers

Active parental participation

cornerstone of the auditory-verbal process

Auditory-Verbal therapy sessions

covers 4 areas: audition, language, speech, cognition

Erikson's Stages of Development - Stage 1

Trust vs. Mistrust

Erikson's Stages of Development - Stage 2

Autonomy vs. Shame & Doubt

Erikson's Stages of Development - Stage 3

Initiative vs. Guilt

Erikson's Stages of Development - Stage 4

Industry vs. Inferiority

Erikson's Stages of Development - Stage 5

Identity vs. Role/Identity confusion

Erikson's Stages of Development - Stage 6

Intimacy vs. Isolation

Erikson's Stages of Development - Stage 7

Generativity vs. Stagnation

Erikson's Stages of Development - Stage 8

Integrity vs. Despair

Trust vs. Mistrust

-0-12 months
-hearing impaired child's parents going through negative feelings can send negative message to child, affecting parent/child bond, can lead to mistrust

Autonomy vs. Shame & Doubt

-1-3 yrs
-toddler stage, experimenting, independent. hearing impaired child may not venture out like other kids, develop shame rather then self esteem (parent overprotectiveness)

Initiative vs. Guilt

-3-6 yrs
-preschool, new experiences vs. hearing impaired child feeling self conscious, inhibiting independence (over protective parents)

Industry vs. Inferiority

-6-12 yrs
-social, mental, physical growth, positive learning vs. low self esteem, hearing impaired child may fall behind

Identity vs. Identity confused

-12-18 yrs
-hearing impaired child may have trouble finding a place/peer group

Intimacy vs. Isolation

-18-35 yrs
-trust and sharing vs. distance from people. looking/training for vocation, looking for mate, can be difficult to build trusting relationship

Generativity vs. Stagnation

-35-60 yrs
-peak performance age occupationally vs. vocational trouble, limited, self-concept lost

Integrity vs. Despair

-60 +
-comfortable with who they are vs. underlying issue of loss of independence, self doubt, worried children, stay away from hearing aids, deny needing them

10 Principles of AV Practice: #1

promote early diagnosis of hearing impairment in newborns, infants, toddlers, and children, followed by immediate audiologic management and Auditory Verbal therapy

10 Principles of AV Practice: #2

recommend immediate assessment and use of appropriate, state of the art hearing technology to obtain maximum benefits of auditory stimulation

10 Principles of AV Practice: #3

guide and coach parents to help their child use hearing as the primary sensory modality in developing spoken language without the use of sign language or emphasis on lipreading

10 Principles of AV Practice: #4

guide and coach parents to become the primary facilitators of their child's listening and spoken language development through active participation in individualized AV therapy

10 Principles of AV Practice: #5

create environments that support listening for the acquisition of spoken language throughout the child's daily activities

10 Principles of AV Practice: #6

guide and coach parents to help their child integrate listening and spoken language into all aspects of the child's life

10 Principles of AV Practice: #7

guide and coach parents to use natural developmental patterns of audition, speech and language, cognition, and communication

10 Principles of AV Practice: #8

guide and coach parents to help their child self-monitor spoken language through listening

10 Principles of AV Practice: #9

administer ongoing formal and informal diagnostic assessments to develop individualized AV treatment plan, to monitor progress and to evaluate the effectiveness of the plans for the child and family

10 Principles of AV Practice: #10

promote education in regular classrooms with typical hearing peers and with appropriate support services from early childhood onwards

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