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32 terms

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

STUDY
PLAY
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