評価報告書におけるクライアントと言語療法士の表現: 批判的分析
Mary-Pat O'Malley1, Elizabeth Armstrong2, Rena Lyons1
1Discipline of Speech & Language Therapy, School of Health Sciences, University of Galway, Galway, Republic of Ireland.
International journal of language & communication disorders
|August 21, 2025
まとめ
スピーチ・アンド・ランゲージ・セラピー (SLT) のレポートでは,障害に焦点を当ててクライアントの視点が省略されることが多い. この研究は,人中心のケア (PCC) とクライアントの声をよりよく取り入れるために,報告書作成の慣行をどのように修正できるか示しています.
科学分野:
- 言語学
- 演説分析
- 言語 療法
背景:
- スピーチ・ランゲージ・セラピー (SLT) の評価報告書作成に関する批判的検討は,十分に研究されていない.
- 報告の目標とクライアント/セラピストの描写との関連に関する研究はほとんどありません.
- 伝統的なSLTは,主観的なクライアント体験よりも診断カテゴリーを優先し,人中心のケア (PCC) と対照的です.
研究 の 目的:
- 顧客とSLTがSLT評価報告書でどのように表現されているかを批判的に分析する.
- 体系的機能的言語学 (SFL) と批判的会話分析をテキストのレポートに適用する.
主な方法:
- 28件のSLT評価報告書の分析 (18件の論文,10件の臨床試験)
- グローバルレポート構造の検討
- SFLを用いたトランジティビティ分析は,プロセス (行う,言う,感知する,である) と被動的要素を識別する.
主要な成果:
- 顧客/家族の視点を除いて,一貫して障害を中心にコンテンツを構成します.
- 客を被動的受信者として位置づけます.
- 客観的な主張は科学的な客観性の表面を作り出し 客の貢献は疎外されます
- 小児の報告には子供の視点が含まれなかった.
結論:
- 評価報告書は主に赤字に焦点を当てており,クライアントの視点,経験,目標が欠けている.
- 言語パターンはクライアントを被動的に位置づけ 顧客とSLTの両方の代理人を曖昧にします
- サービス正当化のための赤字に焦点を当てた議論の必要性を疑問視しています.
- 専門的な要求を満たしながら,PCCの原則をSLTの報告書作成に統合する必要がある.
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