客户和语言治疗师在评估报告中的表现:批判性分析
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
概括
语音和语言治疗 (SLT) 报告往往省略了客户的观点,专注于障碍. 这项研究揭示了如何修改报告撰写实践,以更好地纳入以人为中心的护理 (PCC) 和客户的声音.
科学领域:
- 语言学
- 演讲分析
- 语音和语言治疗
背景情况:
- 语音和语言治疗 (SLT) 评估报告的批判性检查尚未得到充分研究.
- 关于报告目标与客户/治疗师描绘之间的联系的研究很少.
- 传统的SLT优先考虑诊断类别而不是主观的客户体验,与以人为中心的护理 (PCC) 相反.
研究的目的:
- 批判性地分析客户和SLT在SLT评估报告中的表现.
- 应用系统功能语言学 (SFL) 和批判性话语分析来报告文本.
主要方法:
- 分析了28份SLT评估报告 (18份已发表的报告,10份临床报告).
- 检查整体报告结构.
- 使用SFL进行过渡性分析以识别过程 (做,说,感觉,存在) 和被动.
主要成果:
- 报告的内容始终以损伤为中心,不包括客户/家庭的观点.
- 消极的动词掩盖了SLT的代理,并将客户定位为消极的接收者.
- 而客户的贡献则被边缘化.
- 没有孩子的观点被纳入儿科报告.
结论:
- 评估报告主要集中在缺陷上,缺乏客户的观点,经验和目标.
- 语言模式使客户处于被动状态,
- 调查结果挑战了以赤字为中心的论述对服务的正当性.
- 需要将PCC原则纳入SLT报告编写,同时满足专业要求.
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