A Matter of Meaning

A Matter of Meaning
The Effect of Partner Support on the Intersubjective Behaviors of
Individuals with Congenital Deafblindness
Saskia Damen
This study was funded by:
InZicht/ZonMW
InZicht
Bartiméus-Sonneheerdt foundation
Bartiméus
ISBN: 978-90-367-7626-4
NUR: 773
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Proefschriftmaken.nl || Uitgeverij BOXPress
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Copyright @2015, Saskia Damen
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system,
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A Matter of Meaning
The Effect of Partner Support on the Intersubjective Behaviors of
Individuals with Congenital Deafblindness
Proefschrift
ter verkrijging van de graad van doctor aan de
Rijksuniversiteit Groningen
op gezag van de
rector magnificus prof. dr. E. Sterken
en volgens besluit van het College voor Promoties.
De openbare verdediging zal plaatsvinden op
donderdag 26 februari 2015 om 14.30 uur
door
Saskia Damen
geboren op 06 augustus 1973
te Zeist
Promotores
Prof. dr. M.J. Janssen
Prof. dr. C. Schuengel
Prof. dr. A.J.J.M. Ruijssenaars
Beoordelingscommissie
Prof. dr. S. Bruce
Prof. dr. B. Maes
Prof. dr. C. Vlaskamp
Contents
Chapter 1Introduction
1.1 Background of the study
1.2 Challenges in developing high quality communication
with people with congenital deafblindness
1.3 State of the art and lacks in current research
1.4 Aim of the research
1.5 Outline of the dissertation
References
Chapter 2
Communication between Children with Deafness,
Blindness and Deafblindness and their Social Partners:
An Intersubjective Developmental Perspective
Abstract
2.1 Introduction
2.1.1 Intersubjective development and education
2.1.2 Measuring intersubjectivity
2.1.3 Mediating intersubjectivity
2.1.4 Theory of intersubjectivity: children with
atypical development
2.2. Method
2.2.1 Data collection process
2.2.2 Inclusion and exclusion criteria
2.2.3 Interrater reliability
2.3 Results
2.3.1 Intersubjectivity measures
2.3.2 Outcomes of intersubjectivity measures
2.3.3 Interventions and their effects
2.4 Discussion
References
Chapter 3
Stimulating Intersubjective Communication in an Adult
with Deafblindness: A Single-Case Experiment
Abstract
3.1 Introduction
3.2 Method
3.2.1 Design
3.2.2 Participants
3.2.3 Setting
3.2.4 Intervention
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3.2.5 Coding and variables
3.2.6 Data analysis
3.2.7 Data reliability
3.2.8 Social validation
3.3 Results
3.3.1 Observation categories at the first layer of
intersubjective development
3.3.2 Observation categories at the second layer of
intersubjective development
3.3.3 Observation categories at the third layer of
intersubjective development
3.3.4 Communication measure
3.3.5 Social validity
3.4 Discussion
References
Chapter 4
Effects of the High Quality Communication Intervention
on Intersubjective Behaviors in People with Deafblindness
Abstract
4.1 Introduction
4.2 Method
4.2.1 Participants
4.2.2 Intervention
4.2.3 Design and data collection
4.2.4 Data coding
4.2.5 Data analysis
4.2.6 Reliability
4.3 Results
4.3.1 Intervention effects at three layers of
intersubjective development
4.3.2 Effects of attunement support on the first layer of
intersubjective development
4.3.3 Effects of meaning making support on the second
layer of intersubjective development
4.3.4 Effect of meaning making support on the
third layer of intersubjective development
4.4 Discussion
References
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Chapter 5
Testing the Effect of the High Quality Communication
Intervention and its Main Assumption in People
with Deafblindness
Abstract
5.1 Introduction
5.2 Method
5.2.1 Participants
5.2.2 Design
5.2.3 Intervention
5.2.4 Coding scheme
5.2.5 Reliability
5.2.6 Data analysis
5.3 Results
5.3.1 Effect of the HQC intervention on intersubjective
behaviors in communication dyads
5.3.2 Correspondence between intersubjective behaviors
5.4 Discussion
References
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Chapter 6
General Discussion143
6.1 Introduction
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6.2 Main findings
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6.2.1 Describing intersubjective development in
children with sensory disabilities
145
6.2.2 Improving intersubjective development
147
6.2.3 Testing the High Quality Communication
intervention for people with CDB across social partners 147
6.2.4 Testing the High Quality Communication
intervention in communication dyads and analyzing
their communication patterns
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6.3 Strenghts and limitations
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6.4 Reflections
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6.5 A matter of meaning?
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References
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Appendix
Summary161
Samenvatting (summary in Dutch)
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Dankwoord
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Curriculum vitae
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