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 Cover design: Proefschriftmaken.nl || Uitgeverij BOXPress Printed & Lay Out by: Proefschriftmaken.nl || Uitgeverij BOXPress Published by: Uitgeverij BOXPress, ’s-Hertogenbosch Copyright @2015, Saskia Damen All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanically, by photocopy, by recording, or otherwise, without prior permission of the author. 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 9 10 12 13 15 17 20 25 26 27 28 28 30 30 31 31 32 32 32 33 44 47 55 59 61 62 63 66 66 66 67 67 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 73 76 78 78 79 79 80 80 82 83 83 87 89 90 91 93 93 93 95 96 96 99 100 100 105 111 111 112 115 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 117 118 119 120 120 122 122 126 129 129 130 130 136 139 141 Chapter 6 General Discussion143 6.1 Introduction 144 6.2 Main findings 145 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 149 6.3 Strenghts and limitations 153 6.4 Reflections 155 6.5 A matter of meaning? 158 References 159 Appendix Summary161 Samenvatting (summary in Dutch) 167 Dankwoord 173 Curriculum vitae 177
© Copyright 2024