PEDRO CALDEIRA DA SILVA (*)
CLÁUDIA EIRA (**)
JOANA POMBO (**)
ANA PATRÍCIA SILVA (**)
LEONOR CORRÊA DA SILVA (**)
FILIPA MARTINS (***)
GRAÇA SANTOS (***)
PAULA BRAVO (****)
]]> PAULA RONCON (*****)
RESUMO
As perturbações do espectro autista enquadram-se no grupo de perturbações mais severas com que os profissionais em saúde mental infantil lidam, dadas as suas repercussões no funcionamento da criança em áreas como as da socialização, comunicação e aprendizagem e a incerteza relativamente ao prognóstico.
S. Greenspan e colaboradores desenvolveram um modelo explicativo para estas perturbações baseado numa abordagem desenvolvimental e estruturalista e na certeza de que em todas as crianças existe alguma capacidade para comunicar e que essa capacidade depende do seu grau de motivação e de envolvimento afectivo.
O Modelo D.I.R. (Desenvolvimento, Diferenças Individuais e Relação) é um modelo de intervenção resultante destes pressupostos teóricos que engloba a abordagem Floor-time e diferentes especialidades terapêuticas (integração sensorial, comunicação aumentativa).
Através da Associação de Apoio à Unidade da Primeira Infância, foi criado um programa intensivo de intervenção clínica baseado nestes princípios.
O artigo apresenta a descrição do programa, das crianças e da sua evolução em termos de desenvolvimento e adaptação social e emocional.
]]> Palavras-chave: Autismo, terapia, infância.
ABSTRACT
Autistic spectrum disorders are some of the most severe disorders that mental health professionals have to deal with, given its impact on core areas of children's functioning, like communication and social abilities, academic learning and also because of the uncertainty of prognosis.
The developmental, structural model created by S. Greenspan and collaborators proposes an innovative explanatory approach for these disorders, assuming that in every child there is an ability to communicate which is dependent on the level of motivation and of affective involvement.
D.I.R. (based on Development, Individual Differences and Relationship) Model is an intervention model stemming from those theoretical assumptions. It encompasses Floor-time approach and other types of interventions (sensory integration, augmentative communication).
Through Associação de Apoio à Unidade da Primeira Infância an intensive clinical intervention program, based on this model, was created.
The paper present a description of the program, of the children and their evolution in terms of developement and social and emotional adaptation.
]]> Key words: Autism, therapy, infancy, early childhood.
Texto completo disponível apenas em PDF.
Full text only available in PDF format.
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(*)Pedopsiquiatra.
]]> (**)Psicóloga.(***)Terapeuta Ocupacional.
(****)Terapeuta da Fala.
(*****)Técnica de Serviço Social.
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