加賀谷宮本式音樂療法應用於多重障礙幼兒人際互動療法模式之協同行動研究

The Application of Music Care on Collabora Action Among Therapeutic Models for the Social Interaction of Young Children with Multiple handicap

陳馨(Sin Chen)

指導教授 ： 徐庭蘭

國立屏東科技大學/人文暨社會科學院/幼兒保育系所/碩士(2009年)

摘要

本研究旨在透過一系列的加賀谷宮本式音樂療法之實施，探討對多重障礙幼兒的人際互動行為提昇成效，藉此發展出適用於不同障礙程度之多重障礙幼兒的療法模式。為達此目的，本研究採協同行動方式，以六名多重障礙幼兒為研究對象，進行為期一年四個月的加賀谷宮本式音樂療法，並於療法前後，以個別化教育計畫之學習達成率計算成效。為使本研究更具完整且客觀，分別以量化及質性兩方面廣蒐資料。量化資料包括有教師計算人際互動行為出現率之次數分配表、個別化教育計畫人際互動學習達成率及人際互動達成率之前後測相依統計t考驗。質性資料則有教師之反映性寫作、協同研究老師之觀察日誌、協同研究老師之團隊反映、焦點訪談紀錄及事件紀錄等，以多元資料蒐集來詳盡本研究過程。綜合本研究之結果發現如下：

一、中度多重障礙幼兒適用採發展性團體療法之加賀谷宮本式音樂。
二、含肢體障礙之多重障礙幼兒適用採行為療法之加賀谷宮本式音樂。
三、重度多重障礙幼兒適用人本療法，但不限定何種音樂，以單一樂
器介入為佳。

最後依據本研究之研究結果提出具體建議，以供相關人員、單位及未來研究者之參考。

關鍵字

加賀谷宮本式音樂療法 ； 多重障礙幼兒 ； 人際互動 ； 協同行動研究

並列摘要

The main purpose of the study was to explore the effects of practicing a series of Music Care on the social interaction of young children with multiple disabilities; thus, it developed suitable therapeutic models for various degrees of multiple disabilities children. For this purpose, the study used the collaborative action method on six multiple disabilities children as participants treating with Music Care in a 16-month term. Their efficacy was assessed through Individualized Education Program before and after the therapy.
Both quantitative and qualitative data were collected to make the study complete and objective. Quantitative data included the frequency distribution of social interaction efficacy counted by observers, as well as the T-tests before and after the social interaction learning efficacy assessments of Individualized Education Program. Qualitative data included reflective writings from observers, journaling of collaborative action observers, team-reflection of collaborative action observers, focus group interviews and event studies. A holistic approach of collecting information has been used to completely cover the research finding.
In conclusion, the following results were discovered: (1) moderate multiple disabilities children were suitable for developmental team music therapy; (2) orthopedic impaired multiple disabilities children were suitable with behavioral group music therapy; (3) sever multiple disabilities children were better treated with humanistic music therapy, regardless of any music style but preferably with mono-instrumental media. A specific proposal was developed according to the results of this study, providing reference for relating personnel, organization and future researchers.

並列關鍵字

music care ； young children with multiple disabilities ； social interaction ； collaborative action

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