Scenario 2 Pre-intentional:
Reactive
Increased opportunities to participate with
other people and interact socially will encourage early understanding of the
relationship between cause and effect, or contingency awareness. It is
important to note that for most pupils, experiencing social contingency
awareness will precede awareness of physical contingencies. In other words, to
encourage the pupils understanding of cause and effect, begin with people
and not with objects.
A study by Phil Schweigert (1989) was one of
many to show the power of using switches to interact with people. He showed
that a pupil would use a switch to increase social contact, but would be less
likely to press a switch if it resulted in non-social contact. A vibrotactile
cushion was used. At first the pupil could activate a switch to operate the
cushion. The pupil soon showed no interest. Then the cushion produced an
auditory signal to a person to come and play with the pupil. Only when someone
simultaneously came to play with the pupil did switch presses increase.
Earlier we noted Evans & Wares (1987)
study which showed that few interactions took place between staff and pupils
with severe communication impairment. We also know that the consequences of a
severe visual impairment include lack of mutual eye gaze, lack of facial
expression and not recognizing facial expressions in other people; we know too
that cerebral palsy will result in reduced facial expression; all of which
leads to fewer attempts by the pupil to initiate social interactions. What if
the pupil could attract staffs attention?
The various technologies brought together
within multi-sensory environments can be adapted so they can be controlled by
the pupil. This is an example to show that one type or class of technology can
be appropriately used with pupils whose cognitive, sensory, physical and
communication abilities are very different.
It is time to focus more on how pupils
themselves might activate multi-sensory environment rather than it being
operated for them. A balance must be struck. It will be helpful for the pupil
to understand that the world of objects can be controlled. But if too much
opportunity for control is introduced at one time or no thought is given to why
control is being offered to the pupil, technology will offer little advantage
and may undo previous hard-won successes. Three useful principles to consider
are:
|
start low |
build up slow |
make it social! |
Because attempts will be made to encourage the
pupil to use switches to control events, it is vital to have read and become
familiar with the Unit B
Organizing your resources which covers issues of:
| seating and
positioning |
Observations,
perhaps made in multi-sensory environments, will have given clues about
appropriate seating and positioning. Consult with physio and occupational
therapists as well as with parents. |
Other preparatory steps addressed in Unit 8 The
development of switching skills include:
| locating
switch |
Observations
(e.g. in multi-sensory environment, feeding situations, physiotherapy etc) will
provide hunches about the best site on the body to place a switch. Finger,
hand, and arm are optimum but may physically not be possible. Lateral head
movement may interfere with eye contact. |
| type of
switch |
Many factors come
into play here. For instance, a contact or target switch requires the pupil to
make physical contact, which may be difficult physically to achieve. But
because most give feedback on activation, it is often easier to associate
contact with effect. Non-contact switches (e.g. mercury tilt switch) may
physically be easier to operate but more difficult to understand. |
| mounting
switch |
Velcro, straps,
mounting arms, and clamps for wheelchair trays are just a few of the options to
consider to ensure the switch stays in position. Equally important
especially when using mountings near the head and eyes is to be able to
detach them quickly. |
Time spent in preparation will be repaid many times over in
successful use by the pupil. (But dont spend so long preparing that you
never get started)
Example 2a - Saying "Hey"?
| set-up |
Insert a battery
adaptor into a standard battery-powered bell or buzzer, so that an external
switch can operate it. (Detailed instructions for fitting battery adaptors are
given in Unit 8.) |
| preparation |
Refer to the
introductory section on Pre-intentional: Reactive. Begin by showing
the pupil how to activate the buzzer; cue a second member of staff to come over
when the buzzer sounds. Model the switch activation with the pupil. Staff need
to be prepared at first for one of them to drop everything in response to the
buzzer. |
| objective |
To provide a
means of signalling independently to get attention the response of the
staff member is to engage in social interaction |
Example 2b Using loop tapes
Buzzers and bells can attract attention and encourage
interaction, but loop tapes can be used to communicate a single thought or
idea. A verbal message is a powerful tool for expression. The pupil may not be
at a stage of using an augmentative communication system in a
functional way, but interaction and communication skills can be developed.
| set-up
|
Make a loop tape
using the tapes for a telephone answering machine. Short tapes are best (10
seconds or so). Record the message, repeating it until the end of tape; press
Stop. Next, decide on an appropriate switch to use (see above). Attach the
switch to the remote jack of a cassette recorder, or insert a battery adaptor.
Press Play; and with the switch activated the message will be
played. |
| objective |
Many
communication skills can be learned and used with this approach e.g. calling
attention, initiating interaction, turn-taking etc. Not all of these skills are
appropriate to the Pre-intentional: Reactive level of
communication. This illustrates that the technology is not important, but the
curriculum and preparation are. Sample messages include: Come over
here, More please. |
Key skills and equipment
The key skills for the above examples are the ability to:
- introduce multi-sensory equipment that can be activated
by the pupil rather than be operated for them
- use technology to develop pupils interaction with
people rather than objects
The key equipment is:
- battery adaptor(s)
- battery-powered bell or buzzer
- switch that pupil can operate
- additional member of staff to respond to buzzer or loop
tape activation in initial stages
- cassette recorder suitable for loop tape
- loop tape(s) for telephone answering machine
(10-second)
Example 2c From loop tapes and
buzzers to talking switches
A BIGmack is one example of a talking switch, a
simple yet effective device that brings together physical and social
contingencies. By pressing the large top of the switch (giving a satisfyingly
loud click) a pre-recorded message is spoken, such as Can I
have some juice? or Jump up and down!. The teacher decides on
the message recorded.
| preparation |
Choose a message.
Agree that whatever is to happen must take place immediately after the message.
Agree who will respond, how to respond and how to end the interaction. |
| record message |
If
possible, do this within pupils sight (or hearing). Press record button;
speak message into microphone (you might want to ask a pupil to record the
message rather than an adult); release button. Press top of device to check the
recording and volume. |
| position
BIGmack |
It should be made
as easy as possible for the pupil to reach and press. Decide if it should be to
the right, left or midline and whether it is best to mount it at an angle
(using a Maxess mount). Decide if it should be visible helping pupil
understand the effect of actions. |
| objective |
Perhaps the
message is to attract attention or initiate a conversation: Come here
please, Hey, look at me! ; or requesting something:
More crisps please, Do it again. The last message may
be too advanced for this level of communication as it is an example of using a
person as an agent for something else rather than for attention and
interaction. |
| other
options |
A remote switch
can be attached to the base of the device so the pupil does not need to press
the top of the device to activate it. Also a cable can be attached to it so
that it operates a battery-powered toy at the same time as a message is played
(or without a message). However, this can be confusing so you might
choose not to play a message in this case. |
If a switch is to be used as well, to operate mains operated
devices or toys, it is helpful to buy these in a different colour. Thus they
can be easily distinguished. If the pupil has visual impairment try attaching
different materials to the surface of the device.
More examples of using talking switches like the BIGmack are
given in the Unit 8
Developing switching skills. At this level of communication the
emphasis is on increasing social interaction.
Key skills and equipment
The key skills for the above example are the ability to:
- record a short single message on a BIGmack (or
equivalent)
- attach switch to BIGmack for remote activation
- liaise with other staff member (or parent, or other
pupil) to co-ordinate response to message produced by BIGmack
- adapt BIGmack or switch surfaces to enhance tactile or
visual display
The key equipment is:
- BIGmack or equivalent single message device
- switch for attaching to BIGmack, if required
     |