看護とケアのジャーナル

A Dialogical Trial for Understanding a Mother and a Child with Autism Spectrum Disorder: Preliminary Implication for Nursing and Care

Abstract

Mami Yamamoto, Midori Asano and Naoki Nomura

The objective of this study is to demonstrate the change in qualitative levels of the context (evolution of context) in communication between a mother and a child with autism spectrum disorder (ASD).

In order to realize this objective, we focus on the relationship between contexts, and describe dynamic change inside mother-child communication. The data were collected thorough fieldwork by interview to the mother and participant observation. We analyzed about qualitative level of a context by qualitative analysis.

When the mother and the child with ASD experience repeated cycles of conflict and trial and error, the qualitative levels of the shared context of communication become comprehensive. The subject, which is the change in communication, is a context that arises in the parent and child’s whole unit. Synchronously, the context about how to understand the communication between the parent and child becomes comprehensive. We propose that the dialogic partner’s context and mother-child’s context evolves in synchrony. When the object of nursing becomes a unit, including the nursing care provider, nursing can be asserted as a change of relationship in the interaction between the nursing care provider and the mother and child.