The complex phenomenology of PDD poses a lot of diagnostic and therapeutic questions for clinicians and rehabilitation therapists. Different clinical pictures result from a complex combination of neurobiological and behavioural elements with environmental conditions. Many elements become essential to understand the “cognitive, communicative, affective-relational and psychomotor” style of each patient knowing the personal style of each patient is crucial for a rational therapeutic approach. A complete diagnostic path, based on a multidisciplinary team, is necessary to understand how each child “functions”. The more knowledge we acquire about PDD, the more clinicians and operators must enter into our diagnostic team. Focus of our presentation is a interactive-cognitive oriented rating scale for psychomotor evaluation, resulting from the cooperation and integration of different operators, working in two Mental Health Services for Children in Torino. Special attention is dedicated to “pseudo-abilities”: motor and manipulative skills often observed in children with PDD and often interpreted as “special skills” but that sometimes hide low constructive and creative abilities. The rating scale is also used to monitor the therapeutic path. In other words, the psychomotor therapist’s contribution to the assessment approach is aimed at defining the neuro-psychomotor style of the child with PDD, in order to - Identify areas of neuro-psychomotor skills - Highlight eventual neuro-psychomotor dysfunctions and eventual neuro-psychomotor dysfunctions - Evacuate the effect of neuro-psychomotor dysfunctions on autistic symptoms - Plan the most appropriate therapeutic program - Monitor the therapeutic path. Our scale is made up of two parts: the 1st part evaluates the child’s ability to solve tasks proposed by observer and the 2nd part observes the child’s communicative and relational approach to environment and objects. In our contribution we would verify the utility and the value of our scale as monitoring instrument of psychomotor therapeutic path at short and middle term in a group of 27 young patients in charge of the Child Neuropsychiatry Service of the District 1 in Torino. We would also verify the potential prognostic value of our instrument, by the comparison between the development expectations at the assessment and the results after the therapeutic treatment.
Pervasive developmental disorders: integrated diagnostic approach trial with a new psychomotor evaluation instrument
GANDIONE, Marina;RIGARDETTO, Roberto;
2009-01-01
Abstract
The complex phenomenology of PDD poses a lot of diagnostic and therapeutic questions for clinicians and rehabilitation therapists. Different clinical pictures result from a complex combination of neurobiological and behavioural elements with environmental conditions. Many elements become essential to understand the “cognitive, communicative, affective-relational and psychomotor” style of each patient knowing the personal style of each patient is crucial for a rational therapeutic approach. A complete diagnostic path, based on a multidisciplinary team, is necessary to understand how each child “functions”. The more knowledge we acquire about PDD, the more clinicians and operators must enter into our diagnostic team. Focus of our presentation is a interactive-cognitive oriented rating scale for psychomotor evaluation, resulting from the cooperation and integration of different operators, working in two Mental Health Services for Children in Torino. Special attention is dedicated to “pseudo-abilities”: motor and manipulative skills often observed in children with PDD and often interpreted as “special skills” but that sometimes hide low constructive and creative abilities. The rating scale is also used to monitor the therapeutic path. In other words, the psychomotor therapist’s contribution to the assessment approach is aimed at defining the neuro-psychomotor style of the child with PDD, in order to - Identify areas of neuro-psychomotor skills - Highlight eventual neuro-psychomotor dysfunctions and eventual neuro-psychomotor dysfunctions - Evacuate the effect of neuro-psychomotor dysfunctions on autistic symptoms - Plan the most appropriate therapeutic program - Monitor the therapeutic path. Our scale is made up of two parts: the 1st part evaluates the child’s ability to solve tasks proposed by observer and the 2nd part observes the child’s communicative and relational approach to environment and objects. In our contribution we would verify the utility and the value of our scale as monitoring instrument of psychomotor therapeutic path at short and middle term in a group of 27 young patients in charge of the Child Neuropsychiatry Service of the District 1 in Torino. We would also verify the potential prognostic value of our instrument, by the comparison between the development expectations at the assessment and the results after the therapeutic treatment.
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