Home| Keynote Speeches| Workshop Papers| Other Documents


Psychoeducational groups: a strategy for promoting cognitive development in visually impaired children.

 

Cecilia Guarnieri Batista

Center for Study and Research in Rehabilitation "Prof. Dr. Gabriel O.S.Porto" (Cepre) Faculty of Medical Sciences; State University of Campinas

Campinas, São Paulo, Brazil

In Brazil, the official educational policy favors the integration of handicapped children to the regular school. Unfortunately, the corresponding resources are not always available. Moreover, many of the handicapped children are the victims of additional problems: extreme poverty, lack of adequate health services, familiar difficulties, etc., which interact to produce situations that do not favor a satisfactory global development.
Those conditions motivated the proposition of the present research and intervention project, with visually impaired children, with the aim of preparing and following them up at the beginning of their school life. It is developed a Center of Reseach and Rehabilitation for deaf and visually impaired people, in the context of its Visually Impaired Children Program, where the children receive attention of an interdisciplinary team.

METHOD
Subjects
The project was initially designed for children with low vision. But, during the group work, some of them became functionally blind and kept in the group. In general, they had a very bad socioeconomic situation, some of them living in very uncomfortable habitations and with an extremely low income. The majority of them lived in other cities, distant 20 to 50 km from Campinas. Most of these children showed some delay in their cognitive and linguistic development; most of them did not show the appropriate social behavior for a group situation and some did not have the psychomotor abilities minimally necessary in school.

Objectives
The objectives of the project were the following:
- to intervene in the global development of visually impaired children, in order to prepare them for regular school and/or to complement the school process with a more individualized attention to each child special needs;
- to develop simple strategies and non expensive educational materials that would favor the joint work of blind and low vision children, as well as of visually and non visually impaired children;
- to follow the regular educational process in order to detect the main difficulties and to cope with them.

Group planning and activities
We planned regular meetings for small groups of children. The basic schedule for the group involved one or two 90-minute meetings every week, on non-consecutive days. Each group had a maximum total of six children. There were two groups: a) preschool, with children who did not go to school or that were in preschool (four to seven years old); b) alphabetization, with children which were at the beginning of Elementary School and that did not read with fluency.
The groups had the educational goals proposed for a preschool by Kramer et al. (1991), who focused the construction of autonomy and cooperation, problem solving, responsibility, creativity, positive self-concept, communication and expression. As describek previously (Batista, 1996), the following specific objectives were proposed, comprising different areas of child development:
- Cognitive and linguistic area: 1) To promote the development of different kinds of representation (oral language, graphic and plastic representation, the beginning of reading and writing) and of different kinds of knowledge (physical knowledge, logical and mathematical reasoning and social knowledge). 2) To promote the development of habits and attitudes that are necessary in intellectual work, including concentration, persistency in the task and participation in games and tasks that require the establishment of relationships, as, for instance, comparison between elements and among sets of elements.
- Social and emotional area: 1) To establish a good relationship with adults, including communication and questioning, collaboration with tasks and attendance of simple orders. 2) To establish a good relationship with other children, including cooperation, shared playing and adequate conflict negotiation. 3) To promote the development of self-confidence and self-esteem in the child.
- Psychomotor area: To favor the development of perception (specially necessary to visually impaired children), global coordination, time and space orientation and eye-hand coordination, the latter with low vision children.

A typical session included the following activities:
PRESCHOOL AND ALPHABETIZATION (Elementary School)
- name tags: distribution and identification
- calendar: identification of day of the week, day of the month and month of the year

PRESCHOOL ALPHABETIZATION
(Elementary School)
A session always had some of the following activities:
- educational games (ex: bingo) and activities: including concepts and recognition of letters, words, quantities, etc, some of them related to the story and to other significant activities
- story telling
- graphic and plastic expression
- free play, playground, etc. - school activities: reading, writing and mathematics, related to what is currently being requested at regular school
Also presented in some sessions:
- educational games and activities
- story telling
- graphic and plastic expression
as a context to new activities concerning school tasks
- free play, playground, etc.

Team-work
This project is being developed by the present author and a group of undergraduate and graduated Psychology students, who work in the planning, intervention, recording and analysis of the sessions.

Recording procedures
As we were developing a new program, we wanted to characterize our population, as well as to describe changes in the performance of the children. To do so, we chose the technique of continuous and cursive recording of the interactions between children and adults (Danna and Matos, 1982). At the end of each session, a synthesis of three aspects (cognitive and linguistic, social and emotional, and psychomotor) was elaborated for each child, with the main emphasis being placed on the first of these (Batista, in press). The individual evaluation performed for each child (once per semester) was recorded on the same basis and was also videotaped and transcribed.

Adaptation of educational materials
In order to enable the joint work between blind and low vision children, we developed some adaptation of materials, as, for example:
- name tags: written in enlarged print letters, for low vision children, and in print and braille for blind children (the initial letter in braille also presented in a bigger size)
- individual calendar: after various trials, we decided to use two types:
a) month: made at the computer, with the following design:
name of the month (contrasting print, for low vision children, contrasting print and braille for blind children)
calendar of the month (numbers in print and braille, as above)
name of the child (print and braille, as in the name tags)
The month calendars for blind children were stuck on a sandpaper, in order to the child perceive where she has put the mark corresponding to the present date.
b) semester: six squares, each for one month, each with its name, with the borders indicated by small points in relief.
- bingo charts: made with light-colored thick paper, with the forms (geometrical shapes, 1 to 6 points, etc) in dark sandpaper, in order to enable blind children to recognize them by tact.

School contacts
In the case of the children which went to regular school (the majority of them), we kept contacts with the school, trying to keep at least a bi-annual visit, and to keep telephonic contacts. In the present year (1997), as we began to follow the school integration of blind children into Elementary School, we are making more frequent visits to their schools (presently, one of the children does not come to the group, and is followed only at the school).

RESULTS
General Trends
Trying a general retrospect of the project, which was formalized in the model here described since 1995, we can identify the following results:
- preschool children: increase in participation in group activities (e.g. verbal interaction with adults and peers and more sharing during play); growing participation and comprehension in games with simple rules, comprising concepts as forms, quantities, etc; increase in attention and understanding during storytelling; beginning of recognition of the days of the week (Sunday, Monday, etc.) and of the days of the month (1,2,3, etc.); growing recognition of words and of some letters (e.g. initial letters of the names of the members of the group); the beginning of drawing and "signing" of their names; and the comparison of quantities and the beginning of counting.
- alphabetization children (at Elementary School): growing recognition of the days of the week, the days of the month and of the months of the year; growing recognition of words (mainly in the context of games like bingo or pairing cards (one card with a word, the other card with the same word and the corresponding picture), recognition of letters; counting and correct use of numerals (1 to 10, 11 to 20, etc.). In most of the cases, there was also an increase in their self-confidence.
The joint work between blind and low vision children proved feasible, with the use of the materials specially designed to this. However, for some specific tasks (for example: familiarization with letters of the alphabet), we separated the children in two subgroups. The techniques developed for joint work are being showed to teachers in regular schools, as possible strategies to be used in their work.

School integration
For most of the children who were attending school since the beginning of their participation in the program, their improvement in the group was paralleled by a corresponding improvement in their school integration. This was visible for some preschool children, as, for example, Mi, a boy who was excessively shy and who began to participate in playground activities, to make demands (for example: to be the first at a game) and to ask explanations about academic tasks (for example: how to spell his name). Another example is Is, a girl with a diagnosis of Bardet-Bield syndrome, with problems in the brain stem, which affected her static and dynamic equilibrium, speech (a little trembling) and motor coordination (difficulty in precise movements, such as required for putting small pieces together). She is at a regular private preschool which accepts some deficient pupils and, at the end of 1996, was enrolled in a class for four years old children, although she was five. Now, she is at the regular class for six years old children, due to her recent academic progresses (which are more significant in reading abilities than in her drawing, which is still not adequate to her age).
The least progresses are being obtained for children who begin the Elementary School. The formal demands are more strict than in preschool, the classrooms have too many children (more than in preschool) and for the teachers it is more difficult to give individualized attention for children with special needs. We are trying to accomplish the main school tasks in our group, and, as far as it is feasible, to ask the mother to collaborate with us (for example: the mother of A, a boy, followed our guidance to improve his handwriting, which was demanded by the school teacher).
One special case is E, a blind boy who did not previously go to school, and who is having a good social integration at the regular Elementary School. We have a good prognosis of the case, although, in the academic side, we are observing some difficulties, due to the present defective communication between his teachers (that is, the teacher of the "resource class" for visually impaired, who stays at one school, and the teacher of the regular class, at another school). This boy was evaluated by our group as very self-confident and happy (always making jokes), as well as interested in learning tasks, and he is showing the same pattern at school. In the case of E, we considered that he did not need to keep the participation in our group in the present year: our present work is to make regular visits to his two teachers, trying to improve the planning of activities which fulfill his special educational needs.
The other special case is L, a blind boy with cognitive abilities similar to those of E, but not motivated to school tasks. In his case, we are demanding that his mother keeps bringing him at the group (and this is not ease, due to her lack of motivation), and we are keeping contact with his school.
In bridging the gap with the school, we feel that there is a great distance between the official integration police and the concrete resources to enable it. We can demonstrate the progresses of our children in the psychoeducational groups: this can make easier their school integration, but does not fully guarantee it.

REFERENCES

BATISTA, C.G. (in press). Observação, registro e análise de dados em situação de intervenção psicopedagógica, Revista Brasileira de Educação Especial.

BATISTA, C.G. (1996). Promoting cognitive and linguistic development in children with subnormal vision. Abstracts: XIV Biennial Meetings of the International Society for the Study of Behavior Development (ISSBD), 361.

DANNA, M.F. & MATOS, M.A. (1982). Ensinando observação: uma introdução. S.P.: Edicon.

KRAMER, S. (coord.), PEREIRA, A.B.C., OSWALD, M.L.M.B. & ASSIS, R. (1991). Com a pré-escola nas mãos: uma alternativa curricular para a educação infantil. São Paulo: Ática.

Return to the top of this page