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Dual diagnosis of autism and hearing loss: Caregivers’s experience of diagnosis and intervention

Thesis (MEdPsych)--Stellenbosch University, 2017

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Main Author: De Villiers, Ayesha
Other Authors: Collair, Lynette
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2017
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access_status_str Open Access
author De Villiers, Ayesha
author2 Collair, Lynette
author_browse Collair, Lynette
De Villiers, Ayesha
author_facet Collair, Lynette
De Villiers, Ayesha
author_sort De Villiers, Ayesha
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MEdPsych)--Stellenbosch University, 2017
format Thesis
id oai:scholar.sun.ac.za:10019.1/102891
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:46:25.318Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/102891 Dual diagnosis of autism and hearing loss: Caregivers’s experience of diagnosis and intervention De Villiers, Ayesha Collair, Lynette Stellenbosch University. Faculty of Education. Dept. of Educational Psychology. Caregivers -- Experiences UCTD Autism in children -- South Africa Children with autism spectrum disorders -- South Africa Caregivers -- South Africa Deafness in children -- South Africa Auditory perception in children -- South Africa Thesis (MEdPsych)--Stellenbosch University, 2017 ENGLISH ABSTRACT : Caregivers are central role players throughout the life span of a child with special needs and they form part of a family within the broader network of their community and social spheres. Bronfenbrenner’s bio-ecological system theory provides a theoretical framework which depicts the interactive nature of this process which starts before receiving a conclusive diagnosis. This study explores the lived experiences of caregivers of three children with a dual diagnosis of autism spectrum disorder and hearing loss as they navigate the maze of intervention and support after diagnosis within the South African context. The study is qualitative in nature and utilised a case study research design to explore the experiences of caregivers. The participants were selected by means of purposive sampling and data were collected through semi-structured interviews as well as a document study of learner files. Data was analysed through the process of thematic analysis and presented through a discussion of the findings. Research findings confirmed the complexity of the experiences and needs, not only of children with this dual diagnosis, but also of their caregivers who were considered as the project managers of their childrens’ intervention programmes. Caregiver experiences were largely influenced by their own level of participation or withdrawal, their knowledge base as well as access to services and information throughout the process of intervention. Proximal processes between caregivers and the school community served as support for the establishment of an effective multi-disciplinary team approach to offer support which will continue throughout the life span of the child with a dual diagnosis of autism spectrum disorder and hearing loss. The researcher derived from the research findings recommendations for professionals who provide services to caregivers of children with this dual diagnosis. AFRIKAANSE OPSOMMING : Versorgers word beskou as kernrolspelers dwarsdeur die lewensduur van ’n kind met spesiale behoeftes en boonop vorm hulle deel van ’n familie binne die breë netwerk van hul gemeenskap en sosiale sfere. Bronfenbrenner se bio-ekologiese perspektief verskaf ’n teoretiese raamwerk wat die interaktiewe aard van hierdie proses uitbeeld wat reeds voor die verkryging van ’n finale diagnose begin. Hierdie studie verken die geleefde ervarings van versorgers van drie kinders met ’n dubbele diagnose van outismespektrum-versteuring en gehoorverlies, soos hulle die doolhof van ingrypings- en ondersteuningsdienste binne die Suid-Afrikaanse konteks navigeer. Die studie is kwalitatief van aard en die navorser het van ’n gevallestudie-navorsingsontwerp gebruik gemaak om die ervarings van versorgers te ondersoek. Die deelnemers is deur middel van doelgerigte steekproefneming gekies en data is deur middel van deels gestruktureerde onderhoude sowel as ’n dokumentstudie ingesamel. Die data is geanaliseer deur middel van tematiese ontleding waarna dit deur middel van ’n bespreking aangebied is. Die navorsingsbevindinge bevestig nie net die kompleksiteit van die ervaringe en behoeftes van kinders met ’n dubbele diagnose nie, maar ook dié van hul versorgers, wie beskou word as die projekbestuurders van hul kind se ingrypingsprogram. Versorgers se ervaringe is grotendeels beïnvloed deur hul persoonlike vlak van betrokkenheid óf onttrekking, hulle kennisbasis sowel as hul toegang tot dienste en inligting regdeur die ingrypingsproses. Proksimale prosesse wat tussen die versorgers en die skoolgemeenskap geskied dien as ondersteuning vir die vestiging van ’n effektiewe, multi-dissiplinêre spanbenadering wat ondersteuning bied dwarsdeur die lewe van ’n kind met ’n dubbele diagnose van outismespektrum-versteuring en gehoorverlies. Die bevindinge verkry uit die navorsing, word vervat in aanbevelings aan professionele persone wat dienste aan ouers van kinders met ’n dubbele diagnose verskaf. Masters 2017-11-23T11:13:54Z 2017-12-11T11:08:38Z 2017-11-23T11:13:54Z 2017-12-11T11:08:38Z 2017-12 Thesis http://hdl.handle.net/10019.1/102891 en_ZA Stellenbosch University xiv, 171 pages : illustrations (some colour) application/pdf Stellenbosch : Stellenbosch University
spellingShingle Caregivers -- Experiences
UCTD
Autism in children -- South Africa
Children with autism spectrum disorders -- South Africa
Caregivers -- South Africa
Deafness in children -- South Africa
Auditory perception in children -- South Africa
De Villiers, Ayesha
Dual diagnosis of autism and hearing loss: Caregivers’s experience of diagnosis and intervention
title Dual diagnosis of autism and hearing loss: Caregivers’s experience of diagnosis and intervention
title_full Dual diagnosis of autism and hearing loss: Caregivers’s experience of diagnosis and intervention
title_fullStr Dual diagnosis of autism and hearing loss: Caregivers’s experience of diagnosis and intervention
title_full_unstemmed Dual diagnosis of autism and hearing loss: Caregivers’s experience of diagnosis and intervention
title_short Dual diagnosis of autism and hearing loss: Caregivers’s experience of diagnosis and intervention
title_sort dual diagnosis of autism and hearing loss caregivers s experience of diagnosis and intervention
topic Caregivers -- Experiences
UCTD
Autism in children -- South Africa
Children with autism spectrum disorders -- South Africa
Caregivers -- South Africa
Deafness in children -- South Africa
Auditory perception in children -- South Africa
url http://hdl.handle.net/10019.1/102891
work_keys_str_mv AT devilliersayesha dualdiagnosisofautismandhearinglosscaregiverssexperienceofdiagnosisandintervention