Amaç: Bu çalışma, gelişimsel dil bozukluğu (GDB) olan çocuklar için Türkiye’deki dil
ve konuşma terapistlerinin (DKT) ayırıcı tanı ve müdahale konularındaki çözüm odaklı
yaklaşımlarına ilişkin bilgi vermeyi amaçlamaktadır.
Yöntem: Araştırmada niteliksel bir paradigma içinde, yapılandırmacı bir yaklaşım
kullanılmıştır. Fenomenoloji, DKT'lerin GDB'li çocuklara dil ve konuşma terapisi
sağlamasını keşfetmek için ana araştırma metodolojisi olarak benimsenmiştir. Analitik
yaklaşım olarak ise yorumlayıcı fenomenoloji seçilmiştir. Araştırmaya mesleki
deneyim süresi 2 – 16 yıl arasında değişen 15 DKT katılmıştır.
Bulgular: Bulgular, DKT'lerin GDB'nin ayırıcı tanısı için formal bir değerlendirme
yöntemi olarak sıklıkla geçerlik ve güvenirliği yüksek, standardize bir değerlendirme
aracı olan Türkçe Erken Dil Gelişimi Testi (TEDİL) ile klinik içi gözlem ve genellikle
vaka geçmişi ile tamamlanan çeşitli informal değerlendirmeler kullandığını
göstermektedir. Müdahale seçimi, bireye neyin hitap ettiğine, yaşına neyin uygun
olduğuna, spesifik tanı ve bozukluğun şiddetine göre belirlenmektedir. DKT'lere göre
ebeveynler ayırıcı tanı ve müdahalede kritik rol oynamaktadır.
Sonuç: Bu bulgular, GDB alanında ayırıcı tanının açık ve tutarlı bir terminolojisine (a),
günlük yaşama katılımı değerlendirmek için hızlı ve uygulaması kolay (b), kapsamlı
bir ayırıcı tanı aracına, mevcut değerlendirme araçlarının güncellenmesine (c) ve
GDB’ye yönelik kanıt temelli müdahale yaklaşımlarının tercih edilmesini teşvik edici
uygulamaların (d) veya eğitimlerin yaygınlaştırılmasına olan ihtiyacı ortaya
koymaktadır.
terapist yaklaşımları, klinik yönetim, gelişimsel dil bozukluğu, klinik değerlendirme, müdahale
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