ONTWIKKELINGSSTOORNISSEN 2
Inhoudsopgave
Ontwikkelingsstoornissen 2 ............................................................................................................................. 1
1 Kathleen ................................................................................................................................................ 13
2 1A: Zintuiglijk leren ................................................................................................................................ 13
2.1 Sensorische integratie: Neurologisch proces, hersenactiviteit ............................................................ 13
2.1.1 Belangrijke functies: ........................................................................................................................ 13
2.1.2 Sensorische verwerking:.................................................................................................................. 13
Just right challenge: ....................................................................................................................................... 14
Meer dan 5 zintuigen ..................................................................................................................................... 14
ICF sensorische functies gedetailleerd ............................................................................................................ 14
Wat als zintuigen niet bestonden? ................................................................................................................. 15
Sensorische deprivatie ................................................................................................................................... 15
Sensoriek: Meest basale functie, voeding van het brein ................................................................................. 15
Taken in de verwerking van prikkels .............................................................................................................. 16
Zintuigen en hun taken .................................................................................................................................. 16
2.2 Zintuiglijk leren .................................................................................................................................... 16
Hip en trendy ................................................................................................................................................. 17
Bodymap ........................................................................................................................................................ 17
Evidence based? ............................................................................................................................................. 17
2.2.1 1A.3.2 Eigenheid van de cliënt ........................................................................................................ 17
Sensorische eigenheid ................................................................................................................................... 17
Diagnose – sensorische prikkelverwerking ..................................................................................................... 17
Sensory processing disorders ......................................................................................................................... 17
2.3 Autisme en zintuiglijke verwerking ...................................................................................................... 17
2.3.1 Overprikkeling ................................................................................................................................. 17
2.3.2 Overprikkeling, onveiligheid, stress ................................................................................................ 18
2.3.3 Onderprikkeling ............................................................................................................................... 18
2.3.4 ASS, geen filter? .............................................................................................................................. 18
Sensory processing disorders ......................................................................................................................... 18
, 2.4 Sensorische modulatiestoornis ............................................................................................................ 18
2.4.1 Modulatie, overgevoeligheid .......................................................................................................... 18
2.4.2 Modulatie, Ondergevoelig onderregistratie, hypo-reactiviteit ....................................................... 19
2.4.3 Sensorische zoekers ........................................................................................................................ 19
2.5 Sensorische discriminatiestoornis ........................................................................................................ 19
2.6 Motorische stoornis op sensorische basis ............................................................................................ 20
Sensory Processing Disorder .......................................................................................................................... 20
2.7 Posturale of houdingsproblemen ......................................................................................................... 20
2.8 Posturale stoornis ................................................................................................................................ 20
2.9 Dyspraxie ............................................................................................................................................. 20
2.9.1 Ayres Sensory Integration ............................................................................................................... 21
2.9.2 Basis................................................................................................................................................. 21
2.9.3 Basisideeën...................................................................................................................................... 21
2.9.4 Therapie .......................................................................................................................................... 21
2.9.5 Cliënt in beeld ................................................................................................................................. 21
2.9.6 Sensorische profielen ...................................................................................................................... 22
2.9.7 Taak ergotherapeut ......................................................................................................................... 22
1) Oog hebben voor, observeren, testen ........................................................................................................ 22
2) Sensorisch dieet, omgeving inlichten, aanpassen ....................................................................................... 22
3) Sensorische stimulatie en desensitisatie .................................................................................................... 22
4) Functionele sensomotorische activiteiten aanbieden................................................................................. 22
Casus: Brent ................................................................................................................................................... 22
Casus: Mohammed......................................................................................................................................... 22
Casus: Lina ..................................................................................................................................................... 22
Casus: Milan ................................................................................................................................................... 22
3 Ervaringsordening: Timmers-Huigens (niet leren uit het boek) .............................................................. 23
Vier delen’ van ervaringsordening: ............................................................................................................... 23
De vier delen zijn afzonderlijk beschreven maar zijn steeds aanwezig in een geheel. .................................... 23
3.1 4 belangrijke vragen ............................................................................................................................ 23
CO-REGULATIE = Welbevinden begeleider en cliënt ....................................................................................... 23
3.2 Kenmerken lichaamsgebonden ervaringen ......................................................................................... 23
3.2.1 Begeleiding lichaamsgebonden ervaring ........................................................................................ 24
3.2.2 Herhaling, herkenning en het tergkomen van ervaringen .............................................................. 24
3.2.3 Aanpassing aan de woon en leefgroep ........................................................................................... 24
3.3 Associatieve ervaringsordening ........................................................................................................... 25
3.3.1 Kenmerken ...................................................................................................................................... 25
3.3.2 Begeleiding ...................................................................................................................................... 25
3.4 Stucturerende ervaringsordening ........................................................................................................ 25
, 3.4.1 Kenmerken ...................................................................................................................................... 25
Bekijk het filmpje ........................................................................................................................................... 26
3.4.2 aandachtspunten begeleider .......................................................................................................... 26
3.5 Vormgevende ervaringsordening ........................................................................................................ 26
3.5.1 Begeleiding ...................................................................................................................................... 26
3.5.2 Manieren van begeleiden ............................................................................................................... 26
Wat stel je voor bij de verschillende ervaringsordeningen? ........................................................................... 26
4 Emotionele ontwikkeling / ..................................................................................................................... 27
4.1 SEO-R2 ................................................................................................................................................. 27
4.1.1 Waarom een aparte schaal voor emotionele ontwikkeling naast IQ,...? ........................................ 27
4.1.2 Ontwikkelingsprofiel ....................................................................................................................... 27
4.1.3 Doelen schaal .................................................................................................................................. 28
SEN (Steunpunt Expertisenetwerken) ............................................................................................................ 28
4.2 Ontwikkelingsfasen.............................................................................................................................. 28
4.2.1 Fase 1: Adaptatiefase 0 – 6maand .................................................................................................. 28
4.2.2 Fase 2: Eerste socialisatie 6 - 18 maand .......................................................................................... 28
4.2.3 Fase 3: Eerste individuatie 18 maand – 3 jaar ................................................................................. 29
4.2.4 Fase 4: Identificatiefase 3 – 7 jaar ................................................................................................... 29
4.2.5 Fase 5: Realiteitsbewustwordingsfase: 7 – 12 jaar ......................................................................... 29
4.2.6 Hoe gebruik je de SEO-R .................................................................................................................. 31
4.2.7 In team: SEO-R Kleurenprofiel ........................................................................................................ 32
5 Basale stimulatie ................................................................................................................................... 32
Basale stimulatie ............................................................................................................................................ 32
Doel basale stimulatie .................................................................................................................................... 32
5.1 Prikkels aanbieden ............................................................................................................................... 32
‘Specifieke’ lichamelijk stimulatie .................................................................................................................. 32
5.2 De verschillende waarnemingsgebieden ............................................................................................. 33
5.2.1 Somatische stimulatie ..................................................................................................................... 33
5.2.2 Vestibulaire stimulatie (hangmat of tillift) ...................................................................................... 33
5.2.3 Vibratorische stimulatie .................................................................................................................. 33
5.2.4 Olfactorische stimulatie .................................................................................................................. 33
5.2.5 Visuele stimulatie ............................................................................................................................ 33
5.2.6 Tactiel- haptische stimulatie (tast) .................................................................................................. 33
5.2.7 Omgeving ........................................................................................................................................ 33
5.2.8 Aandachtspunten ............................................................................................................................ 33
Voorbeelden .................................................................................................................................................. 34
5.2.9 Cursus Basale stimulatie document ................................................................................................ 34
6 Snoezelen .............................................................................................................................................. 34
6.1 Wat? .................................................................................................................................................... 34
6.2 Waarom? ............................................................................................................................................. 34
, 6.3 Aandachtspunten! ............................................................................................................................... 34
6.4 Zintuigen .............................................................................................................................................. 34
6.4.1 Visueel ............................................................................................................................................. 34
6.4.2 Auditief ............................................................................................................................................ 34
6.4.3 Tactiel .............................................................................................................................................. 35
6.4.4 Vestibulair ....................................................................................................................................... 35
6.4.5 proprioceptief ................................................................................................................................. 35
6.4.6 Reukzin ............................................................................................................................................ 35
7 Multi sensory storytelling ...................................................................................................................... 35
7.1 Belevingstheater .................................................................................................................................. 35
7.1.1 Definiëring ....................................................................................................................................... 35
7.1.2 prikkels ............................................................................................................................................ 35
7.1.3 publiek ............................................................................................................................................. 35
7.1.4 doelen ............................................................................................................................................. 36
7.1.5 hoe/methodiek................................................................................................................................ 36
7.1.6 uitgangspunten ............................................................................................................................... 36
8 Sherborne .............................................................................................................................................. 36
8.1 Wat is Sherborne? ............................................................................................................................... 36
8.2 Pedagogiek .......................................................................................................................................... 36
DOELSTELLINGEN Heel belangrijk ............................................................................................................... 37
8.2.1 Bewustwording eigen lichaam ........................................................................................................ 37
8.2.2 Bewustwording van de ruimte ........................................................................................................ 37
A) ruimte ........................................................................................................................................................ 37
B) Tijd ............................................................................................................................................................. 38
C) Zwaartekracht ............................................................................................................................................ 38
8.2.3 Bewustwording van anderen (relatiespelen) .................................................................................. 38
8.2.4 Pedagogische principes ................................................................................................................... 38
8.2.5 Praktijk ............................................................................................................................................ 39
8.3 Doelgroep ............................................................................................................................................ 39
8.3.1 Sherborne bij personen met een verstandelijke beperking ............................................................ 39
8.3.2 Matig verstandelijke handicap ........................................................................................................ 39
Voorbeelden .................................................................................................................................................. 39
8.3.3 Ernstig verstandelijke handicap ...................................................................................................... 40
8.3.4 Ernstig meervoudige problematiek ................................................................................................. 40
9 Reighnilde .............................................................................................................................................. 42
10 1B: Basaal leren en toepassen van kennis .......................................................................................... 42
10.1 Dyscalculie ........................................................................................................................................... 42
10.1.1 Criteria- voorwaarden piaget: ..................................................................................................... 42
10.1.2 Response –To - Instruction model .............................................................................................. 42
Fase 1: de juf geeft zorg ................................................................................................................................. 42
Inhoudsopgave
Ontwikkelingsstoornissen 2 ............................................................................................................................. 1
1 Kathleen ................................................................................................................................................ 13
2 1A: Zintuiglijk leren ................................................................................................................................ 13
2.1 Sensorische integratie: Neurologisch proces, hersenactiviteit ............................................................ 13
2.1.1 Belangrijke functies: ........................................................................................................................ 13
2.1.2 Sensorische verwerking:.................................................................................................................. 13
Just right challenge: ....................................................................................................................................... 14
Meer dan 5 zintuigen ..................................................................................................................................... 14
ICF sensorische functies gedetailleerd ............................................................................................................ 14
Wat als zintuigen niet bestonden? ................................................................................................................. 15
Sensorische deprivatie ................................................................................................................................... 15
Sensoriek: Meest basale functie, voeding van het brein ................................................................................. 15
Taken in de verwerking van prikkels .............................................................................................................. 16
Zintuigen en hun taken .................................................................................................................................. 16
2.2 Zintuiglijk leren .................................................................................................................................... 16
Hip en trendy ................................................................................................................................................. 17
Bodymap ........................................................................................................................................................ 17
Evidence based? ............................................................................................................................................. 17
2.2.1 1A.3.2 Eigenheid van de cliënt ........................................................................................................ 17
Sensorische eigenheid ................................................................................................................................... 17
Diagnose – sensorische prikkelverwerking ..................................................................................................... 17
Sensory processing disorders ......................................................................................................................... 17
2.3 Autisme en zintuiglijke verwerking ...................................................................................................... 17
2.3.1 Overprikkeling ................................................................................................................................. 17
2.3.2 Overprikkeling, onveiligheid, stress ................................................................................................ 18
2.3.3 Onderprikkeling ............................................................................................................................... 18
2.3.4 ASS, geen filter? .............................................................................................................................. 18
Sensory processing disorders ......................................................................................................................... 18
, 2.4 Sensorische modulatiestoornis ............................................................................................................ 18
2.4.1 Modulatie, overgevoeligheid .......................................................................................................... 18
2.4.2 Modulatie, Ondergevoelig onderregistratie, hypo-reactiviteit ....................................................... 19
2.4.3 Sensorische zoekers ........................................................................................................................ 19
2.5 Sensorische discriminatiestoornis ........................................................................................................ 19
2.6 Motorische stoornis op sensorische basis ............................................................................................ 20
Sensory Processing Disorder .......................................................................................................................... 20
2.7 Posturale of houdingsproblemen ......................................................................................................... 20
2.8 Posturale stoornis ................................................................................................................................ 20
2.9 Dyspraxie ............................................................................................................................................. 20
2.9.1 Ayres Sensory Integration ............................................................................................................... 21
2.9.2 Basis................................................................................................................................................. 21
2.9.3 Basisideeën...................................................................................................................................... 21
2.9.4 Therapie .......................................................................................................................................... 21
2.9.5 Cliënt in beeld ................................................................................................................................. 21
2.9.6 Sensorische profielen ...................................................................................................................... 22
2.9.7 Taak ergotherapeut ......................................................................................................................... 22
1) Oog hebben voor, observeren, testen ........................................................................................................ 22
2) Sensorisch dieet, omgeving inlichten, aanpassen ....................................................................................... 22
3) Sensorische stimulatie en desensitisatie .................................................................................................... 22
4) Functionele sensomotorische activiteiten aanbieden................................................................................. 22
Casus: Brent ................................................................................................................................................... 22
Casus: Mohammed......................................................................................................................................... 22
Casus: Lina ..................................................................................................................................................... 22
Casus: Milan ................................................................................................................................................... 22
3 Ervaringsordening: Timmers-Huigens (niet leren uit het boek) .............................................................. 23
Vier delen’ van ervaringsordening: ............................................................................................................... 23
De vier delen zijn afzonderlijk beschreven maar zijn steeds aanwezig in een geheel. .................................... 23
3.1 4 belangrijke vragen ............................................................................................................................ 23
CO-REGULATIE = Welbevinden begeleider en cliënt ....................................................................................... 23
3.2 Kenmerken lichaamsgebonden ervaringen ......................................................................................... 23
3.2.1 Begeleiding lichaamsgebonden ervaring ........................................................................................ 24
3.2.2 Herhaling, herkenning en het tergkomen van ervaringen .............................................................. 24
3.2.3 Aanpassing aan de woon en leefgroep ........................................................................................... 24
3.3 Associatieve ervaringsordening ........................................................................................................... 25
3.3.1 Kenmerken ...................................................................................................................................... 25
3.3.2 Begeleiding ...................................................................................................................................... 25
3.4 Stucturerende ervaringsordening ........................................................................................................ 25
, 3.4.1 Kenmerken ...................................................................................................................................... 25
Bekijk het filmpje ........................................................................................................................................... 26
3.4.2 aandachtspunten begeleider .......................................................................................................... 26
3.5 Vormgevende ervaringsordening ........................................................................................................ 26
3.5.1 Begeleiding ...................................................................................................................................... 26
3.5.2 Manieren van begeleiden ............................................................................................................... 26
Wat stel je voor bij de verschillende ervaringsordeningen? ........................................................................... 26
4 Emotionele ontwikkeling / ..................................................................................................................... 27
4.1 SEO-R2 ................................................................................................................................................. 27
4.1.1 Waarom een aparte schaal voor emotionele ontwikkeling naast IQ,...? ........................................ 27
4.1.2 Ontwikkelingsprofiel ....................................................................................................................... 27
4.1.3 Doelen schaal .................................................................................................................................. 28
SEN (Steunpunt Expertisenetwerken) ............................................................................................................ 28
4.2 Ontwikkelingsfasen.............................................................................................................................. 28
4.2.1 Fase 1: Adaptatiefase 0 – 6maand .................................................................................................. 28
4.2.2 Fase 2: Eerste socialisatie 6 - 18 maand .......................................................................................... 28
4.2.3 Fase 3: Eerste individuatie 18 maand – 3 jaar ................................................................................. 29
4.2.4 Fase 4: Identificatiefase 3 – 7 jaar ................................................................................................... 29
4.2.5 Fase 5: Realiteitsbewustwordingsfase: 7 – 12 jaar ......................................................................... 29
4.2.6 Hoe gebruik je de SEO-R .................................................................................................................. 31
4.2.7 In team: SEO-R Kleurenprofiel ........................................................................................................ 32
5 Basale stimulatie ................................................................................................................................... 32
Basale stimulatie ............................................................................................................................................ 32
Doel basale stimulatie .................................................................................................................................... 32
5.1 Prikkels aanbieden ............................................................................................................................... 32
‘Specifieke’ lichamelijk stimulatie .................................................................................................................. 32
5.2 De verschillende waarnemingsgebieden ............................................................................................. 33
5.2.1 Somatische stimulatie ..................................................................................................................... 33
5.2.2 Vestibulaire stimulatie (hangmat of tillift) ...................................................................................... 33
5.2.3 Vibratorische stimulatie .................................................................................................................. 33
5.2.4 Olfactorische stimulatie .................................................................................................................. 33
5.2.5 Visuele stimulatie ............................................................................................................................ 33
5.2.6 Tactiel- haptische stimulatie (tast) .................................................................................................. 33
5.2.7 Omgeving ........................................................................................................................................ 33
5.2.8 Aandachtspunten ............................................................................................................................ 33
Voorbeelden .................................................................................................................................................. 34
5.2.9 Cursus Basale stimulatie document ................................................................................................ 34
6 Snoezelen .............................................................................................................................................. 34
6.1 Wat? .................................................................................................................................................... 34
6.2 Waarom? ............................................................................................................................................. 34
, 6.3 Aandachtspunten! ............................................................................................................................... 34
6.4 Zintuigen .............................................................................................................................................. 34
6.4.1 Visueel ............................................................................................................................................. 34
6.4.2 Auditief ............................................................................................................................................ 34
6.4.3 Tactiel .............................................................................................................................................. 35
6.4.4 Vestibulair ....................................................................................................................................... 35
6.4.5 proprioceptief ................................................................................................................................. 35
6.4.6 Reukzin ............................................................................................................................................ 35
7 Multi sensory storytelling ...................................................................................................................... 35
7.1 Belevingstheater .................................................................................................................................. 35
7.1.1 Definiëring ....................................................................................................................................... 35
7.1.2 prikkels ............................................................................................................................................ 35
7.1.3 publiek ............................................................................................................................................. 35
7.1.4 doelen ............................................................................................................................................. 36
7.1.5 hoe/methodiek................................................................................................................................ 36
7.1.6 uitgangspunten ............................................................................................................................... 36
8 Sherborne .............................................................................................................................................. 36
8.1 Wat is Sherborne? ............................................................................................................................... 36
8.2 Pedagogiek .......................................................................................................................................... 36
DOELSTELLINGEN Heel belangrijk ............................................................................................................... 37
8.2.1 Bewustwording eigen lichaam ........................................................................................................ 37
8.2.2 Bewustwording van de ruimte ........................................................................................................ 37
A) ruimte ........................................................................................................................................................ 37
B) Tijd ............................................................................................................................................................. 38
C) Zwaartekracht ............................................................................................................................................ 38
8.2.3 Bewustwording van anderen (relatiespelen) .................................................................................. 38
8.2.4 Pedagogische principes ................................................................................................................... 38
8.2.5 Praktijk ............................................................................................................................................ 39
8.3 Doelgroep ............................................................................................................................................ 39
8.3.1 Sherborne bij personen met een verstandelijke beperking ............................................................ 39
8.3.2 Matig verstandelijke handicap ........................................................................................................ 39
Voorbeelden .................................................................................................................................................. 39
8.3.3 Ernstig verstandelijke handicap ...................................................................................................... 40
8.3.4 Ernstig meervoudige problematiek ................................................................................................. 40
9 Reighnilde .............................................................................................................................................. 42
10 1B: Basaal leren en toepassen van kennis .......................................................................................... 42
10.1 Dyscalculie ........................................................................................................................................... 42
10.1.1 Criteria- voorwaarden piaget: ..................................................................................................... 42
10.1.2 Response –To - Instruction model .............................................................................................. 42
Fase 1: de juf geeft zorg ................................................................................................................................. 42
