Betegnelsen_APD

Det er forskjell på en diagnose og en betegnelse. En diagnose står i de ulike diagnosemanualene. Det gjør ikke en betegnelse. For tiden foregår det mye rundt betegnelsen APD (Auditory processing disorder). Betegnelsen APD er foreløpig ikke klassifisert i noen diagnosemanual. Auditiv prosessering er et medisinsk begrep for lytting og benyttes for å beskrive hva skjer når hjernen gjenkjenner og tolker lyd. Det er en paraplybetegnelse for en rekke auditive ferdigheter som er nødvendige for avkoding og forståelse av lyd. APD er en kompleks og heterogen hørsels- og kommunikasjonsvanske som påvirker måten hjernen bearbeider og forstår lyd. Det innebærer vansker med å dekode (prosessere) det du hører og for eksempel sortere relevant fra ikke relevant informasjon. Det er uenighet internasjonalt om diagnostiske kriterier. Det foregår for tiden mye forskning rundt APD.

McGinnis brukte betegnelsen «Auditiv agnosia» om denne auditive lidelsen, som hun mener er et vesentlig karakteristisk trekk (blant flere andre trekk) hos barn hun betegner som «Aphasic children» (McGinnis 1963:3ff). Alexándr Luria beskriver den samme lidelsen hos personer med ervervet afasi (Luria 1984:37). Luria beskriver afasi som et syndrom. Han mener språkfunksjonen forutsetter mange delfunksjoner knyttet til et cerebralt funksjonssystem. Følgelig er det ingen enkel usammensatt sammenheng mellom symptom og årsak i en afatisk tilstand, mener han. Denne forståelsen vanskeliggjør diagnosen, men gjør habilitering, rehabilitering, dvs læring mulig. Grunnen til det er at andre samarbeidende områder i hjernens funksjonelle system relatert til språk kan overta for det som svikter (Luria 1983:24ff).

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