Exploring the situated social being of children with PMLD in UK school contexts
Author(s):
Ben Simmons (presenting / submitting)
Conference:
ECER 2017
Format:
Paper

Session Information

04 SES 06 B, Social Inclusion for All

Paper Session

Time:
2017-08-23
15:30-17:00
Room:
W6.16
Chair:
Charlotte Riis Jensen

Contribution

BACKGROUND

Children with profound and multiple learning disabilities (PMLD) experience severe congenital impairments to cognition and consciousness stemming from neurodevelopmental disorders or brain injury (Carnaby, 2007). These impairments are typically framed in terms of ‘global developmental delay’, and children with PMLD are described as operating at the pre-verbal stages of development. Whilst inclusive education has been a major theme in European and international-level policy literatures (e.g. UNESCO, 2009), there has been little work undertaken to understand its realisation for the PMLD population. This is reflected in the dearth of empirical research literature in the field, as well as the lack of theoretical and methodological advancements regarding the meaning of inclusion for children with PMLD, how it could be researched and supported in practice. By contrast, a major area of research in the PMLD field concerns the development of social awareness and communication skills in children with PMLD (Simmons and Watson, 2015). This work has typically been informed by psychological theory and aimed to develop strategies to support children in their progression through the preverbal stages of communication. However, the work is typically undertaken in segregated settings such as special schools, and the potential impact of mainstream education on the social skills of children with PMLD has thus far been overlooked. 

RESEARCH QUESTIONS AND AIMS

This paper presents the emerging findings of an on-going (2014-2017) British Academy-funded project which explores the intersection of ‘inclusive’ education and communication of children with PMLD. Specifically, the aim of the research is to explore how different educational environments in the United Kingdom support the enactment and emergence of sociability in children with PMLD. Sociability is understood in terms of agency (intentional action towards others), intersubjectivity (awareness of the subjectivity of others), and symbolic communication (deliberate exchange of information). 

The research addresses three questions:

1. How do different educational environments (special and mainstream, from pre-school to secondary school) afford alternative opportunities for social interaction?

2. How do children with PMLD respond to such opportunities to interact?

3. How does such interaction impact on the growth of sociability, understood in terms of agency, intersubjectivity and symbolic communication?

THEORETICAL FRAMEWORK

The theoretical framework guiding the research draws heavily from the phenomenology of Maurice Merleau-Ponty (2002). By exploring how sociability is bound to context, activity, and people, the research will build upon phenomenological understandings about the situated cognition of children with PMLD (Marratto, 2012). Classical psychological accounts found in the PMLD field hold that children with PMLD lack the ability to explicitly represent the world and so cannot act in it (Simmons and Watson, 2014). From a phenomenological perspective, first meanings are not thematically represented but enacted; it is through action that we make sense of the world, and this sense is intuitive. Instead of presupposing that some children are too disabled to participate in mainstream life, a phenomenological perspective asks how different environments afford alternative opportunities for engagement and learning. Hence, this framework opens up debate about the nature of learning for children with PMLD, and situates consciousness and cognition in embodied, intercorporeal, and relational-contextual factors.

Method

RECRUITMENT AND TIMETABLE Data collection ran from October 2014-December 2016. Seven children with PMLD in the UK participated in the study, which involved children from pre-school, primary school, and secondary school). Each child was observed one day a week in mainstream school and one day a week in special school, over an eight-week period. METHODOLOGY Researching children with PMLD is made problematic because complex cognitive, sensory, and mobility impairments lead to idiosyncratic behavioural repertoires. Understanding the meaning of behaviour thus requires acts of interpretation, hence the proposed research draws from the interpretivist and participatory paradigms to guide such interpretation (Denzin & Lincoln, 2005). To avoid misrepresenting children, the research aimed for authenticity/trust-worthy interpretations through a methodology that supported regular, reflective dialogue with school staff and parents. The following methods were used: (i) Semi-structured interviews were run with family members and school staff to ascertain the abilities/impairments of individual children. Descriptions of how children act and the meaning people ascribe to those actions guided the researcher’s early observations. (ii) Unstructured participatory observation were used to deepen the researcher’s understanding of individual children. The researcher engaged in participatory observation two days a week for five weeks by acting as a teaching assistant. During this time he engaged in informal, reflective dialogue with staff about the meaning of research participants’ behaviours. (iii) Non-participatory, semi-structured observation provided the main opportunities for data generation through the writing of vignettes. Vignettes are rich prosaic renderings of fieldwork observations. They have a narrative, story-like structure that preserve chronological flow and offer a vivid portrayal of the events in everyday life. The aim was to write detailed micro-descriptions of children’s interactions with others. The process of vignette writing created a textual catalogue of data for each child documenting the range of social actions across contexts which can be subjected to thematic analysis.

Expected Outcomes

Data analysis began in January 2017. Preliminary analysis suggests that mainstream classroom environments provide rich and diverse communication opportunities for children with PMLD and contrast to the heavily structured segregated classroom environments. This is partly due to the unstructured, spontaneous, and playful nature of peer interactions in mainstream schools versus the minimal (and sometimes non-existent) interaction from peers in special schools. Staff are the main communication partner for children with PMLD in special schools, but these interactions are often planned for, structured, and timetabled. Some children with PMLD experienced prolonged periods of isolation in special schools waiting for timetabled interactions. Children with PMLD respond in unique and complex ways to different environmental situations. Whilst some appear to immediately ‘thrive’ in mainstream schools (evidenced through increased displays of primary intersubjectivity, orientation towards social groups, initiations/sustainment of peer interaction), others develop confidence over time. This appears to be partly due to the confidence and social maturity of peers (e.g. five year old mainstream children just starting school required significantly more input from TAs about how to communicate with children with PMLD). However, some children with PMLD showed clear preferences for a member of special school staff and potentially appeared to be most alert and focused when in her presence. The complexity of quality mapping the social environment for children with PMLD will be discussed. A detailed discussion of the findings based on formal analysis will take place during the presentation of the paper.

References

Carnaby, S. (2007) Developing good practice in the clinical assessment of people with profound intellectual disabilities and multiple impairment. Journal of Policy and Practice in Intellectual Disabilities, 4: 88-96. Denzin, N. & Lincoln, Y. (2005) Sage handbook of qualitative research, London: Sage. Marratto, S. (2012) The Intercorporeal Self: Merleau-Ponty on Subjectivity. Albany, NY: State University of New York Press Merleau-Ponty (2002) The Phenomenology of Perception, London: Routledge. Simmons, B., & Watson, D. (2014) The PMLD ambiguity: Articulating the life-worlds of children with profound and multiple learning disabilities, London: Karnac. UNESCO (2009) Policy Guidelines on Inclusion in Education, France: UNESCO.

Author Information

Ben Simmons (presenting / submitting)
University of Bristol
Graduate School of Education
Bristol

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