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1.

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2.

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2.1

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2.2

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2.6

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Cox A.D. Lambrenas K. (1992) Childhood physical disability and
attachment
Hagberg B., Hagberg G. (1993) The origins of cerebral palsy
Lamb B., Lung R. (1992) Etiology of cerebral palsy
Clark PN, Allen Ast (1997) Occupational therapy for children
Cohen M.E. and Duffner P.K. (1981) Prognostic indicators in hemiparetic
cerebral palsy
7 2003

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1.

, ,

.:

2002.

2. Bobath B.: The very early treatment of cerebral palsy.


Developmental Medicine and child Neurology, vol.9 (4) p.373390, August 1967.
3. Bobath B.:The facilitation of normal postural reactions and
movements

in

the

treatment

of

cerebral

palsy.Physiotherapy,vol.50(8) p.246-262,1964.
4. Bobath B., Bobath K.:
.
, 1992.
5. Bobath K.: The neuropathology of cerebral palsy and its
importance in treatment and diagnosis. Cerebral palsy bulletin,
vol 1 (8), p.13-33, 1959.
6. Bobath K.: The prevention of the mental vetardation in patients
with

cerebral

palsy.

5th

international

congress

of

child

Psychiatry, Scheveningen (Holland), 1962.


7.
.

., .:

2001.
8. ., .:
., .,
.:
. , , 7283. 1998.
9. ., .:
., .
.: -. , , 84-106, 1998.
10. Gesell A. & Amatruda G.S.: Developmental Diagnosis 2nd
Edition Harper, London, 1947.

98

11. Griffiths R.: The abilities of babies. University London Press,


London, 1954.
12. . , .:

University

Studio

Pres,

, 1996.
13. . : . . ,
, 2000.
14. Platzer W., Leonhard H., Kahle W.:

1,

. , ,1985.
15. . .
.: .,

.,

--.

.:

, . 7-71,1998
16. . .: .

..

, 1991.
17. .: . , 1995.
18.

.:

, 1986
19. .,

.:

( )
, 1990
20. ., .: . , ,
1995
21. Willoughby C., Palatajko Hj.: Motor problems in children with
development

coordination

disorder:

review

of

literature.

American Journal Occupational Therapy, vol 49 (8), September


1995

99

2004

100

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Retrieved
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112



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146

Abramowitz, A.J., & O Leary, S.G. (1990). Effectiveness of delayed punishment in an


applied setting. Behavior Therapy, 21, 231 239.
Alley, K. (1992). Handwriting in the Classroom. Retrieved July 18, 2004, from
http://www.sd54.k12.il.us/schools/webclass/kalley/default.htm
American Occupational Therapy Association (1994). Uniform Terminology for
Occupational Therapy. 3rd Ed. Rockville M.D.: Author.
Barkley, R.A. (1997). Attention deficit/ Hyperactivity disorder. In E.J. Marn & L.G.
Terdal (Eds.), Assessment of Childhood Disorders (pp. 71 129). New York:
Guilford Press
Bobath, B., & Bobath, K. (1992).
. :
Bobath, K. (1980). A neurophsiological basis for the treatment of cerebral palsy.
Cambridge University Press.
Bowker, P., Condie, D.N., Bader, D.L., Pratt, D.I., Wallace, W. (Eds.).
(1993).Biomechanical basis of orthotic management. Oxford: Butterworth
Heinemann.
Case Smith, J. (1994). Self care Strategies for children with developmental deficits.
In C. Christiansen, Ways of Living. U.S.A.: The American Occupational
Therapy Association, Inc.
Colangelo, C. A. (1992). Biomechanical Frame of Reference. In P. Kramer, & J.
Hinojosa (Eds.), Frames of reference for pediatric occupational therapy (pp.
233 305). Lippincott, Williams & Wilkins.

147

Coley, I.L., & Procter, S.A. (1989). Self maintenance activities. In P. Pratt & A.
Allen (Eds.), Occupationa Therapy for Children (pp. 260 294). St. Louis:
Mosby.
Cook, A.M., & Hussey, S.M. (1995). Assistive Technologies: Principles and practice.
St. Louis: Mosby.
Du Paul, G.J., & Eckert, T.L. (1997). The effect of school based intervention for
ADHD: A meta analysis. School Psychology Review, 26, 5 27.
Duncan, R.M. (1989). Basic principles of splinting the hand. Physical Therapy, 69
(12), 1104 1119.
Erhardt, R.P. (1983). Developmental Hand Function. (2nd Ed.). San Antonio: Therapy
Skill Builders.
Erhardt, R.P. (1993). Cerebral Palsy. In H. Hopkins & H. Smith (Eds). Willards &
Spackmans, Occupational Therapy, (8th Ed.). Philadelphia: J.B. Lippincott
Company
Farber, S.D. (1982). A multisensory approach to neurorehabilitation. Philadelphia:
W.B. Saunders.
Galloway, J. (1990). A handle on handedness. Nature, 346, 223-224.
Goldstein, S. (1994). Understanding and assessing ADHD and related educational and
behavioural and emotional disorders. Therapeutic Care and Education, 3, 111
129.
Jackson, S. (1997). Cerebrovascular accident. In A. Turner, M. Foster, S. Johnson
(Eds.). Occupational Therapy and Physical Dysfunction Principles, Skills and
Practice. (4th Ed.) (pp. 433 461). New York: Churchill Livingstone.
Jones, C. (1989, November/ December). Managing the difficult child. Family Day
Caring, 6 7.
Klein, M. (1988). Predressing Skills, Tucson A.Z.: Therapy Skill Builders.

148

Malick, M.H. (1980). Manual on static hand splinting. (4th Ed.). Harmarville
Rehabilitation Centre, Pittsburgh, Vol. 1
Mathiowetz, V., & Haugen, J. B. (1995). Evaluation of motor

ehaviour: Traditional

and contemporary views. In C.A. Trombly (Ed.), Occupational Therapy for


Physical Dysfunction (4th ed.). Baltimore: Williams & Wilkins.
Morris, S.E., & Klein, M.D. (1987). Pre feeding skills. Tucson A.Z.: Therapy Skill
Builders.
Ollendick, T.H. (1986). Behavior Therapy with children and adolescents. In S.L.
Garfield & A. Bergin (Eds), Handbook of psychotherapy and

ehaviour

change (3rd ed., pp. 565 624). New York: Willey


Rowe, P. (1997). Orthotics. In A. Turner, M. Foster, S. Johnson (Eds.). Occupational
Therapy and Physical Dysfunction Principles, Skills and Practice. (4th Ed.)
(pp. 283 299). New York: Churchill Livingstone.
Scherzer, A., & Tscharnuter, I. (1990). Early diagnosis and therapy in cerebral palsy.
(2nd ed.). New York, NY: Marcel Dekker.
Sharp, G. & Thompson, D. (2004). Biomechanics of the hand. Retrieved July 15, from
http://moon.ouhsc.edu/gsharp/namics/hand.htm
Shepherd, J., Procter, S., & Coley, J. (1996). Self Care and Adaptation for
Independent Living. In A. Case Smith, A. Allen & P. Pratt (Eds.).
Occupational Therapy for children. (3rd Ed.) (pp. 461 502). St. Louis:
Mosby.
Sulzer Azaroff, B., & Mayer, G.R. (1991). Behavior Analysis for lasting change. Fort
Worth, TX: Holt, Reverhart & Winston.
Swan, D. (1984). Low temperature hand splinting with thermoplastic materials.
Phsiotherapy, 70 (9), 341 345.

149

Warner, J. (1981). Helping the Handicapped child with early feeding. London.
Winslow Press.
Warren, M. (1992a). A Hierarchical model for evaluation and treatment of visual
perceptual dysfunction in adult acquired brain injury, Part 1, American Journal
of Occupational Therapy, 47, 42 - 53.
Warren, M. (1992b). A Hierarchical model for evaluation and treatment of visual
perceptual dysfunction in adult acquired brain injury, Part 2, American Journal
of Occupational Therapy, 47, 55 - 66.
Werry, J.S., & Sprague, R. (1970). Hyperactivity. In G. Costello (Ed.). Symptoms of
Pshchopathology (pp. 397 417). New York: Willey.
Wilsdon, J. (1997). Cerbral palsy. In A. Turner, M. Foster, S. Johnson (Eds.).
Occupational Therapy and Physical Dysfunction Principles, Skills and
Practice. (4th Ed.) (pp. 395 431). New York: Churchill Livingstone.
Wolf, L.S., & Glass, R.P. (1992). Feeding and swallowing disorders in infancy:
Assessment and management. Tucson A.Z.: Therapy Skill Builders.
(2004).
, ., & , . (2000).
. :
, . (1998). :
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Personal

Communication Dictionary Gesture Dictionary).

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Bronicki, & Guess (1987)
.

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.

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(Musselwhite & StLouis, 1988).

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.

223


(Frost & Bondy, 1994).

SULP .

,
,
.



(Rinaldi, W. 1992).
, Rustin & Kuhr (1989)

,
.
.

224



0-24 .

(4-8 )

.

,
.

-
.

:
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.
(2) :
, .
(3) .

.


.
!

225

, , ,
, ,
.

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():

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227



( ) .

.

2 .
, . 2
, .

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.
.


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228

- , .
. University Studio Press, 1985.

, . (1992). .
.
, . . ,
, (: ,
). , , 1994.
, . (2003). :

. , , . (.).
: , , .
: .

Ayers, A. J. (1980). Sensory integration and the child. Los Angeles: Western
Psychological Services.
Barrett, J. & Herriotts, P. (1995). Communication and Access to Computer
Technology. Oxford: The Disability Information Trust.
Batshaw, M. L., (1997). Children with disabilities (4th ed.). Baltimore: Paul H.
Brookes Publishing Co.

229

Bernstein D., K. & Tigerman, E., (1993). Language and Communication


Disorders in Children. Macmillan Publishing Company, third edition.

Beukelman, D. R. & Mirenda, P. (1998). Augmentative and Alternative


Communication: Management of Severe Communication Disorders in
Children and Adults (2nd ed.) Baltimore: Paul H. Brookes Publishing Co.

Bloom, L., & Lahey, M., (1988). Language Disorders and Language
Development. Macmillan Publishing Company.

Bloomberg, K. & Johnson, H. (1991). Communication Without Speech.


Victoria, Australia: The Australian council for Education Research Ltd,
Radford House.
Creaghead, N.A., Newman, P.W, & Secord, W.A.(1985). Assessment and
Remidiation of Articulatory Disorders. (2nd Ed.). Merill Publishing Co.:
Columbus, Ohio.
Darley, F., Aronson, A., & Brown, J. (1975). Motor Speech Disorders.
Philadelphia: W. B. Saunders.
Dubowitz, V. (1995). Muscle Disorders in Childhood. (2nd Ed.) London: W. B.
Saunders Co. Ltd.

Frost, L. & Bondy, A. (1994) The Picture Exchange Communication System


Training Manual. Pyramid Educational Consultants, Inc, Cherry Hill, NY

Gearheart, B. R. & Weishahn, M.W., The Handicapped Child in the Regular


Classroom. Saint Louis: The C. V. Mosby Company, 1976.

230

Goosens, C., Crain, S. & Elder, P. (1994). Communication Displays for


Engineered Preschool Environments. Solana Beach, CA: Mayer-Johnson Co.
Grove, N. & Walker, M. (1990) The Makaton Vocabulary Using manual signs
and graphic symbols to develop interpersonal communication. AAC
Augmentative and Alternative Communication, 6, 15 28.
Guild, A. S. & Vail, T., Developmental Verbal Apraxia or Developmental
Apraxia of Speech. : ,
, , , 2002.

Hari, M., & Akos, K. (1988). Conductive Education. Translated by Smith, N. H.


& Stevens, J. London, New York: Tavistock/Routledge.

Johnson, H. & Scott, A., A Practical Approach to Saliva Control. Spastic


Society of Victoria, 1993.

Jones, S., (1990). INTECOM A Package Designed to Integrate Carers into


Assessing and Developing the Communication Skills of People with Learning
Difficulties. The NFER-Nelson Publishing Company.

Kierman, C., Reid, B. & Goldbart, J., (1987). Foundations of Communication


and Language. Manchester: University Press.

Lahey, M. (1988). Language Disorders and Language Development. New


York: Macmillan Publishing Company.

231

Law, J. (2000). Communication Difficulties in Childhood. Oxon: Radcliffe


Medical Press.
Musselwhite, C. R. & St.Louis (1988). Communication Programming for
Persons with Severe Handicaps. Boston, MA: College Hill Press.
Mysak, E.D. Cerbral Palsy Speech Syndromes. (1971). In Travis, L.E. (Ed.),
Handbook of Speech Pathology and Audiology. Meredith Corporation.

Rinaldi, W. (1992). Social Use of Language Programme. NFER Nelson


Publishing Company Ltd.
Rustin, L. & Kuhr, A. (1989). Social Skills and the Speech Impaired. London:
Taylor & Francis Ltd.
Winstock, A. (1994). The Practical Management of Eating and Drinking
Difficulties in Children. Oxon, UK: Winslow Press.

232

&


2004
!

233

(W.H.O.)
(impairment) ,
.


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257


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258

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260

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261

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263

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267

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268

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.

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269

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270

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271


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272


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Drill and Practice


,
,

273

. ,

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.

, Drill and Practice

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Drill and Practice .

. (Drill and
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.

274



.


(prototypes).

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.
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.
Center for Special Education Technology

.

, (user interface),
, (
project oriented work).

:

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/ (Drill and Practice)

275


Seymour
Pappert J.Piaget 60.
enabling technology ( )


.

: .
Cause and Effect,

.

Cause and Effect BUILD 1 Inclusive Ltd.


( ,
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.
(Close Environments)
(Open-ended Environments) .

,
.

276

E (closed environments)
/ ...


.

.

.
,
.

(open-ended

environments)
Logo.
Logo .
.

277

Logo
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.

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,
.
, ,

.

. Piaget,
(
).
.
Neisser,
. ,
,

, .
Neisser .

278

,
.
.

LogoMotor .
,
,

.
.

.
Goldenberg (1979),

. ,
. ,


.

279

E
,

.


. ,
.

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,
,

.

,
.
,
.

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,
.
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.

.
Logo. bigtrack,
Lego - Logo, Beach Lawler.
Lawler,

280

. Pappert
, , ,
.
.
,

. , .
.
Lawler
(cognitive engineering).


,
. ,
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,

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,

.
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.
Logo, Logo (Pappert, 1970).
, -
Pappert .
.

281

.
Roamer,
.
( )
,
.

.

Roamer

,
(environmental
control) .

H
Virtual Reality (VR),
interface
. interface
o
,
!

282

, ,
, "mouse - pointer - window".
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,
,
,
. VR

, .
(VR)
,
, (display
devices). ,
, (input)
, ,
.


, (input devices).


.

VE,
.

(input device) Spaceball


.VR

283

VR

:

,
, ,
.



,
,
.
VR

284



. sites:

on-line ,

software.
:

Ability Magazine British Computer Society Disability Group


.
http://www.abilitymagazine.org.uk.
Ability Web - . http://www.ability.org/.
Ability-UK.http://www.ability-uk.org.
Ace Centre North.http://www.ace-north.org.uk.
Assistive Technology On-Line
. http://www.asel.udel.edu/.
, .
http://www.assistive.co.uk.
Electric Wheelchairs at The Wheelchair Site
. http://www.thewheelchairsite.com.
Widgit Software -
. http://www.widgit.com/.
Makaton .
http://www.makaton.mta.ca/.
Microsoft Accessibility Page Microsoft
/.
http://www.microsoft.com/enable/.

285

R J Cooper R J Cooper
.
http://www.rjcooper.com.
Trace Centre
. http://trace.wisc.edu.
Web Site Accessibility Guidelines
. http://trace.wisc.edu.
AbilityNet .

. http://www.abilitynet.co.uk

Robert W. Lawler
, ,
. http://robertw.lawler.us/

286

New York State Education Department, Guidelines on Assistive


Technology Devices and Services to Students with Disabilities Ages 321:
Planning and Implementation Manual for Educators and Providers in New
York State, 1995.

RESNA, Assistive Technology and the Individualized Education


Program., Washington, DC: RESNA Technical Assistance Program, April
1992.

Beverly K. Bain, Dawn Leger, Assistive Technology: An


Interdisciplinary Approach, Churchill Livingstone, 1997.

Cook A., M., Hussey S. M. ,Assistive Technologies: Principles and


practice., Mosby, New York, 2000

, 1 .
DIUOA-990011, 1999.

Jean Piaget, Barbel Inhelder Psychology of the Child, Basic Books,


January 1969

Dr. Seymour Papert , The Children's Machine: Rethinking School in


the Age of the Computer, 1992

Robert W. Lawler, The Near Horizon in Educational Computing


Research. (Report No. 5.) Lafayette, IN: Purdue University School of
Education, Learning and Instruction Research Lab,1989.

., ., .
, , 2002

287

MEd

2004

288



.

, ,
,
.

.



.



.


,

, ,
.
( ).

289



.


.
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, , .



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,

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.


.
,

.


.

290

,
.
, ,
.



.

, , ,
,
.
(World Health
Organization, 1980) (disability)

.

,

.
(impairment)

(handicap)
.


.

(Oliver, 1990)


. (Marks,
1999).

291


,
.


. (Ainscow, 1996).


. (James, 1999).




.

, ,
, , ,
.
/
,

,
.

292

1

1.1.

1700,

1970-1980.


.



. (Striefel, 1985, Biklen, 1985, Winzer, Rogow & David 1989).
,


.
,

. (, 2001).
,


,
, .
( & , 1990).
,

. (, 1999).
!

293


,
. (, 1984).
80

.

,
SWAN Education for all (, 1985)
UNESCO (1991) .

1994
,
, . (UNESCO, 1994).
:
...
,
, , , ,
. ,
, ,
,

.

inclusion ( ),

.
J. Sebba M. Ainscow (1996), inclusion
...

.
,
,
.

294

includere,
,
, , ,
.

. (-, 2000).
Len Barton,
inclusion

(-,

2000)

inclusion

...

,
.
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. (Booth et al,
2000).

,

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.

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, , ,

295

,
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.

(,

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1992,

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, 1995).

(integration) 50
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(, 1993). ,

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(),


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1.3.



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. (,
2000).

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- (2000 ):
.
.
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,
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!

297

,
.


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.

(rationale

for

integration) .


,
.
(Canadian Council of Ministers of Education, 1983; Howarth, 1983).




. (Canadian Education Association, 1985; Howarth, 1983, Winzer,
Rogow & David, 1987).



. (Hasazi, 1980; Canadian
Education Association, 1985, 1983).



.

, .

298

(Biklen, 1985; Saskatchewan Teachers Federation, 1986; Canadian


Education Association, 1985, Howarth, 1983).



, .
(Howarth, 1983; Winzer, Rogow & David, 1987).




. (Bender, 1987; Howarth, 1983).



,

. (Biklen, 1985, Forest, 1985; Marshall, 1986; Rogow &
David, 1987; Slavin & Madden, 1986).


,

. (Biklen, 1985; Canadian Education Association, 1985, Florek,
1986, Weddell, Welton, Evans & Goacher, 1987, Winzer, Rgow & David,
1987).



. (Bender, 1987; Stainback &
Stainback, 1987, The Council for Exceptional Children, 1987).

299


.

,
.
, ,

.

.

1981,
, 1143/81 .
1143/81, . (2001) :
.
.
( ,

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( ,
).
(6-17 ).
....
( -).

(
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,
.
!

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.
(.
, 2001).
1143/81

, ,

.

. (. , 2001).


(, 1997)

.

1566/1985,
,

. (-, 2000).

, :
9 (mainstreaming)
.
9 .
9 .
9 .
!

301

9
,
....
9 Braille .

,


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(...., [ ], (1986),
).
1566/85
:


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() .

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(, 1999).

302



2817/2000.

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. (-, 2000).

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,

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305



.



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, .
( , 1997).

,

.



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- (2000):

,


,
.


!

306

, ,
:
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,
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307



.
,
,
. (Sarason, 1995, Scruggs and Mastropieri,
1996). Fullan and Milles (1992):
, ,
, ,
,
.
Meister (2000)
,
,
13 :

: (,
.) .

:
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: ,

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.

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308

:
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.

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, .

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.

:
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,

.

,
.

Porter

(1997)

,
.
Ainscow (1995)
sine qua non,
.

309


,
, ,
,

.
,

,

.
Farrell (1997 , 1997 ) :

...

.

,
,



.

310

3.1.
3.2.




(....)

.

,
.

,

.

,
.


,

, ,
,
.
3.1.


.
!

311


,

.


.


...


. (Treder, Morse &
Ferron, 2000).
Meisel (1986)

:

,
,

, ,
,

. (Pivic, McComas & La Flamme, 2002).


,
,

312

,
. (Johnson, 1980, Hill, 1988).

,
,
.




. (McLeskey & Waldron, 2002).

.



. (Hayes K. Gunn, 1988, Center
R. Ward, 1987, Hill, 1988).
Center and Ward (1987)



.

3.2.


(....),
.

313

,

, ,
.
,
,


.
,
,

.


.
2-9
8 .. 1 ..



.
,
,
,

. (Haskell and Barrett, 1993).
, ,
, ,
.

- ,
!

314

,
,
/ .
,



, .

: ,
,
.

-

.

:


.
,
, ,
,
.

:
,
- ,

.
, ,
,

.

315

(....) 5-9
, ,

.

,
, ,
- ,
.


,
, ,
,

316

Bender, W. N. (1987). Effective educational practices in the mainstream


setting : Recommended model for evaluation of mainstream teacher
classes. The Journal of Special Education, 20 (4), 475-487.
Biklen, D. (1985). Achieving the complete school. Strategies for
effective mainstreaming. NY : Teachers College Press.
Booth, T., Ainscow, M., Black - Hawkins, K., Vaughan, M. & Shaw, L.
(2000). Index for Inclusion : Developing Learning and Participation in
Schools. Bristol : CSIE (Centre for Studies in Inclusive Education).
Canadian Council of Ministers of Education (1983). Survey of Special
education in Canada, 1982-83. Winnipeg, MB : Candid Research and
Council of Ministers of Education.
Canadian Education Association (1985). Mainstreaming : Some issues
for school boards. Toronto.
Farrell, P. (1997). The integration of children with severe learning
difficulties : a review of the recent literature. Journal of Applied
Research in Intellectual Disabilities 10 (1) 1-14.
Farrell, P. (1997). Teaching Pupils with Learning Difficulties. London :
Cassell.
Florek, A. (1986). Integration or bandwagon hypocrisy ? British
Journal of Special Education, 13 (2), 52.
Forest, M. (1985). Education update. Canadian Journal on Mental
Retardation, 35 (1).
Fullan, M. G., & Miles, M. B. (1992). Getting reform right : What works
!

317

and what doesnt. Phi Delta Kappan, 73, 774-752.


James, F. .
, ., , .,
, . (.),
, , , 1999.
Marks, D. (1999). Disability, controversial debates and psychosocial
perspectives. London : Routledge.
Meister, Hans (2000).
- , . (.), :
;
Oliver, M. (1990). The politics of disablement. Basingstoke, New
Hampshire : MacMillan.
Porter, G. L. (1997). Critical elements for inclusive schools. In : Pijl., S.
J., Meijer, C. J. W. & Hegarty, S. Inclusive Education : A Global
Agenda, London : Routledge.
Sarason, S. B. (1995). Some reactions to what we have learned. Phi
Delta Kappan, 77, 84-85.
Saskatchewan Teachers Federation (1986). What teachers need A
report

from

the

Saskatchewan

Teachers

Federation

Study

of

mainstreaming.
Scruggs, T. E., & Mastropieri, M. A. (1996). Teacher perceptions of
mainstreaming / inclusion 1955 - 1995 : A research synthesis.
Exceptional children, 63, 59-74.
Sebba, J. and Ainscow, M., (1996). International Developments in
Inclusive Schooling : Mapping the Issues. Cambridge Journal of
Education, Vol. 26, No. 1, 1996.
!

318

Slavin, R. E. & Madden, N. A. (1986). The integration of students with


mild academic handicaps in regural classrooms. Prospects, XVJ (4)
443-461.
Stainback, W., & Stainback, S. (1987). Integration versus cooperation :
A commentary on Educating children with learning problems : A shared
responsibility. Exceptional Children, 54, 66-68.
Striefel, S. (1985). Facts about mainstreaming : Answers for parents of
children with handicaps. Logan, UT : Utah State University.
Swan-Report, The Report of the Committee of Inquiry into the
Education of Children from Ethnic Minority Groups, London : Hmso,
1985.
The Council for Exceptional Children (1987). The CEC Policy Manual,
Reston.
UNESCO (1994). The Salamanca Statement : network for action on
special needs education. URL : <http: www.inclusioncom/page11htm.
Weddell, K., Welton, J., Evans, J. & Goacher, B. (1987). Policy and
provisions under the 1981 act. British Journal of Special Education 14
(2), 50-53.
Winzer, M., Rogow, S., & David, C. (1989). Exceptional Children in
Canada Scarborough, ON : Prentice Hall.
World Health Organization (1980). The international classification of
impairments, disabilities and handicaps. Geneva, Switzerland : World
Health Organization.

319

(1997).
. :
.
- , . (1996). . ,
.

(2000).

- , . (.),
: ;
. ,
, (31-56).
- , . (2000). . - . (.)
. :
, . 11-25.

, . (1992).

, . : .
, . (2001). .
.
. : .
, . (1997) :
. 2
....... 13-14/6/1998.
, . (1997). :
. ,
.

320

, . : .
, 1984, 19, 17-24.
, . (1999).
.
.
. , 90, 87-103.
, . :
. , . ., 1995.
, . (2001). . ,
. (1906 - 1989).
, Gutenberg.
, . & , . (1990).
.
. ,
. : , . 95104.
, . (1993). .
. , 46-47, 18-29.
....., , 1986,
.
, . (2000).
. : .
Ainscow, M. (1995). Special needs through school improvement ;
school improvement through special needs. In : Clark, C., Dyson A. &
Millward, A. Towards Inclusive Schools ?
London : David Foulton.

321


. , , (71-85).

322


2004

323


.


.

.

, .


.
.

.



, ,


.

, .
,
, ,

324


,
.


.

,
,

.

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, .
.
,

.
.


, .

325

1.


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,
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.

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, ,
,

.4
,
, , .
4

.,1993

326

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. .
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.
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.
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.

. ,
,

.6

,
.
5
6

Acherman ., ,1992
.1994

327

,
, , .

,
, ,
.

7.




.

.

,

.8

.
.

,
.
.
,
, .


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7
8

.1990
.1993

328

,


, .




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.

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329


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.

.1.

330

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,
. ,
.
, ,
. 9
,

.
.



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, .
.


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, .
,
, .

.
, ,

. 1993

331


,

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.


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,
.


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, ,

.

.
.
,
,
.
.

,
.

.

10

. .
10

,1993

332

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.


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.11

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, .
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; ;
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Dale N, 2000.

334

,
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;
;

.

.
,

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.

.

, , ,
,

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.


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( , ,
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Alexander R,1974

335



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, 2000/12.

336


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:

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.



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.

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!

337

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4.
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.


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, ...,
,
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,

338

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.

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, , , .

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.

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,
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,
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... !.14

, .

.

14

,1999

339


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. .

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.
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,
, ,
.

.

, .

, ,
.

.

.

Cunningham Davis

:
1. ,
,
. .
,
.
2.
, , .
,

3.

340


.
,
.
4.

.
. 15


.

.
,
,

.

.
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,
, .

.

.
( )

.

15

Dale N.,2000

341

5.
,

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.

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,1993

343

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!

344



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345

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.
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!

352

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, , 17

17

,1993

353

.

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.


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.

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354


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!

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356

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, ,
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,
, , .
,

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.

.
.
15 ,
,
,
.
11.


,

.
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.

6.

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357

,
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.

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.
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.

.
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!

358


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,
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.


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, .,

.
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.

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!

359

.

.
.
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.
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.
,
.


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!

360

, ,
.

. ,
,
.

, .


.
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,
.


, . ,
. ,
. ,
,
,

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.

361

.
.

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362

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.


. ! !
: , ;
.
!
.
.19


.
,
,
. , ,
. ,
.

19

.1993

363


,
.
,
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.
.

-
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.

.
,

.

, ,
, .



.


.

.
!

364

,
,
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.

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12.
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.


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365

, ,
.
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.
.
, .


- .
!

, .
,
. .

, -
.

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; ;

,
, , .
,
!

366

.

,
.

,
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.

, .
, .
.

,
.
,

.
,
.
,
, ,
.
.
,

.

. ,
.
!

367

.
.
, .


,

.
,


,
. ,
, .
..
,
.


: .

368

1. Acherman Nathan, 1958, ,


Basic Books,Inc.new York,. .-
2. Alexander L. Rosa , 1974, :T ,
H
, 9,
3. Dale Naomi, 2000,
, , ,
4. Skynner

Robin-Cleese

John,

1989,

, .

5. .., 1990, ,
,
6. , 1993,
, ,
7. , 1994, ,
, 35,
8.

, 2000

, , ,.
9.

1993


www.circleofinclusion,org .113- www.corbis,com, 1 23,1 26, 2
29
www.health.state.nm.us/disability.htm 1 29 www.specialneedsfamily
fun.com, 1 31.

369

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