.dbi-art-5e107b6b{margin:0;background:#f8f9fc}.dossier-back{padding:17px 24px;font:14px Arial;background:#edf0fa}.dbi-art-5e107b6b .dossier-back a{color:#41459b}.communication-article{--primary-blue:#5e5ed7;--dark-blue:#4456ac;--teal:#a9e2e4;--yellow:#ffeca7;--pink:#e73469;--light-gray:#f8f9fc;--text-color:#2f3b4b;--border-color:#dce3ed;font-family:'Poppins',Arial,sans-serif;line-height:1.7;color:var(--text-color);background:var(--light-gray);overflow-wrap:break-word;font-size:16px}
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.communication-article .article-hero-curve{position:absolute;bottom:-1px;width:100%;height:45px;background:var(--light-gray);clip-path:ellipse(100% 100% at 50% 100%)}.communication-article .article-body{background:white;margin:-29px auto 0;max-width:1200px;position:relative;border-radius:22px 22px 0 0;padding:42px 0 50px}.dbi-art-5e107b6b .communication-article .intro-block{background:linear-gradient(135deg,#f6f7fe,#f0f6f8);border-left:5px solid var(--primary-blue);padding:30px 34px;border-radius:18px}.communication-article .intro-block p:last-child{margin:0}.dbi-art-5e107b6b .communication-article .stats-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:19px;margin:32px 0}.communication-article .stat-card{padding:24px 18px;text-align:center;border-radius:16px;border:1px solid var(--border-color);box-shadow:0 9px 28px #4b4bb30b}.dbi-art-5e107b6b .communication-article .stat-card strong{display:block;font-size:1.55rem;color:var(--primary-blue);font-family:Montserrat,Arial;font-weight:800}.communication-article .stat-card span{font-size:.85rem;color:#526074}.dbi-art-5e107b6b .communication-article .contents{padding:24px 28px;border-radius:15px;background:#f6f7fc}.communication-article .contents strong{color:#3e4b96}.dbi-art-5e107b6b .communication-article .contents ol{margin:13px 0 0;padding-left:23px}.communication-article .contents li{padding:4px 0}.dbi-art-5e107b6b .communication-article .key-points{background:linear-gradient(135deg,#eaf6f8,#c9eeee);padding:25px 30px;border-radius:17px;margin:30px 0}.communication-article .key-points h3,.communication-article .conseil-card h3,.communication-article .evaluation-tools h3{margin-top:0}.dbi-art-5e107b6b .communication-article ul, .dbi-art-5e107b6b .communication-article ol{padding-left:24px}.communication-article li{margin:10px 0}.dbi-art-5e107b6b .communication-article .conseil-card{padding:26px 30px;background:#fff4cc;border:1px solid #eadba2;border-radius:17px;margin:30px 0}.communication-article .conseil-card p:last-child,.communication-article .tip-box p:last-child{margin-bottom:0}.dbi-art-5e107b6b .communication-article .product-card{display:grid;grid-template-columns:230px 1fr;align-items:center;gap:30px;padding:28px;border:1px solid #dde2f4;background:linear-gradient(130deg,#f6f6ff,#f3fbfc);border-radius:21px;margin:35px 0}.communication-article .product-card img{width:100%;height:auto;display:block;border-radius:15px;aspect-ratio:1;object-fit:contain}.dbi-art-5e107b6b .communication-article .product-card h3{margin-top:10px;font-size:1.5rem}.communication-article .small-label{text-transform:uppercase;letter-spacing:.07em;font-size:.73rem;font-weight:800;color:#4a55a8}.dbi-art-5e107b6b .communication-article .product-meta{font-size:.84rem;color:#526078}.communication-article .btn-purple{display:inline-block;padding:12px 23px;border-radius:30px;background:#5151ba;color:#fff;text-decoration:none;font-weight:700;font-size:.9rem}.dbi-art-5e107b6b .communication-article .table-scroll{overflow-x:auto;margin:25px 0}.communication-article table{border-collapse:collapse;width:100%;min-width:540px;font-size:.92rem}.dbi-art-5e107b6b .communication-article caption{text-align:left;font-weight:700;margin:0 0 12px;color:#424e6a}.communication-article th,.communication-article td{padding:17px 16px;text-align:left;vertical-align:top;border-bottom:1px solid #dce3ed}.dbi-art-5e107b6b .communication-article th{background:#ebecfc;color:#3e428e}.communication-article tr:nth-child(even){background:#f8fafc}.dbi-art-5e107b6b .communication-article .tip-box{background:#fff0f4;border:1px solid #efbfd0;padding:24px 28px;border-radius:16px;margin:28px 0}.communication-article .tip-box strong{color:#8c3154;display:block;margin-bottom:10px}.dbi-art-5e107b6b .communication-article .questions-card{border:1px solid #d5dfee;background:#f7f9fd;border-radius:16px;padding:20px 27px}.communication-article .questions-card li{padding:6px 0}.dbi-art-5e107b6b .communication-article .questions-card li::marker{font-weight:800;color:#5454bd}.communication-article .methods-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:18px;margin:28px 0}.dbi-art-5e107b6b .communication-article .method-card{padding:23px;background:#f4f6ff;border:1px solid #d9dff5;border-radius:16px}.communication-article .method-card h3{font-size:1.17rem;margin:16px 0}.dbi-art-5e107b6b .communication-article .method-card p{font-size:.94rem}.communication-article .method-number{display:inline-grid;place-items:center;width:38px;height:38px;background:#e0e2fb;color:#4b4bb2;border-radius:11px;font-weight:800}.dbi-art-5e107b6b .communication-article .evaluation-tools{padding:26px 30px;border:2px solid #b4dce0;border-radius:16px;margin:28px 0}.communication-article .training-card{display:grid;grid-template-columns:1fr 1.2fr;gap:28px;align-items:center;padding:28px;background:linear-gradient(135deg,#eef0ff,#e8f6f7);border-radius:22px;margin:55px 0}.dbi-art-5e107b6b .communication-article .training-card img{display:block;width:100%;height:auto;border-radius:15px}.communication-article .training-card h2{font-size:1.5rem;margin:12px 0 20px;border:0;padding:0}.dbi-art-5e107b6b .communication-article .training-card p{font-size:.94rem}.communication-article .faq-item{border:1px solid var(--border-color);border-radius:12px;margin:14px 0;overflow:hidden}.dbi-art-5e107b6b .communication-article .faq-item summary{cursor:pointer;padding:20px 23px;font-weight:700;color:#444b91}.communication-article .faq-item[open] summary{background:#f3f4fc;border-bottom:1px solid var(--border-color)}.dbi-art-5e107b6b .communication-article .faq-item>div{padding:22px 23px}.communication-article .faq-item p{margin:0}.dbi-art-5e107b6b .communication-article 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solid var(--border-color);padding-top:25px;margin-top:28px}.communication-article .article-tags span{background:#f0f1fb;color:#444ca3;padding:7px 13px;border-radius:25px;font-size:.8rem}
.dbi-art-5e107b6b .communication-article figure{margin:0}.communication-article figcaption{font-size:.8rem;line-height:1.6;color:#5d6881;text-align:center;padding:12px 8px 0}.dbi-art-5e107b6b .communication-article .souvenir-showcase{display:grid;grid-template-columns:1.08fr 1fr;gap:32px;align-items:center;background:linear-gradient(135deg,#f8f4ff,#f1f9f9);padding:27px;border:1px solid #e1e3f2;border-radius:20px;margin:35px 0}.communication-article .real-page img{display:block;width:100%;height:auto;border-radius:10px;box-shadow:0 10px 25px #30305d16}.dbi-art-5e107b6b .communication-article .souvenir-notes h3{font-size:1.5rem;margin-top:12px}.communication-article .exercise-showcase{max-width:780px;margin:35px auto}.dbi-art-5e107b6b .communication-article .exercise-showcase img{display:block;width:100%;height:auto;border-radius:16px;box-shadow:0 9px 28px #30305d17}.communication-article .series-showcase{max-width:500px;margin:30px auto 25px}.dbi-art-5e107b6b .communication-article .series-showcase img{display:block;width:100%;height:auto;border-radius:16px}
@media (max-width:760px){.dbi-art-5e107b6b .communication-article .container{padding:0 17px}.dbi-art-5e107b6b .communication-article .article-hero{padding:30px 0 75px}.dbi-art-5e107b6b .communication-article .article-body{padding:25px 0}.dbi-art-5e107b6b .communication-article .intro-block{padding:22px}.dbi-art-5e107b6b .communication-article h2{font-size:1.55rem;margin-top:40px}.dbi-art-5e107b6b .communication-article .stats-grid{grid-template-columns:1fr;gap:11px}.dbi-art-5e107b6b .communication-article .stat-card{padding:15px}.dbi-art-5e107b6b .communication-article .stat-card strong{font-size:1.3rem}.dbi-art-5e107b6b .communication-article .product-card, .dbi-art-5e107b6b .communication-article .training-card, .dbi-art-5e107b6b .communication-article .methods-grid, .dbi-art-5e107b6b .communication-article .souvenir-showcase{grid-template-columns:1fr}.dbi-art-5e107b6b .communication-article .product-card, .dbi-art-5e107b6b .communication-article .training-card, .dbi-art-5e107b6b .communication-article .souvenir-showcase{padding:21px}.dbi-art-5e107b6b .communication-article .product-card .product-visual{max-width:220px;margin:auto}.dbi-art-5e107b6b .communication-article .cta-box{padding:28px 20px}.dbi-art-5e107b6b .communication-article .cta-buttons{flex-direction:column;align-items:center}.dbi-art-5e107b6b .communication-article .article-meta{gap:10px;flex-direction:column}}.dbi-art-5e107b6b .communication-article a.btn-purple, .dbi-art-5e107b6b .communication-article a.btn-purple:link, .dbi-art-5e107b6b .communication-article a.btn-purple:visited, .dbi-art-5e107b6b .communication-article a.btn-purple:hover, .dbi-art-5e107b6b .communication-article a.btn-purple:focus, .dbi-art-5e107b6b .communication-article a.btn-purple:active{
color: #ffffff !important;
-webkit-text-fill-color: #ffffff !important;
background: #4d46b5 !important;
border: 2px solid #4d46b5 !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-purple:hover,
.communication-article a.btn-purple:focus-visible,
.communication-article a.btn-purple:active {
background: #39348c !important;
border-color: #39348c !important;
}.dbi-art-5e107b6b .communication-article a.btn-white, .dbi-art-5e107b6b .communication-article a.btn-white:link, .dbi-art-5e107b6b .communication-article a.btn-white:visited, .dbi-art-5e107b6b .communication-article a.btn-white:hover, .dbi-art-5e107b6b .communication-article a.btn-white:focus, .dbi-art-5e107b6b .communication-article a.btn-white:active{
color: #39348c !important;
-webkit-text-fill-color: #39348c !important;
background: #ffffff !important;
border: 2px solid #ffffff !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-white:hover,
.communication-article a.btn-white:focus-visible {
background: #f0f1ff !important;
border-color: #f0f1ff !important;
}.dbi-art-5e107b6b .communication-article a.btn-outline, .dbi-art-5e107b6b .communication-article a.btn-outline:link, .dbi-art-5e107b6b .communication-article a.btn-outline:visited, .dbi-art-5e107b6b .communication-article a.btn-outline:hover, .dbi-art-5e107b6b .communication-article a.btn-outline:focus, .dbi-art-5e107b6b .communication-article a.btn-outline:active{
color: #ffffff !important;
-webkit-text-fill-color: #ffffff !important;
background: #4d46b5 !important;
border: 2px solid #ffffff !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-outline:hover,
.communication-article a.btn-outline:focus-visible,
.communication-article a.btn-outline:active {
background: #39348c !important;
}.dbi-art-5e107b6b .communication-article a.btn-purple *, .dbi-art-5e107b6b .communication-article a.btn-white *, .dbi-art-5e107b6b .communication-article a.btn-outline *{
color: inherit !important;
-webkit-text-fill-color: inherit !important;
opacity: 1 !important;
}
.communication-article a.btn-purple,
.communication-article a.btn-white,
.communication-article a.btn-outline {
display: inline-flex;
align-items: center;
justify-content: center;
max-width: 100%;
min-height: 44px;
white-space: normal;
text-align: center;
line-height: 1.5;
}
.dbi-art-5e107b6b .communication-article a.btn-purple:focus-visible, .dbi-art-5e107b6b .communication-article a.btn-white:focus-visible, .dbi-art-5e107b6b .communication-article a.btn-outline:focus-visible{
outline: 3px solid #232645 !important;
outline-offset: 4px;
}
.communication-article .cta-box a:focus-visible {
outline-color: #ffeca7 !important;
}.dbi-art-5e107b6b .communication-article .multi-products{display:grid;grid-template-columns:1fr 1fr;gap:18px;margin:30px 0}.communication-article .multi-products .product-card{display:block;margin:0;padding:24px}.dbi-art-5e107b6b .communication-article .multi-products .product-visual{display:block;max-width:175px;margin:0 auto 18px}.communication-article .visual-grid{display:grid;grid-template-columns:1fr 1fr;gap:22px;align-items:start;margin:35px 0}.dbi-art-5e107b6b .communication-article .visual-grid figure{padding:16px;background:#f5f7fc;border:1px solid #e0e5ef;border-radius:17px}.communication-article .visual-grid img{width:100%;height:auto;display:block;border-radius:10px}.dbi-art-5e107b6b .communication-article .support-links{display:flex;gap:9px;flex-wrap:wrap;margin:20px 0 30px}.communication-article .support-links a{padding:7px 13px;border-radius:22px;background:#eef1fa;text-decoration:none;font-size:.84rem;font-weight:600;color:#3b428e}.dbi-art-5e107b6b .communication-article .sources-mini{margin:35px 0 0;font-size:.85rem;color:#59667c}.communication-article .sources-mini h2{font-size:1.1rem;border:0;padding:0;margin:15px 0}.dbi-art-5e107b6b .communication-article .sources-mini p{font-size:.85rem}.communication-article .product-card p{font-size:.93rem}.dbi-art-5e107b6b .communication-article .article-body{padding-bottom:40px}.communication-article .ideas-list li{margin-bottom:18px}@media (max-width:760px){.dbi-art-5e107b6b .communication-article .multi-products, .dbi-art-5e107b6b .communication-article .visual-grid{grid-template-columns:1fr}.dbi-art-5e107b6b .communication-article .visual-grid{gap:17px}}.dbi-art-5e107b6b .communication-article .product-card{grid-template-columns:minmax(250px,.9fr) 1.2fr}
.communication-article .product-card .product-visual{display:block;padding:10px;background:#fff;border-radius:16px}
.dbi-art-5e107b6b .communication-article .product-card img{aspect-ratio:auto;max-height:390px;object-fit:contain}
.communication-article .sequence-showcase{margin:38px 0;padding:23px;border:1px solid #dbe2ef;background:#f5f8fc;border-radius:20px}
.dbi-art-5e107b6b .communication-article .sequence-showcase img{display:block;width:100%;max-height:540px;object-fit:contain;height:auto;border-radius:12px}
.communication-article .sequence-showcase figcaption{max-width:800px;margin:auto}
.dbi-art-5e107b6b .communication-article .article-body{padding-bottom:40px}
.communication-article .sources-mini{margin-top:32px;padding-top:16px;border-top:1px solid #dce3ed}
.dbi-art-5e107b6b .communication-article .sources-mini h2{border:0;font-size:1.12rem;padding:0;margin:16px 0}
.communication-article .sources-mini p,.communication-article .sources-mini li{font-size:.84rem;line-height:1.75}
.dbi-art-5e107b6b .communication-article .sources-mini li{margin:7px 0}
.communication-article .intro-block+.contents{margin-top:26px}
@media (max-width:760px){.dbi-art-5e107b6b .communication-article .product-card{grid-template-columns:1fr}.dbi-art-5e107b6b .communication-article .product-card .product-visual{max-width:450px;width:100%}.dbi-art-5e107b6b .communication-article .sequence-showcase{padding:16px}}
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section[id]{scroll-margin-top:30px}.dbi-art-5e107b6b .communication-article .article-hero{background:linear-gradient(135deg,#5e5ed7,#5268c9);color:white;padding:48px 0 100px;position:relative;overflow:hidden}.communication-article .article-breadcrumb{display:flex;gap:11px;flex-wrap:wrap;font-size:.8rem;margin-bottom:27px}.dbi-art-5e107b6b .communication-article .article-breadcrumb a{color:white}.communication-article .article-category{display:inline-block;background:var(--teal);color:#253e78;padding:8px 17px;border-radius:30px;font-size:.83rem;font-weight:700}.dbi-art-5e107b6b .communication-article h1{font-size:clamp(2rem,4.6vw,3.25rem);font-weight:800;margin:23px 0 25px;color:white;max-width:1010px}.communication-article .hl{color:var(--yellow)}.dbi-art-5e107b6b .communication-article .hero-intro{font-size:1.1rem;max-width:860px;line-height:1.8}.communication-article .article-meta{display:flex;gap:20px;flex-wrap:wrap;font-size:.8rem;opacity:.95;margin-top:24px}.dbi-art-5e107b6b 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Imagens e comunicação alternativa
Comunicação alternativa e aumentativa: uma primeira abordagem para os próximos
Uma pessoa pode associar palavras, gestos, objetos, fotografias ou um suporte digital para se comunicar. A comunicação alternativa e aumentativa, frequentemente chamada de CAA, reúne meios que complementam ou apoiam a expressão e a compreensão de acordo com as necessidades.
Escolher uma ferramenta é apenas uma parte do processo. Também é necessário observar como a pessoa acessa, o que deseja expressar e a forma como seus parceiros respondem. MEU DICIONÁRIO pode fazer parte desses suportes, com uma personalização relacionada à vida cotidiana.
Compreender um processo que pode associar vários meios
A CAA não exige renunciar à fala disponível. Uma pessoa pode falar em certos contextos e usar imagens em outros. Um gesto familiar, uma folha de papel e um aplicativo também podem coexistir.
Os marcos da ASHA enfatizam que não é necessário esperar pré-requisitos gerais de idade ou capacidade para considerar a CAA. Isso não diminui a importância de uma avaliação adequada: os meios de acesso e os suportes devem corresponder à pessoa.
Partir do que se deseja poder dizer
Comece pelas situações importantes para o usuário, não apenas pelas necessidades que os adultos querem verificar. Pedir ajuda, recusar, comentar uma foto ou falar sobre um ente querido são funções diferentes de comunicação.
Você pode anotar ocasiões em que a pessoa já busca se expressar e aquelas em que sua mensagem continua difícil de entender. Essa lista ajudará a escolher os primeiros suportes sem reduzir de forma duradoura seu vocabulário a alguns pedidos práticos.
Examinar o acesso ao suporte com os parceiros envolvidos
Ver a imagem, entender o que ela representa e selecioná-la são questões distintas. Uma dificuldade em uma dessas dimensões pode modificar a escolha do suporte. Profissionais competentes podem ajudar a avaliar as possibilidades e a experimentar soluções.
- As representações são significativas para a pessoa?
- A página é visível nos locais habituais?
- O meio de seleção é suficientemente acessível?
- Os parceiros sabem verificar a mensagem?
- O instrumento permanece disponível quando a pessoa deseja falar?
Aprender também a ser um parceiro de comunicação
O entorno pode mostrar o uso de uma imagem em uma situação real, dar tempo e responder à mensagem expressa. A pessoa não precisa realizar sozinha todo o trabalho de tornar o instrumento compreensível para os outros.
Uma primeira situação a preparar
Escolham juntos uma atividade do dia a dia onde uma escolha seria útil. Preparem as representações, o meio de pedir outra coisa e a forma de confirmar. Observem depois o que funciona e o que precisa ser ajustado, com o apoio da equipe.
Dar espaço para a tentativa e a evolução
Um suporte testado hoje pode evoluir. Um usuário pode descobrir outros assuntos, pedir mais vocabulário ou precisar de outro acesso. Mantenha essas evoluções possíveis no projeto em vez de considerar a primeira página como definitiva.
A formação DYNSEO permite trabalhar a postura e as especificidades das situações de acompanhamento. MEU DICO propõe imagens e rotinas; seu interesse depende da correspondência com os usos e os meios da pessoa.
Perguntas frequentes
É possível usar a CAA quando já se fala um pouco?
Sim. Ela pode complementar a fala em certas situações. Os meios não se excluem e são escolhidos de acordo com as necessidades da pessoa.
Deve-se começar por um aplicativo?
Um aplicativo é uma possibilidade entre outros suportes. Objetos, imagens em papel e gestos também podem fazer parte do processo.
Quem pode ajudar a escolher um meio adequado?
A pessoa, seus familiares e os profissionais envolvidos, especialmente o fonoaudiólogo conforme a situação, podem participar da avaliação e dos testes.
Preparar sua próxima situação de comunicação
Escolha uma situação concreta, depois os marcos de postura e os suportes adequados à pessoa. A formação e MEU DICO podem acompanhar essa preparação.
Para aprofundar
- ASHA — Comunicação alternativa e aumentativa (em inglês) : recurso de referência sobre acompanhamento ou comunicação.
- Página oficial MEU DICO : funcionalidades e apresentação dos suportes.
- Programa da formação DYNSEO : conteúdo e modalidades do percurso.
As situações e os exemplos propostos são pistas de preparação a adaptar com a pessoa e seus parceiros de comunicação.
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