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Dyslexia and the Brain: What Does Current Research Tell Us? - Part 1

By: Roxanne F. Hudson, Leslie High, and Stephanie Al Otaiba - http://www.ldonline.org/article/14907/

Developmental dyslexia and how it relates to brain function are complicated topics that researchers have been studying since dyslexia was first described over a hundred years ago.

W. Pringle Morgan (cited in Shaywitz, 1996), a doctor in Sussex, England, described the puzzling case of a boy in the British Medical Journal: "Percy … aged 14 … has always been a bright and intelligent boy, quick at games, and in no way inferior to others of his age. His great difficulty has been – and is now – his inability to read" (p. 98).

Almost every teacher in the United States has at least one student who could fit the same description written so many years ago. This situation leads many school personnel to wonder why their articulate, clearly bright student has so many problems with what appears to be a simple task – reading a text that everyone else seems to easily comprehend.

Having information about the likely explanation for and potential cause of the student's difficulties often relieves teachers' fears and uncertainties about how to teach the student and how to think about providing instruction that is relevant and effective. Current research on dyslexia and the brain provide the most up-to-date information available about the problems faced by over 2.8 million school-aged children.

When talking with teachers about their students who struggle with reading, we have encountered similar types of questions from teachers. They often wonder, What is dyslexia? What does brain research tell us about reading problems and what does this information mean for classroom instruction?

The purpose of this article is to explain the answers to these questions and provide foundational knowledge that will lead to a firmer understanding of the underlying characteristics of students with dyslexia. A greater understanding of the current brain research and how it relates to students with dyslexia is important in education and will help teachers understand and evaluate possible instructional interventions to help their students succeed in the classroom.

What is dyslexia?
Dyslexia is an often-misunderstood, confusing term for reading problems. The word dyslexia is made up of two different parts: dys meaning not or difficult, and lexia meaning words, reading, or language. So quite literally, dyslexia means difficulty with words (Catts & Kamhi, 2005).

Despite the many confusions and misunderstandings, the term dyslexia is commonly used by medical personnel, researchers, and clinicians. One of the most common misunderstandings about this condition is that dyslexia is a problem of letter or word reversals (b/d, was/saw) or of letters, words, or sentences "dancing around" on the page (Rayner, Foorman, Perfetti, Pesetsky, & Seidenberg, 2001).

In fact, writing and reading letters and words backwards are common in the early stages of learning to read and write among average and dyslexic children alike, and the presence of reversals may or may not indicate an underlying reading problem. See Table 1 for explanations of this and other common misunderstandings.

One of the most complete definitions of dyslexia comes from over 20 years of research:

Dyslexia is a specific learning disability that is neurobiological in origin. It is characterized by difficulties with accurate and/or fluent word recognition and by poor spelling and decoding abilities. These difficulties typically result from a deficit in the phonological component of language that is often unexpected in relation to other cognitive abilities and the provision of effective classroom instruction. (Lyon, Shaywitz, & Shaywitz, 2003, p. 2)
Dyslexia is a specific learning disability in reading that often affects spelling as well. In fact, reading disability is the most widely known and most carefully studied of the learning disabilities, affecting 80% of all those designated as learning disabled. Because of this, we will use the terms dyslexia and reading disabilities (RD) interchangeably in this article to describe the students of interest.

It is neurobiological in origin, meaning that the problem is located physically in the brain. Dyslexia is not caused by poverty, developmental delay, speech or hearing impairments, or learning a second language, although those conditions may put a child more at risk for developing a reading disability (Snow, Burns, & Griffin, 1998).

Children with dyslexia will often show two obvious difficulties when asked to read text at their grade level. First, they will not be able to read as many of the words in a text by sight as average readers. There will be many words on which they stumble, guess at, or attempt to "sound out." This is the problem with "fluent word recognition" identified in the previous definition.

Second, they will often show decoding difficulties, meaning that their attempts to identify words they do not know will produce many errors. They will not be very accurate in using letter-sound relationships in combination with context to identify unknown words.

These problems in word recognition are due to an underlying deficit in the sound component of language that makes it very difficult for readers to connect letters and sounds in order to decode. People with dyslexia often have trouble comprehending what they read because of the great difficulty they experience in accessing the printed words.

 

Common misunderstandings about students with reading disabilities

Writing letters and words backwards are symptoms of dyslexia.

Writing letters and words backwards are common in the early stages of learning to read and write among average and dyslexic children alike. It is a sign that orthographic representations (i.e., letter forms and spellings of words) have not been firmly established, not that a child necessarily has a reading disability (Adams, 1990).

Reading disabilities are caused by visual perception problems.

The current consensus based on a large body of research (e.g., Lyon et al., 2003; Morris et al., 1998; Rayner et al., 2001; Wagner & Torgesen, 1987) is that dyslexia is best characterized as a problem with language processing at the phoneme level, not a problem with visual processing.

If you just give them enough time, children will outgrow dyslexia.

There is no evidence that dyslexia is a problem that can be outgrown. There is, however, strong evidence that children with reading problems show a continuing persistent deficit in their reading rather than just developing later than average children (Francis, Shaywitz, Stuebing, Shaywitz, & Fletcher, 1996). More strong evidence shows that children with dyslexia continue to experience reading problems into adolescence and adulthood (Shaywitz et al., 1999, 2003).

More boys than girls have dyslexia.

Longitudinal research shows that as many girls as boys are affected by dyslexia (Shaywitz, Shaywitz, Fletcher, & Escobar, 1990). There are many possible reasons for the overidentification of males by schools, including greater behavioral acting out and a smaller ability to compensate among boys. More research is needed to determine why.

Dyslexia only affects people who speak English.

Dyslexia appears in all cultures and languages in the world with written language, including those that do not use an alphabetic script such as Korean and Hebrew. In English, the primary difficulty is accurate decoding of unknown words. In consistent orthographies such as German or Italian, dyslexia appears more often as a problem with fluent reading – readers may be accurate, but very slow (Ziegler & Goswami, 2005).

People with dyslexia will benefit from colored text overlays or lenses.

There is no strong research evidence that intervention using colored overlays or special lenses has any effect on the word reading or comprehension of children with dyslexia (American Optometric Association, 2004; Iovino, Fletcher, Breitmeyer, & Foorman, 1998).

A person with dyslexia can never learn to read.

This is simply not true. The earlier children who struggle are identified and provided systematic, intense instruction, the less severe their problems are likely to be (National Institute of Child Health and Human Development, 2000; Torgesen, 2002). With adequately intensive instruction, however, even older children with dyslexia can become accurate, albeit slow readers (Torgesen et al., 2001).

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