The search for subtypes of specific reading disability: Reflections from a cognitive perspective

Preventing the Development of Dyslexia: A Premature Writing Hypothesis

It has been argued that dyslexia may develop in strongly left eye dominant children through learning to write using ipsilateral, right hemisphere motor pathways. New light on this theory has been cast by recent findings of atypical enhanced corpus callosum white matter in children with dyslexia, reflecting right to left hemisphere communication that is resistant to intensive remedial reading intervention. Enhanced corpus callosum white matter is consistent with uninhibited right to left hemisphere ipsilateral mirror-motor innervation, manifested as frequent mirror-letter writing errors in children with dyslexia. Delaying writing instruction until 7-8 years of age may prevent these errors and as well as the development of dyslexia. During the 7-8 year age period, visual-proprioceptive integration enables a child to mentally map whole word visual images onto kinaesthetic/proprioceptive letter engrams (memory representations). Hypothetically, this process is facilitated by anterior commissure activity involving inter-hemispheric transfer of ipsilateral mirror-to-non mirror motor movement. This postulate, involving delayed writing instruction pending further maturation, also receives indirect support from the remarkable proficiency leap among second graders reading Hebrew as Hebrew involves a leftward orthography in which ipsilateral right to left hemisphere innervation is uninhibited. Additionally, and more directly, normal reading comprehension for learning English among children with agenesis of the corpus callosum suggests that letter-sound decoding is not the sole route to proficient reading comprehension. In this paper, I make recommendations for obtaining empirical evidence of premature writing as a cause of dyslexia.

Subtypes of reading disability in a shallow orthography: a double dissociation between accuracy-disabled and rate-disabled readers of Hebrew

Whereas most English language sub-typing schemes for dyslexia (e.g., Castles & Coltheart, 1993) have focused on reading accuracy for words varying in regularity, such an approach may have limited utility for reading disability sub-typing beyond English in which fluency rather than accuracy is the key discriminator of developmental and individual differences in reading ability. The present study investigated the viability of an accuracy/fluency-based typology in a regular orthography, pointed Hebrew. We sought evidence of true or "hard" accuracy/rate subtypes in the strict (double dissociation) sense of selective impairment on only one dimension in the presence of normal levels of performance on the other dimension. In a nationally representative sample of fourth graders, we were able to identify a specific accuracy-disabled sub-group as well as an equally specific rate-disabled subgroup. Validating this subdivision, we show that the nature of reading performance in these subgroups and their converging cognitive/linguistic profiles are unique and distinctive on variables other than the measures used to define them. While the rate-specific disability appeared to reflect a general deficit in speed of processing affecting reading rate, and rapid automatized naming of print-related material, the accuracy-only disability subgroup displayed selective deficits in phonological awareness and morphological knowledge. Biosocial, demographic, and instructional factors, furthermore, did not explain the sub-group differences. It appears that both these subtypes are equally prevalent each counting close to 10% of the population.

Diagnosing comprehension deficits through listening and reading

Assessment of students with reading comprehension difficulties should include measurement of both listening and reading comprehension of extended discourse in order to begin to identify the reason or reasons for their deficits. The problems of developing an effective comprehension test are discussed. An experimental screening test, Profiles in Listening and Reading (PILAR), is presented as one approach to assessing comprehension. Its potential as a screening and diagnostic test is considered, using students' profiles from two studies.

A developmental perspective on dyslexic subtypes

In this paper we apply a developmental model of reading to the question of dyslexic subtypes. Groups of normal readers (n=40) and dyslexic children (n=50), matched on reading level and IQ, were given a comprehensive test battery measuring level of development of visual, phonological, and orthographic skills. As a group, dyslexics deviated from normal readers of equivalent reading achievement primarily in phonological skills (spelling-to-sound translation and phonemic analysis), although limited differences in knowledge of word-specific spellings were also observed. Dyslexics were superior to the younger normal readers in visual processing of print. Analysis of individual data by reference to the reading level control group revealed three major subgroups: a group with a specific deficit in phonological processing of print (52 percent), a group with deficits in processing both the phonological and orthographic features of printed words (24 percent), and a group with phonological deficits in language (8 percent). The remainder of the sample (16 percent) had specific deficits in visual or orthographic processing of print, in spelling, or did not differ from the control group. The data support the view that most developmental dyslexics have a specific language disorder involving some aspect of phonological processing. However, small subgroups with very different configurations of reading and nonreading difficulties may exist as well.

Hyperlexia and dyslexia: A family study

The condition of hyperlexia, often associated with autism, is a rare disorder in which children read words precociously but show little comprehension, markedly poor language, behavioral, and interpersonal skills. The relationship of hyperlexia and dyslexia has never been investigated, although suggestions have been made that the two conditions may be related. In light of current research on familial factors in autism, language disorder, dyslexia, and, recently, hyperlexia, this study investigated family histories of twelve hyperlexic children in regard to language, reading, writing, spelling, and other learning problems, handedness, and presence of allergies. Results suggest a distinct familial tendency to disorders of language, reading, writing, and spelling in male relatives, along with an unusually high instance of nonleft-handedness. Allergy information is inconclusive. Descriptive data are presented, and the relationship of symptomatology in hyperlexia and dyslexia is described and discussed. It is suggested that hyperlexia may represent a point of convergence of several genetically-linked developmental disorders.