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Dyslexia?

I have been asked by several parents if I think their child might be 
dyslexic.  This assumption us usually made based on letter or number 
reversals in their writing.  Letter reversal is a myth about dyslexia, and 
is completely normal in children till a mental age of approximately 8 years 
old. The following is an excerpt from Overcoming Dyslexia by Sally Shaywitz 
(the bible of dealing with dyslexia-so to speak).  The excerpt gives you a 
picture of what behaviors a dyslexic child might present.  
Please take the time to read over the excerpt, if after reading this you 
think you might have a student who may have dyslexia, let me know and I can 
give the student a Dyslexia screening test.  This test is not a diagnosis of 
dyslexia (because it is a neurological problem, a medical doctor must 
diagnose) but it accurately tells you if they are presenting those 
tendencies and then we will better know how to deal with the child’s 
educational needs.

EXCERPT:

Childhood is a time for learning. A child who delays breaking the phonetic 
code will miss much of the reading practice that is essential to building 
fluency and vocabulary; as a consequence, he will fall further and further 
behind in acquiring comprehension skills and knowledge of the world around 
him. To see this happen to a child is sad, all the more because it is 
preventable. 

Joseph Torgesen, a reading researcher at Florida State University who has 
carried out many of the critical studies on intervention, has this to say 
about the need to identify children early on and the cost of waiting: To the 
extent that we allow children to fall seriously behind at any point during 
early elementary school, we are moving to a "remedial" rather than 
a "preventive" model of intervention. Once children fall behind in the 
growth of critical word reading skills, it may require very intensive 
interventions to bring them back up to adequate levels of reading accuracy, 
and reading fluency may be even more difficult to restore because of the 
large amount of reading practice that is lost by children each month and 
year that they remain poor readers.

Most parents and teachers delay evaluating a child with reading difficulties 
because they believe the problems are just temporary, that they will be 
outgrown. This is simply not true. Reading problems are not outgrown, they 
are persistent. As the participants in the Connecticut Longitudinal Study 
have demonstrated, at least three out of four children who read poorly in 
third grade continue to have reading problems in high school and beyond. 
What may seem to be tolerable and overlooked in a third grader certainly 
won't be in a high schooler or young adult. Without identification and 
proven interventions, virtually all children who have reading difficulties 
early on will still struggle with reading when they are adults.


Luckily, parents can play an active role in the early identification of a 
reading problem. All that is required is an observant parent who knows what 
she is looking for and who is willing to spend time with her child listening 
to him speak and read. 

The specific signs of dyslexia, both weaknesses and strengths, in any one 
individual will vary according to the age and educational level of that 
person. The five-year-old who can't quite learn his letters becomes the six-
year-old who can't match sounds to letters and the fourteen-year-old who 
dreads reading out loud and the twenty-four-year-old who reads 
excruciatingly slowly. The threads persist throughout a person's life. The 
key is knowing how to recognize them at different periods during 
development. Therefore, I have gathered the clues together to provide three 
distinct portraits of dyslexia: first, in early childhood from preschool 
through first grade; next, in school-age children from second grade on; and, 
last, in young adults and adults.


Clues to Dyslexia in Early Childhood

The earliest clues involve mostly spoken language. The very first clue to a 
language (and reading) problem may be delayed language. Once the child 
begins to speak, look for the following problems:

The Preschool Years

• Trouble learning common nursery rhymes such as "Jack and Jill" and "Humpty 
Dumpty"
• A lack of appreciation of rhymes
• Mispronounced words; persistent baby talk
• Difficulty in learning (and remembering) names of letters
• Failure to know the letters in his own name

Kindergarten and First Grade

• Failure to understand that words come apart; for example, that batboy can 
be pulled apart into bat and boy, and, later on, that the word bat can be 
broken down still further and sounded out as: "b" "aaaa" "t"
• Inability to learn to associate letters with sounds, such as being unable 
to connect the letter b with the "b" sound
• Reading errors that show no connection to the sounds of the letters; for 
example, the word big is read as goat
• The inability to read common one-syllable words or to sound out even the 
simplest of words, such as mat, cat, hop, nap
• Complaints about how hard reading is, or running and hiding when it is 
time to read
• A history of reading problems in parents or siblings

In addition to the problems of speaking and reading, you should be looking 
for these indications of strengths in higher-level thinking processes:
• Curiosity
• A great imagination
• The ability to figure things out
• Eager embrace of new ideas
• Getting the gist of things
• A good understanding of new concepts
• Surprising maturity
• A large vocabulary for the age group
• Enjoyment in solving puzzles
• Talent at building models
• Excellent comprehension of stories read or told to him

Clues to Dyslexia From Second Grade On

Problems in Speaking
• Mispronunciation of long, unfamiliar, or complicated words; the fracturing 
of words–leaving out parts of words or confusing the order of the parts of 
words; for example, aluminum becomes amulium
• Speech that is not fluent–pausing or hesitating often when speaking, lots 
of um's during speech, no glibness
• The use of imprecise language, such as vague references to stuff or things 
instead of the proper name of an object
• Not being able to find the exact word, such as confusing words that sound 
alike: saying tornado instead of volcano, substituting lotion for ocean, or 
humanity for humidity
• The need for time to summon an oral response or the inability to come up 
with a verbal response quickly when questioned
• Difficulty in remembering isolated pieces of verbal information (rote 
memory)–trouble remembering dates, names, telephone numbers, random lists


Problems in Reading
• Very slow progress in acquiring reading skills
• The lack of a strategy to read new words
• Trouble reading unknown (new, unfamiliar) words that must be sounded out; 
making wild stabs or guesses at reading a word; failure to systematically 
sound out words
• The inability to read small "function" words such as that, an, in
• Stumbling on reading multisyllable words, or the failure to come close to 
sounding out the full word
• Omitting parts of words when reading; the failure to decode parts within a 
word, as if someone had chewed a hole in the middle of the word, such as 
conible for convertible
• A terrific fear of reading out loud; the avoidance of oral reading
• Oral reading filled with substitutions, omissions, and mispronunciations
• Oral reading that is choppy and labored, not smooth or fluent
• Oral reading that lacks inflection and sounds like the reading of a 
foreign language
• A reliance on context to discern the meaning of what is read
• A better ability to understand words in context than to read isolated 
single words
• Disproportionately poor performance on multiple choice tests
• The inability to finish tests on time
• The substitution of words with the same meaning for words in the text he 
can't pronounce, such as car for automobile
• Disastrous spelling, with words not resembling true spelling; some 
spellings may be missed by spell check
• Trouble reading mathematics word problems
• Reading that is very slow and tiring
• Homework that never seems to end, or with parents often recruited as 
readers
• Messy handwriting despite what may be an excellent facility at word 
processing–nimble fingers
• Extreme difficulty learning a foreign language
• A lack of enjoyment in reading, and the avoidance of reading books or even 
a sentence
• The avoidance of reading for pleasure, which seems too exhausting
• Reading whose accuracy improves over time, though it continues to lack 
fluency and is laborious
• Lowered self-esteem, with pain that is not always visible to others
• A history of reading, spelling, and foreign language problems in family 
members

In addition to signs of a phonologic weakness, there are signs of strengths 
in higher-level thinking processes:
• Excellent thinking skills: conceptualization, reasoning, imagination, 
abstraction
• Learning that is accomplished best through meaning rather than rote 
memorization
• Ability to get the "big picture"
• A high level of understanding of what is read to him
• The ability to read and to understand at a high level overlearned (that 
is, highly practiced) words in a special area of interest; for example, if 
his hobby is restoring cars, he may be able to read auto mechanics magazines
• Improvement as an area of interest becomes more specialized and focused, 
when he develops a miniature vocabulary that he can read
• A surprisingly sophisticated listening vocabulary
• Excellence in areas not dependent on reading, such as math, computers, and 
visual arts, or excellence in more conceptual (versus factoid-driven) 
subjects such as philosophy, biology, social studies, neuroscience, and 
creative writing

Clues to Dyslexia in Young Adults and Adults

Problems in Speaking
• Persistence of earlier oral language difficulties
• The mispronunciation of the names of people and places, and tripping over 
parts of words
• Difficulty remembering names of people and places and the confusion of 
names that sound alike
• A struggle to retrieve words: "It was on the tip of my tongue"
• Lack of glibness, especially if put on the spot
• Spoken vocabulary that is smaller than listening vocabulary, and 
hesitation to say aloud words that might be mispronounced


Problems in Reading
• A childhood history of reading and spelling difficulties
• Word reading becomes more accurate over time but continues to require 
great effort
• Lack of fluency

Should My Child Be Evaluated for Dyslexia?
• Embarrassment caused by oral reading: the avoidance of Bible study groups, 
reading at Passover seders, or delivering a written speech
• Trouble reading and pronouncing uncommon, strange, or unique words such as 
people's names, street or location names, food dishes on a menu (often 
resorting to asking the waiter about the special of the day or resorting to 
saying, "I'll have what he's having," to avoid the embarrassment f not being 
able to read the menu)
• Persistent reading problems
• The substitution of made-up words during reading for words that cannot be 
pronounced–for example, metropolitan becomes mitan–and a failure to 
recognize the word metropolitan when it is seen again or heard in a lecture 
the next day
• Extreme fatigue from reading
• Slow reading of most materials: books, manuals, subtitles in foreign films
• Penalized by multiple-choice tests
• Unusually long hours spent reading school or work-related materials
• Frequent sacrifice of social life for studying
• A preference for books with figures, charts, or graphics
• A preference for books with fewer words per page or with lots of white 
showing on a page
• Disinclination to read for pleasure
• Spelling that remains disastrous and a preference for less complicated 
words in writing that are easier to spell
• Particularly poor performance on rote clerical tasks

Signs of Strengths in Higher-Level Thinking Processes
• The maintenance of strengths noted in the school-age period
• A high learning capability
• A noticeable improvement when given additional time on
multiple-choice examinations
• Noticeable excellence when focused on a highly specialized area
such as medicine, law, public policy, finance, architecture, or basic
science
• Excellence in writing if content and not spelling is important
• A noticeable articulateness in the expression of ideas and feelings
• Exceptional empathy and warmth, and feeling for others
• Success in areas not dependent on rote memory
• A talent for high-level conceptualization and the ability to come
up with original insights
• Big-picture thinking
• Inclination to think out of the box
• A noticeable resilience and ability to adapt

These clues across the life span offer a portrait of dyslexia. Examine them 
carefully, think about them, and determine if any of these clues fit your 
child, you, or someone else you are close to. Look for clues in the 
weaknesses and strengths. Identifying the weaknesses makes it possible to 
spot dyslexia in children before they are expected to read and in adults 
after they have developed some degree of reading accuracy but are continuing 
to show the remnants of earlier problems, reading slowly and with great 
effort.

If you think you or your child has some of these problems, it is important 
to note how frequent they are and how many there are. You don't need to 
worry about isolated clues or ones that appear very rarely. For you to be 
concerned, the symptoms must be persistent; anyone can mispronounce a word 
now and then, or confuse similar-sounding words occasionally. What you are 
looking for is a persistent pattern–the occurrence of a number of these 
symptoms over a prolonged period of time. That represents a likelihood of 
dyslexia.

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Last Modified: Friday March 16 2007
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