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What is dyslexia?

 

How a page of a book may look to a child with dyslexia


Dyslexia has not been generally recognized as a learning difficulty until the last thirty years or so. John Bradford presents an overview of the latest research on its causes, and suggests further reading.

The word 'dyslexia' comes from the Greek meaning 'difficulty with words'.

It needs to be said is that dyslexia is not brought about by poor parenting. On the contrary, it is the concerned parents of dyslexic children who have taken the initiatives that have brought dyslexia to the forefront of the learning difficulties arena.

Individual parents have persisted in pointing out to their children's schools that something must be wrong when a child of apparently normal intelligence is failing to learn to read and write.

What causes dyslexia, then?

To be quite honest, nobody quite knows at the moment. There has been a real increase in the amount of research taking place, and a number of possibilities are beginning to emerge, but the waters are still fairly murky. The overall picture is that dyslexia can be caused in two ways:

1. by inherited factors; and

2. by hearing problems at an early age.

Dad looking at a book with his sonInherited factors

It is clear from all the assessments that we carry out at Direct Learning that dyslexia is very frequently found in families, and is often accompanied by left-handedness somewhere in the family. This does not mean to say that a dyslexic parent will automatically have a dyslexic child, or that a left-handed child will necessarily be dyslexic. But where dyslexia does occur, of the children and adults we diagnose, more than 80% have a history of learning difficulties in their family, and more than 60% have a family member who is left-handed.

With the technical advances that have come about in brain-scanning in recent years, a lot of work has been carried out examining the brains of dyslexic people. Bunches of cells beneath the surface of the brain have been detected which lie on the surface in the brain of a non-dyslexic person. These groups of cells ought to have moved to the brain's surface at the time when the brain was developing in the fetus, but failed to make the journey. They are known as 'ectopic' cells (like an ectopic pregnancy, where the egg fails to reach the womb and is fertilized in the Fallopian tube). These ectopic clusters of cells are mainly found in the left and the front of the brain - the areas which are important for reading and writing.

Another area of the brain - the magno-cellular system, which deals with our ability to see moving images - is slightly smaller in the brains of dyslexic people. This makes reading harder, where the brain has to quickly interpret the different letters and words which the eyes see as they scan words and sentences.

There are more dyslexic boys than girls, and investigations are being carried out to see whether a child's mental development is altered by the hormone testosterone. It is thought that a child's immune system could be affected by an excess of testosterone, which could lead to problems such as allergies, asthma and dyslexia.

With the use of EEG, where electrodes are fitted to a person's head, it has been possible to see increased brain activity on the right side of the brain when a child is beginning to learn to read. Increased activity is noticeable on the left side in an advanced reader. However, the brains of dyslexic children show an unusual variation in left- and right-side activity.

boy writing at a tableHearing problems at an early age.

If a child suffers frequent colds and throat infections in the first five years, the ears can be blocked from time to time so that hearing is temporarily impaired. The parents can easily be unaware of this until a doctor actually looks into the child's ear. This condition is sometimes known as 'glue ear' or 'conductive hearing loss'. If the difficulty is not noticed at an early stage, then the developing brain does not make the links between the sounds it hears.

This early learning of sounds and words is fundamental to a child's developing ability to handle language and text. It causes lifelong difficulties - dyslexia - if corrective action is not taken at a very early stage. The most common treatment is the insertion of a tiny tube or grommet into the child's ear. This allows the fluid to drain off so that the child's hearing is restored. Another treatment is the removal of the tonsils, which are sometimes the cause of the repeated throat and ear infections.

A combination of both

Sometimes a child has experienced early hearing problems and has also inherited genes which dispose him or her towards difficulties dealing with the printed word. These children are often found to be quite severely dyslexic, and need a lot of support through their school and college years.

young girl smilingDifferent types of dyslexia

It is thought that there is a variety of types of dyslexia. At Direct Learning we find that there is no one pattern which all dyslexic children and adults fit. Some dyslexic children have good short-term memory, whilst many are really weak in this area. Some have good skills in math, whilst others really struggle. Some have few problems with left and right, whilst many experience great confusion. The Dyslexia Adults Link page on 'Coping with Dyslexia', has some techniques which dyslexic adults have developed to deal with this confusion.

Learning strategies can make a huge difference

Learning strategies to overcome the difficulties associated with dyslexia can make a huge difference to the performance of a dyslexic child or adult. In particular, a 'multi-sensory' method can really help: this involves teaching children to learn spellings, for example, not only by hearing and saying the sounds of the letters, but also by using their visual and tactile (touch) memories by writing the letters in the air, on the carpet, making them with plasticine or in very large (joined) handwriting on big sheets of paper. This gives their brain a visual and tactile memory of the word as well as the memory of hearing the sounds of the letters. Joining the letters together - in joined handwriting - helps the brain to remember the order of the letters in a word.

Compensating strengths.

There are compensating strengths for a dyslexic person. Dyslexic children and teens benefit greatly in three important areas: creativity, physical co-ordination and empathy with others. Teachers working with dyslexic children and teens see examples of their creative and imaginative drawings in school, and their skills and pleasure in sports, games, swimming, skate-boarding and other activities which require the physical co-ordination that many non-dyslexic children find hard. Every dyslexic child experiences problems and frustration at school - often including bullying, unfortunately - and they learn to empathize with other people's experiences of difficulty.

John Bradford
May 1999



mother reading to her two girlsFurther reading about the causes of dyslexia:

Boy writingReferences and Notes:

Whilst most psychologists diagnose one broad category of children being dyslexic, or having a 'specific learning difficulty', Hynd and Cohen argue for the need to distinguish between dyslexic difficulties brought about by inherited factors and those brought about by early hearing loss. Dyslexia caused by inherited factors is referred to as a 'specific learning difficulty of a visual-spatial type', and dyslexia caused by early hearing loss is referred to as a 'specific learning difficulty of an auditory-linguistic type'.
Dyslexia - Neuropsychological Theory, Research, and Clinical Differentiation, by George Hynd and Morris Cohen, pub. Allyn and Bacon, Boston, Mass., 1983.

Other academic references include:

Dyslexia - Theory and Good Practice, ed. Angela Fawcett, pub. Whurr, 2001.
Dyslexia, Fluency and the Brain, ed. Maryanne Wolf, pub. York Press, 2001
Specific Learning Difficulties (Dyslexia), by Peter Pumfrey and Rea Reason, pub. Routledge, 1991.

 

 

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