Learning Disabilities Flashcards
Learning Disorders in DSM-5
Significant interference in academic or occupational performance, or activities of daily living
1.5 SD below average for age
Academic skills below age expectations
Learning Disorders in IDEA
- Disorders in basic psychology process involved in language manifested in imperfect academic skill
Not primarily the result of motor, sensory, emotional issues, ID, disadvantage
Assessment of LD Norm referenced
Compares the child to the other students in the grade.
Many lengthy subtests
National norms
Lengthy training process
Note keyed to local curriculum
Usually not based on speed
Wechsker individual achievement test and Woodcock Johnson test of achievement
Assessment of LD curriculum-based (CBM/ CBA)
Generates scores to a standard and tells you if your score is high or low
Very brief probes Local norms or research criteria Very easy for teachers to use Keyed to local curriculum Based on speed of performance
Norm- referenced test areas
Reading – decoding and comprehension fluency and phonological processing
Mathematics – computation reasoning and fluency
Writing – spelling comprehension and fluency
Oral language - expression and comprehension
Curriculum-based measurement (CBM)
Reading – correct words read or generated per minute
Math – correct digits written per minute
Spelling – correct letter sequences written per minute
Writing – several measures
Count the number of words they write in three minutes
Three major methods of diagnosis
The IQ/achievement discrepancy
The intraindividual patterns
Response to intervention procedures
The IQ/achievement discrepancy
Give to standardized test
Intelligence – W I SC – IV
Achievement – WIAT
Mean=100, SD=15
If the gap between IQ and an academic skill area is large it is diagnosed
Can be used for inclusion but not exclusion under IDEA
Intra-individual patterns
Dawn Flanagan Pattern of strength and weaknesses An academic weakness And underlying cognitive weakness Average skills and strengths in other cognitive and academic areas Better at differentiating LD from non-LD More useful for informing treatment Too vague and qualitative
RTI procedures
Frank Gresham Tear I all students Use scientific, research-based instruction Monitor progress with CBM probes Tier II More intensive instruction if needed Tier III Even more intensive instruction if needed Non-responders to tier III diagnosed LD
Response to intervention procedures
Emphasis on prevention is laudable
Fewer students needlessly placed in special-education
Frequent testing makes score judgments more reliable
Ignores neurological basis of LD
Advocates are fuzzy on details
RTI research mainly on reading fluency and K-6 students
Which curricula are scientific and research-based
Which is adequate progress
Epidemiology
40% of students with disabilities
4% of all students
Varies is greatly by state
Huge increase from about 1977 to 2005 then some declined
M:F = 3:1
RTI one of the main reasons it has gone down
Teachers are more likely to referrer boys than girls
Possibly due to behavior
Comorbidity higher risk for:
Social skills deficits ADHD and behavior problems and delinquency
Etiology
LD – reading
- Phonemic/phonological awareness deficit
- oral language
* phoneme deletion and blending tasks - rhyming tasks
- Phonics deficits:
Oral written language
The alphabetic principle sound letter correspondence
Pseudoword tasks
Give people fake words and see if they can sound them out
Etiology of LD reading
Rapid naming retrieval
Auditory working memory
Visual problems
Sounds and rapid naming
FMRI studies:
Disruption of posterior reading systems
More prefrontal activation
Genetic findings concordance rates:
MZ twins equals .85 and DZ twins equals .35
It’s genetic because it’s higher in the MZ than the DZ
Less than 100 so some environmental factors
Etiology of LD writing
Cognitive deficits: Less planning before writing Deficits and low level skills spelling punctuation handwriting Crystallized intelligence deficits: Learned knowledge Vocabulary Very poor crystallize knowledge no known research for biological deficits