Annals of Dyslexia

, Volume 53, Issue 1, pp 255–279 | Cite as

Dyslexia in Chinese: Clues from cognitive neuropsychology

  • Wen Gang Yin
  • Brendan Stuart WeekesEmail author
Part IV Neuropsychological And Linguistic Framework, Reading-Related Characteristics, Screening For Dyslexia, And A Variant View


In this review, we describe a series of cognitive neuropsychological studies of Chinese speaking aphasic patients that reveal subtypes of acquired dyslexia and dysgraphia in Chinese. These subtypes can be understood with reference to a cognitive framework that assumes reading and writing to dictation in Chinese depends on the division of labor between two pathways: a lexical-semantic pathway and a direct or nonsemantic pathway. This framework generates a number of predictions about the types of literacy problems that might be observed in native Chinese speakers who are learning to read and write. We argue that the language environment, and specifically the type of script used to read and write, will play a role in determining the phenotype of dyslexia in Chinese. We conclude that dyslexia in Chinese can be caused by psycholinguistic impairments at multiple levels including orthographic, semantic (morphological), and phonological processing.


Phonological Awareness Chinese Character Dyslexia Developmental Dyslexia Dyslexic Child 
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  1. Breedin, S. D., Saffran, E. M., & Coslett, H. B. (1994). Reversal of the concreteness effect in a patient with semantic dementia. Cognitive Neuropsychology, 11, 617–60.Google Scholar
  2. Castles, A., & Coltheart, M. (1993). Varieties of developmental dyslexia. Cognition, 47, 148–180.CrossRefGoogle Scholar
  3. Castles, A., & Coltheart, M. (1996). Cognitive correlates of developmental surface dyslexia. Cognitive Neuropsychology, 13(1), 25–50.CrossRefGoogle Scholar
  4. Chan, C. K. K., & Siegel, L. S. (2001). Phonological processing in reading Chinese among normally achieving and poor readers. Journal of Experimental Child Psychology, 80(1), 23–43.CrossRefGoogle Scholar
  5. Chee, M. W. L., Weekes, B., Lee, K. M., et al. (2000). Overlap and dissociation of semantic processing of Chinese characters, English words, and pictures: Evidence from fMRI. Neuroimage, 12(4), 392–403.CrossRefGoogle Scholar
  6. Chen, M. J. (1996). An overview of the characteristics of the Chinese writing system. Asia Pacific Journal of Speech, Language and Hearing, 1, 43–54.Google Scholar
  7. Chen, Y. P., Fu, S. M., Iversen, S. D., Smith, S. M., & Matthews, P. M. (2002). Testing for dual brain processing routes in reading: A direct contrast of Chinese character and pinyin reading using fMRI. Journal of Cognitive Neuroscience, 14(7), 1088–1098.CrossRefGoogle Scholar
  8. Coltheart, M. (1978). Lexical access in simple reading tasks. In G. Underwood (Ed.). Strategies of information processing (pp 151–216). New York: Academic Press.Google Scholar
  9. Coltheart, M., Rastle, K., Perry, C., Langdon, R., & Ziegler, J. (2001). DRC: A dual route cascaded model of visual word recognition and reading aloud. Psychological Review, 108(1), 204–256.CrossRefGoogle Scholar
  10. Diesfeldt, H. F. A. (1992). Impaired and preserved semantic memory functions in dementia. In L. Bäckman (Ed.). Memory functioning in dementia (pp. 227–263). Amsterdam: Elsevier Science Publishers.Google Scholar
  11. De Francis, J. (1989). Visible speech: The diverse oneness of writing systems. Honolulu: University of Hawaii.Google Scholar
  12. Eng, N., & Obler, L. (2002). Acquired dyslexia in a biscriptal reader following traumatic brain injury: A second case. Topics in Language Disorders, 22(5), 5–19.CrossRefGoogle Scholar
  13. Frith, U. (1999). Paradoxes in the definition of dyslexia. Dyslexia, 5, 192–214.CrossRefGoogle Scholar
  14. Goswami, U. (2000). Phonological representations, reading development and dyslexia: Towards a cross linguistic framework. Dyslexia, 6, 133–151.CrossRefGoogle Scholar
  15. Goswami, U. (2002). Phonology, reading development and dyslexia: A cross-linguistic perspective. Annals of Dyslexia, 52, 141–164.Google Scholar
  16. Graham, K. S., Hodges, J. R., & Patterson, K. E. (1994). The relationship between comprehension and oral reading in progressive fluent aphasia. Neuropsychologia, 32(3), 299–316.CrossRefGoogle Scholar
  17. Henderson, L. (1982). Orthography and word recognition in reading. London: Academic Press.Google Scholar
  18. Ho, C. S. H. (1997). The importance of phonological awareness and verbal short-term memory to children’s success in learning to read Chinese. Psychologia, 40(4), 211–219.Google Scholar
  19. Ho, C. S. H., & Bryant, P. (1997a). Learning to read Chinese beyond the logographic phase. Reading Research Quarterly, 32(3), 276–289.CrossRefGoogle Scholar
  20. Ho, C. S. H., & Bryant, P. (1997b). Phonological skills are important in learning to read Chinese. Developmental Psychology, 33(6), 946–951.CrossRefGoogle Scholar
  21. Ho, C. S. H., Chan, D. W. O., Tsang, S. M., & Lee, S. L. (2002). The cognitive profile and multiple deficit hypothesis in Chinese developmental dyslexia. Developmental Psychology, 38(4), 543–553.CrossRefGoogle Scholar
  22. Ho, C. S. H., & Lai, D. N. C. (1999). Naming-speed deficits and phonological memory deficits in Chinese developmental dyslexia. Learning and Individual Differences, 11(2), 173–186.CrossRefGoogle Scholar
  23. Ho, C. S. H., Lam, E. Y. C., & Au, A. (2001). The effectiveness of multi-sensory training in improving reading and writing skills of Chinese dyslexic children. Psychologia, 44(4), 269–280.CrossRefGoogle Scholar
  24. Ho, C. S. H., Law, T. P. S., & Ng, P. M. (2000). The phonological deficit hypothesis in Chinese developmental dyslexia. Reading and Writing, 13(1–2), 57–79.CrossRefGoogle Scholar
  25. Ho, C. S. H., Wong, W. L., & Chan, W. S. (1999). The use of orthographic analogies in learning to read Chinese. Journal of Child Psychology and Psychiatry, 40, 393–403.CrossRefGoogle Scholar
  26. Huang, H. S., & Hanley, J. R. (1994). Phonological awareness and visual skills in learning to read Chinese and English. Cognition, 54, 73–98.CrossRefGoogle Scholar
  27. Kwan, D. P. L., & Ho, C. S. H. (2002, June). Visual motor deficit does not imply visual perceptual problems: Evidence from young dyslexics in Hong Kong. Paper presented at the Multilingual Perspectives on Dyslexia Conference, The International Dyslexia Association, Washington, DC.Google Scholar
  28. Lam, C. C. C. (1999). Developmental dyslexia and other specific learning disabilities. The state of practice: International and Hong Kong perspectives. Hong Kong Journal of Paediatrics, 4, 145–150.Google Scholar
  29. Law, S. P. (1994). The structure of orthographic representations of Chinese characters, from the perspective of the cognitive neuropsychological approach. Bulletin of The Institute of History and Philology Academia Sinica, 65, 81–130.Google Scholar
  30. Law, S. P., & Caramazza, A. (1995). Orthographic representations of Chinese phonetic compounds in writing. Brain and Cognition, 28(1), 126–128.Google Scholar
  31. Law, S. P., & Leung, M. T. (2000). Structural representations of characters in Chinese writing: Evidence from a case of acquired dysgraphia. Psychologia, 43(1), 67–83.Google Scholar
  32. Law, S. P., & Orr, B. (2001). A case study of acquired dyslexia and dysgraphia in Cantonese: Evidence for nonsemantic pathways for reading and writing. Cognitive Neuropsychology, 18(8), 729–748.CrossRefGoogle Scholar
  33. Leong, C. K. (1999). What can we learn from dyslexia in Chinese? In I. Lundberg, F. I. Tønnessen, & I. Austad (Eds.). Dyslexia: Advances in theory and practice (pp. 117–139). Dordrecht: Kluwer Academic Publishers.Google Scholar
  34. Leong, C. K., Cheng, P. W., & Lam, C. C. (2000). Exploring reading spelling connection as locus of dyslexia in Chinese. Annals of Dyslexia, 50, 239–259.Google Scholar
  35. Leong, C. K., & Tan, L. H. (2002). Phonological processing in learning to read Chinese: In search of a framework. In E. Helmquist & C. von Euler (Eds.). Dyslexia and literacy (pp 126–150). London: Whurr Publishers.Google Scholar
  36. Lyman, R. S., Kwan, S. T., & Chao, W. H. (1938). Left occipito-parietal brain tumour with observations on alexia and agraphia in Chinese and English. The Chinese Medical Journal, 54, 491–515.Google Scholar
  37. Manis, F. R., Seidenberg, M. S., Doi, L. M., McBride-Chang, C., & Petersen, A. (1996). On the bases of two subtypes of developmental dyslexia. Cognition, 58, 157–195.CrossRefGoogle Scholar
  38. Miceli G., & Caramazza, A. (1993). The assignment of word stress in oral reading: Evidence from a case of acquired dyslexia. Cognitive Neuropsychology, 10(3), 273–296.Google Scholar
  39. Miles, E. (2000). Dyslexia may show a different face in different languages. Dyslexia, 6, 193–201.CrossRefGoogle Scholar
  40. Moser, D. (1994). Phonetic processes in writing Chinese: Evidence from written errors. In J. Qicheng, Z. Houcan, & P. Danling (Eds.). Information processing of Chinese language (pp. 200–219). Beijing: Normal University Publishing Company.Google Scholar
  41. Patterson, K., Graham, N., & Hodges, J. R. (1994). Reading in Alzheimer’s type dementia: A preserved ability? Neuropsychology, 8, 395–407.CrossRefGoogle Scholar
  42. Patterson, K., & Hodges, J. (1992). Deterioration of word meaning: Implications for reading. Neuropsychologia, 30, 1025–1040.CrossRefGoogle Scholar
  43. Patterson, K., & Lambon-Ralph, M. A. (1999). Selective disorders of reading? Current Opinion in Neurobiology, 9(2), 235–239.CrossRefGoogle Scholar
  44. Patterson, K., Suzuki, T., Wydell, T., & Sasanuma, S. (1995). Progressive aphasia and surface alexia in Japanese. Neurocase, 1, 155–165.CrossRefGoogle Scholar
  45. Plaut, D. C., McClelland, J. L., Seidenberg, M. S., & Patterson, K. (1996). Understanding normal and impaired word reading: Computational principles in quasi-regular domains. Psychological Review, 103(1), 56–115.CrossRefGoogle Scholar
  46. Rozin, P., Poritsky, S., & Sotsky, R. (1971). American children with reading problems can easily learn to read English represented in Chinese characters. Science, 171, 1264–1267.CrossRefGoogle Scholar
  47. Shaywitz, B. A., Shaywitz, S. E., Pugh, K. R., Fulbright, R. K., Mencl, W. E., Constable, R. T., Skudlarski P., Fletcher, J. M., Lyon, G. R., & Gore, J. C. (2001) The neurobiology of dyslexia. Clinical Neuroscience Research, 1, 291–299.CrossRefGoogle Scholar
  48. Siok, W. T., & Fletcher, P. (2001). The role of phonological awareness and visual-orthographic skills in Chinese reading acquisition. Developmental Psychology, 37(6), 886–899.CrossRefGoogle Scholar
  49. Strain, E., Patterson, K., & Seidenberg, M. (1995). Semantic effects in single-word naming. Journal of Experimental Psychology-Learning Memory and Cognition, 21(5), 1140–1154.CrossRefGoogle Scholar
  50. Tan, L. H., Spinks, J. A., Gao, J. H., Liu, H. L., Perfetti, C. A., Xiong, J. H., Stofer, K. A., Pu, Y. L., Liu, Y. J., & Fox, P. T. (2000). Brain activation in the processing of Chinese characters and words: A functional MRI study. Human Brain Mapping, 10(1), 16–27.CrossRefGoogle Scholar
  51. Tan, L. H., Feng, C. M., Fox, P. T., & Gao, J. H. (2001). An fMRI study with written Chinese. Neuroreport, 12(1), 83–88.CrossRefGoogle Scholar
  52. Tan, L. H., Liu, H. L., Perfetti, C. A., Spinks, J. A., Fox, P. T., & Gao, J. H. (2001). The neural system underlying Chinese logograph reading. Neuroimage, 13(5), 836–846.CrossRefGoogle Scholar
  53. Tzeng, O. J. L., Zhong, H. L., Hung, D. L., & Lee, W. L. (1995). Learning to be a conspirator: A tale of becoming a good Chinese reader. In B. de Gelder and J. Morais (Eds.). Speech and Reading (pp 227–245). Hove, UK: Taylor & Francis.Google Scholar
  54. Tzeng, O. J. L., and Wang, W.S.-Y. (1983). The first two r’s. American Scientist, 71(3), 238–243.Google Scholar
  55. Wang, W. S.-Y. (1973). The Chinese language. Scientific American, 228, 50–60.CrossRefGoogle Scholar
  56. Weekes, B. S. (2000). Oral reading in Chinese: Evidence from patients with dementia of the Alzheimer’s type. International Journal of Language and Communication Disorders, 35(4), 543–559.CrossRefGoogle Scholar
  57. Weekes, B. S., & Chen, H.-Q. (1999). Surface dyslexia in Chinese. Neurocase, 5(2), 161–172.CrossRefGoogle Scholar
  58. Weekes, B. S., Chen, M. J., & Yin, W. G. (1997a). Anomia without dyslexia in Chinese. Neurocase, 3, 51–60.CrossRefGoogle Scholar
  59. Weekes, B. S., Chen, M. J., & Yin, W. G. (1997b). Anomia without surface dyslexia in Chinese. Brain and Language, 60(1), 140–143.Google Scholar
  60. Weekes, B. S., & Coltheart, M. (1996). Surface dyslexia and surface dysgraphia: Treatment studies and their theoretical implications. Cognitive Neuropsychology, 13(2), 277–315.CrossRefGoogle Scholar
  61. Weekes, B. S., Coltheart, M., & Gordon, E. V. (1997). Deep dyslexia and right hemisphere reading: A regional cerebral blood-flow study. Aphasiology, 11(12), 1139–1158.CrossRefGoogle Scholar
  62. Woo, E. Y. C., & Hoosain, R. (1984). Visual and auditory functions of Chinese dyslexics. Psychologia, 27, 164–170.Google Scholar
  63. Yamada, J. (1995). Developmental deep dyslexia in Japanese: A case study. Brain and Language, 51, 444–457.CrossRefGoogle Scholar
  64. Yin, B., & Rohsenow, J. S. (1994). Modern Chinese characters. Beijing: Sinolingua.Google Scholar
  65. Yin, W. G. (1991). On reading Chinese characters: An experimental neuropsychological study. Unpublished Ph.D. Thesis, University College London.Google Scholar
  66. Yin, W. G., & Butterworth, B. (1992). Deep and surface dyslexia in Chinese. In H. C. Chen & O. J. L. Tzeng (Eds.). Language processing in Chinese (pp. 349–366). Amsterdam: Elsevier Science Publishers.Google Scholar
  67. Zhou, Y.-G. (1978). To what degree are the “phonetics” of present day Chinese characters still phonetic? ZhongguoYuwen, 146, 172–177. (In Chinese).Google Scholar

Copyright information

© The International Dyslexia Association 2003

Authors and Affiliations

  1. 1.Institute of PsychologyChinese Academy of SciencesBeijingChina
  2. 2.Laboratory of Experimental Psychology, School of Biological SciencesUniversity of SussexFalmer, Brighton

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