Abstract
The historical roots of the IQ-achievement discrepancy definition of learning disability are discussed as a reference point for explaining why this definition came into being and why it is inadequate for dealing with the variety of learning and developmental disabilities that present in school settings. A proposal is offered and justified for defining learning disabilities on the basis of profiles for multiple developmental domains that affect learning. In this proposal, developmental dyslexia is differentiated from other learning disabilities. Developmental dyslexia is defined as uneven development (dissociation) between word reading and higher-level processes in the functional reading system. Dyslexics may struggle with word reading because of deficits in phonological processes, orthographic-phonological connections, and/or fluency (rate, automaticity, or executive coordination). The need for both national and international classification schemes for defining specific learning and developmental disabilities for the purposes of educational services and research is emphasized.
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American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.) Washington DC: Author.
Aram, D., Ekelman, B., & Nation, J. (1984). Preschoolers with language disorders: 10 years later. Journal of Speech and Hearing Research, 27, 232–244.
Badian, N. (1995). Predicting reading ability over the long term: The changing roles of letter naming, phonological awareness, and orthographic processing. Annals of Dyslexia, 45, 79–96.
Balmuth, M. (1992). The roots of phonics. A historical introduction. Baltimore: York Press.
Berninger, V. (1998). Process assessment of the learner (PAL): Guides for reading and writing intervention. San Antonio, TX: The Psychological Corporation.
Berninger, V. (2000). Dyslexia, the invisible, treatable disorder: The story of Einstein’s Ninja turtles. Learning Disability Quarterly, 23, 175–195.
Berninger, V., & Abbott, R. (1994). Redefining learning disabilities. Moving beyond aptitude-treatment discrepancies to failure to respond to validated treatment protocols. In G. R. Lyon (ed.), Frames of reference for the assessment of learning disabilities: New views on measurement issues (pp. 163–202). Baltimore: Paul H. Brookes Publishing Co.
Berninger, V., Abbott, R., Billingsley, F., & Nagy, W. (2001). Processes underlying timing and fluency of reading: Efficiency, automaticity, coordination, and morphological awareness. In M. Wolf (ed.), Dyslexia, fluency, and the brain (pp 384–414). Baltimore: York Press.
Berninger, V., Abbott, R., Thomson, J., & Raskind, W. (2001). Language phenotype for reading and writing disability: A family approach. Scientific Studies of Reading, 5, 59–105.
Berninger, V., & Traweek, D. (1991). Effects of two-phase reading intervention on three orthographic-phonological code connections. Learning and Individual Differences, 3, 323–338.
Bishop, D., & Adams, C. (1990). A prospective study of the relationship between specific language impairment, phonological disorders, and reading retardation. Journal of Child Psychology and Psychiatry, 31, 1027–1050.
Boetsch, E., Green, P., & Pennington, B. (1996). Psychosocial correlates of dyslexia across the life span. Development and Psychopathology, 8, 539–562.
Booth, J., & Burman, J. (2001). Development and disorders of neuro-cognitive systems for oral language and reading. Learning Disability Quarterly, 24, 205–215.
Breznitz, Z. (in press). Asynchrony of visual-orthographic and auditory-phonological word recognition processes: An underlying factor in dyslexia. Journal of Reading and Writing.
Bruck, M. (1990). Word-recognition skills of adults with childhood diagnoses of dyslexia. Developmental Psychology, 26, 439–454.
Bruck, M. (1993). Component spelling skills of college students with childhood diagnoses of dyslexia. Learning Disability Quarterly, 16, 171–184.
Carlisle, J. (2000). Awareness of the structure and meaning of morphologically complex words: Impact on reading. Reading and Writing: An Interdisciplinary Journal, 12, 169–190.
Catts, H. (1989). Speech production deficits in developmental dyslexia. Journal of Speech and Hearing Disorders, 54, 422–428.
Catts, H. (2000, November). Who are the poor readers: Answers from a longitudinal study. Paper presentation at International Dyslexia Association. Washington, DC.
Catts, H., Fey, M., Zhang, X., & Tomblin, B. (1999). Language basis of reading and reading disabilities: Evidence from a longitudinal investigation. Scientific Studies of Reading, 3, 331–361.
Chorney, M., Chorney, K., Seese, N., Owen, M., Daniels, J., McGuffin, P., Thompson, L., Detterman, D., Benbow, C., Lubinski, D., Eley, T., & Plomin, R. (1998). A quantitative trait locus associated with cognitive ability in children. Psychological Science, 9, 159–166.
Clark, M., & Plante, E. (1998). Morphology of the inferior frontal gyrus in developmentally language disordered adults. Brain and Language, 61, 288–303.
Compton, D. (2000a). Modeling growth of decoding skills in first-grade children. Scientific Studies of Reading, 4, 219–258.
Compton, D. (2000b). Modeling the response of normally achieving and at-risk first grade children to word reading instruction. Annals of Dyslexia, 50, 53–84.
Corina, D., Richards, T., Serafini, S., Richards, A., Steury, K., Abbott, R., Echelard, D., Maravilla, K., & Berninger, V. (2001). fMRI auditory language differences between dyslexic and able reading children. Neuroreport, 12, 1195–1201.
Denckla, M., & Rudel, G. (1976). Rapid “automatized” naming (R.A.N.): Dyslexia differentiated from other learning disabilities. Neuropsychologia, 14, 471–479.
Duncan, J., Seltz, R., Kolodny, J., Bor, D., Herzog, A., Newell, F., & Emslie, H. (2000). A neural basis for general intelligence. Science, 289, 457–460.
Eckert, M., Lombardino, L., & Leonard, C. (2001). Tipping the environmental playground: Who is at risk for reading failure? Child Development, 72, 988–1001.
Eden, G., van Meter, J., Rumsey, J., Masiog, J., Wood, F., & Zeffiro, T. (1996). Abnormal processing of visual motion in dyslexia revealed by functional brain imaging. Nature, 382, 66–69.
Felton, R., Naylor, C., & Wood, F. (1990). Neuropsychological profile of adult dyslexics. Brain and Language, 39, 485–497.
Frith, U. (1999). Paradoxes in the definition of dyslexia. Dyslexia, 5, 192–214.
Gallagher, R., & Appenzeller, T. (1999). Beyond reductionism. Introduction to special issue on complex systems. Science, 284, 79.
Gaugher, L., Lombardino, L., & Leonard, C. (1997). Brain morphology in children with specific language impairment. Journal of Speech, Language, and Hearing Research, 40, 1272–1284.
Gilger, J., Hanebuth, E., Smith, S., & Pennington, B. (1996). Differential risk for developmental reading disorders in the offspring of compensated vesus noncompensated parents. Reading and Writing: An Interdisciplinary Journal, 8, 407–417.
Goulandris, N., Snowling, M., & Walker, I. (2000). Is dyslexia a form of specific language impairment? A comparison of dyslexic and language impaired children as adolescents. Annals of Dyslexia, 50, 103–122.
Hart, T., Berninger, V., & Abbott, R. (1997). Comparison of teaching single or multiple orthographic-phonological connections for word recognition and spelling: Implications for instructional consultation. School Psychology Review, 26, 279–297.
Healy, J., Aram, D., Horowitz, S., & Kessler, J. (1982). A study of hyperlexia. Brain and Language, 17, 1–23.
Henry, M. (1990). Words. Integrated decoding and spelling instruction based on word origin and word structure. Austin, TX: PRO-ED.
Henry, M., Ganschow, L., & Miles, T. R. (2000). The issue of definition: Some problems. Perspectives, [The International Dyslexia Association] 26, 38–43.
Hsu, L., Berninger, V., Thomson, J., Wijsman, E., & Raskind, W. (in press). Familial aggregation of dyslexia phenotypes: Paired correlated measures. Neuropsychiatric Genetics.
Johnson, E., & Breslau, N. (2002). Increased risk of learning disabilities in low birth weight boys at age 11 years. Biological Psychiatry, 47, 490–500.
Kame’enui, E., Simmons, D., & Coyne, M. (2000). Schools as host environments: Toward a school-wide reading improvement model. Annals of Dyslexia, 50, 33–51.
Lefly, E., & Pennington, B. (1991). Spelling errors and reading fluency in compensated adult dyslexics. Annals of Dyslexia, 41, 143–162.
Leonard, C. (2001). Imaging brain structure in children: Differentiating language disability and reading disability. Learning Disability Quarterly, 24, 158–176.
Leonard, C., Eckert, M., Lombardino, L., Oakland, T., Kranzler, J., Mohr, C., King, W., & Freeman, A. (2001a). Anatomical risk factors for phonological dyslexia. Cerebral Cortex, 11, 148–157.
Leonard, C., Eckert, M., Lombardino, L., Given, B., & Eden, G. (2001b). Two anatomical phenotypes for reading impairment. Journal of Cognitive Neuroscience, 12(abs).
Liberman, A. (1999). The reading researcher and the reading teacher need the right theory of speech. Scientific Studies of Reading, 3, 95–111.
Liberman, I., Shankweiler, D., Fischer, F., & Carter, B. (1974). Explicit syllable and phoneme segmentation in the young child. Journal of Experimental Child Psychology, 18, 201–212.
Lombardino, L., Riccio, C., Hynd, G., & Pinheiro, S. (1997). Linguistic deficits in children with reading disablities. American Journal of Speech-Language Pathology, 6, 71–78.
Lovett, M. (1987). A developmental approach to reading disability: Accuracy and speed criteria of normal and deficient reading skill. Child Development 58, 234–260.
Lovett, M., Lacerenza, L., & Borden, S. (2000). Putting struggling readers on the PHAST track: A program to integrate phonological and strategy-based remedial reading instruction and maximize outcomes. Journal of Learning Disabilities, 33, 458–476.
Lovett, M., Lacerenza, L., Borden, S., Frijters, J., Steinbach, K., & DePalma, M. (2000). Components of effective remediation for developmental reading disability: Combining phonological and strategy-based instruction to improve outcomes. Journal of Educational Psychology, 92, 263–283.
Luria, A. R. (1973). The working brain. New York: Basic Books.
Lyon, G. R., & Fletcher, J. M. (2001). Early warning system. Education Matters, Summer, pp. 22–29.
Lyon, G. R., Fletcher, J. M., Shaywitz, S. E., Shaywitz, B. A., Torgesen, J. K., Wood, F. B., Schulte, A., & Olson, R. (2001). Rethinking learning disabilities. In C. E. Finn, A. J. Rotherham, & C. R. Hokanson (eds.), Rethinking special education for a new century (pp. 259–288). Washington, DC: Thomas B. Fordham Foundation and the Progressive Policy Institute.
Lyon, G. R., & Krasnegor, N. (Eds.) (1996). Attention, memory, and executive functions. Baltimore: Paul H. Brookes.
Manis, F., Custodio, R., & Szeszulski, P. (1993). Development of phonological and orthographic skill: A 2- year longitudinal study of dyslexic children. Journal of Experimental Child Psychology, 56, 64–86.
Mattingly, I. (1972). Reading, the linguistic process, and linguistic awareness. In J. F. Kavanagh, & I. Mattingly (eds.), Language by ear and by eye: The relationships between speech and reading (pp. 133–147). Cambridge, MA: MIT Press.
McCormick, M. (2000). Dyslexia and developmental verbal apraxia. Dyslexia. An International Journal of Research and Practice, 6, 210–214.
Mody, M., Studdert-Kennedy, M., & Brady, S. (1997). Speech perception deficits in poor readers: Auditory processing or phonological coding? Journal of Experimental Child Psychology, 64, 199–231.
Molfese, D. (in press). Newborn brain responses predict language development skills that emerge eight years later. Brain and Language.
Molfese, D. (2000). Predicting dyslexia at 8 years using neonatal brain responses. Brain and Language, 72, 238–245.
Morris, R., Stuebing, K., Fletcher, J., Shaywitz, S., Lyon, G. R., Shankweiler, D., Katz, L., Francis, D., & Shaywitz, B. (1998). Subtypes of reading disability: Variability around a phonological core. Journal of Educational Psychology, 90, 347–373.
Nagy, W., Osborn, J., Winsor, P., & O’Flahavan, J. (1994). Structural analysis: Some guidelines for instruction. In F. Lehr & J. Osborn (eds.), Reading, language, and literacy (pp. 45–58). Hillsdale, NJ: Lawrence Erlbaum Associates.
Nicholson, R. (2000). Dyslexia and dysgraphia: Commentary. Dyslexia: An International Journal of Research and Practice, 6, 203–204.
Nicholson, R., & Fawcett, A. (1995). Dyslexia is more than a phonological disability. Dyslexia: An International Journal of Research and Practice, 1, 19–36.
Oakhill, J., & Yull, M. (1996). Higher order factors in comprehension disability: Processes and remediation. In C. Cornaldi, & J. Oakhill (Eds.), Reading comprehension difficulties: Processes and interventions (pp. 69–92). Mahwah, NJ: Lawrence Erlbaum Associates.
Olson, R., Datta, H., Gayan, J., & DeFries, J. (1999). A behavioral genetic analysis of reading disabilities and component processes. In R. M. Klein & P. A. McMullen (eds.), Converging methods for understanding reading and dyslexia (pp. 133–151). Cambridge, MA: MIT Press.
Olson, R., Datta, H., Gayan, J., Hulslander, J., Ring, J., Wise, B., DeFries, J., Pennington, B., & Wadsworth, S. (1999). Does IQ matter for the reading profile, etiology, and remediation of reading disability? Yes, yes, yes! Paper presented at Society for the Scientific Study of Reading. Montreal.
Olson, R., Wise, B., & Forsberg, H. (1994). Genes, environment, and the development of orthographic skills. In V. W. Berninger (ed.), The varieties of orthographic knowledge. I. Theoretical and developmental; issues. Oordrecht, The Netherlands: Kluwer.
Paulesu, E., Demonet, J., Fazio, F., McCrory, E., Chanoine, V., Brunswick, N., Cappa, F., Cossu, G., Habib, M., Frith, C., & Frith, U. (2001). Dyslexia: Cultural diversity and biological unity. Science, 291, 2165–2167.
Pennington, B., Gilger, J., Pauls, D., Smith, S., Smith, S., & DeFries, J. (1991). Evidence for major gene transmission of developmental dyslexia. Journal of Medical Association, 266, 1527–1534.
Perfetti, C. (1985). Reading ability. New York: Oxford University Press.
Psychological Corporation. (1991). Wechsler intelligence scale for children, third edition. San Antonio: The Psychological Corporation.
Raskind, W., Hsu, L., Thomson, J., Berninger, V., & Wijsman, E. (2000). Family aggregation of dyslexic phenotypes. Behavior Genetics, 30, 385–96.
Richards, T., Dager, S., Corina, D., Serafini, S., Heide, A., Steury, K., Strauss, W., Hayes, C., Abbott, R., Kraft, S., Shaw, D., Posse, S., & Berninger, V. (1999). Dyslexic children have abnormal chemical brain activation during reading-related language tasks. American Journal of Neuroradiology, 20, 1393–1398.
Richards, T., Corina, D., Serafini, S., Steury, K., Dager, S., Marro, K., Abbott, R., Maravilla, K., & Berninger, V. (2000). Effects of phonologically driven treatment for dyslexia on lactate levels as measured by proton MRSI. American Journal of Radiology, 21, 916–922.
Robinson, N., Zigler, E., & Gallagher, J. (2000). Two tails of the normal curve. Similarities and differences in the study of mental retardation and giftedness. American Psychologist, 55, 1413–1424.
Scarborough, H. (1989). Prediction of reading disability from familial and individual differences. Journal of Educational Psychology, 81, 101–108.
Scarborough, H. (1990). Very early language deficits in dyslexic children. Child Development, 61, 1728–1734.
Scarborough, H. (1991). Early syntactic development of dyslexic children. Annals of Dyslexia, 41, 207–220.
Scarborough, H. (2001). Connecting early language and literacy to later reading (dis)abilities: Evidence, theory, and practice. In S. Neuman & D. Dickinson (eds.), Handbook for research in early literacy (pp. 97–110). New York: Guilford Press.
Shaywitz, S., Shaywitz, B., Pugh, K., Fullbright, R., Constable, T., Menci, E., Shakweiler, D., Liberman, A., Skudlarski, P., Fletcher, J., Katz, L., Marchione, K., Lacadie, C., Gatenby, C., & Gore, J. (1998). Functional disruption in the organization of the brain for reading in dyslexia. Proceedings of the National Academy, 95, 2636–2641.
Siegel, L. (1984). A longitudinal study of a hyperlexic child: Hyperlexia as a language disorder. Neuropsychologia, 22, 577–585.
Siegel, L. (1989). Why we do not need intelligence scores in the definition and analysis of learning disabilities. Journal of Learning Disabilities, 22, 514–518.
Silva, P., Williams, S., & McGee, R. (1987). A longitudinal study of children with developmental language delay at age three: Later intelligence, reading, and behavior problems. Developmental Medicine and Child Neurology, 29, 630–640.
Skottun, B., & Parke, L. (1999). The possible relationship between visual deficits and dyslexia: Examination of a critical assumption. Journal of Learning Disabilties, 32, 2–5.
Stage, S., Abbott, R., Jenkins, J., & Berninger, V. (2000). Predicting response to early reading intervention using Verbal IQ, reading-related language abilities, attention ratings, and Verbal IQ—word reading discrepancy. To appear in special issue of the Journal of Learning Disabilities.
Stanovich, K. (1986). Matthew effects in reading: Some consequences of individual differences in the acquisition of literacy. Reading Research Quarterly, 21, 360–407.
Tallal, P., Merzenich, M., Miller, S., & Jenkins, W. (1998). Language learning impairments: Integrating basic science, technology, and remediation. Experimental Brain Research, 123, 210–219.
Thomson, J., Abbott, R., Busse, J., Raskind, W., & Berninger, V. (1999). Self-regulation of cognitive and motoric processes and its relationship to language and academic skills in dyslexia. Submitted.
Thompson, G. B., & Johnston, R. (2000). Are nonword and other phonological deficits indicative of a failed reading process? Reading and Writing: An Interdisciplinary Journal, 12, 63–97.
Tønnessen, F. (1997). How can we best define ‘dyslexia’? Dyslexia: An International Journal of Research and Practice 3, 78–92.
Torgesen, J., Rashotte, C., & Alexander, A. (2001). Principles of fluency instruction in reading: Relationships with established empirical outcomes. In M. Wolf (ed.), Dyslexia, fluency and the brain (pp. 333–355). Parkton, MD: York Press.
Torgesen, J., Alexander, A., Wagner, R., Rashotte, C., Voeller, K., & Conway, T. (2001). Intensive remedial instruction for children with severe reading disabilities: Immediate and long-term outcomes from two instructional approaches. Journal of Learning Disabilities, 34, 33–58.
Torgesen, J., Wagner, R., Rashotte, C., Rose, E., Lindamood, P., Conway, T., & Garvin, C. (1999). Preventing reading failure in young children with phonological processing disabilities: Group and individual responses to instruction. Journal of Educational Psychology, 91, 579–593.
Trauner, D., Wulfeck, B., Tallal, P., & Hesselink, J. (2000). Neurological and MRI profiles of children with developmental language impairment. Developmental Medicine & Child Neurology, 42, 470–475.
Vellutino, F. (1979). Dyslexia, theory, and research. Cambridge, MA: MIT Press.
Vellutino, F., Scanlon, D., & Lyon, G. R. (2000). Differentiating between difficult-to-remediate and readily remediated poor readers: More evidence against the IQ-achievement discrepancy definition of reading disability. Journal of Learning Disability, 33, 223–238.
Wadsworth, S., Olson, R., Pennington, B., & DeFries, J. (2000). Differential genetic etiology of reading disability as a function of IQ. Journal of Learning Disabilities, 33, 192–199.
Wagner, R., & Torgesen, J. (1987). The nature of phonological processing and its causal role in the acquisition of reading skills. Psychological Bulletin, 101, 192–212.
Wolf, M., Bally, H., & Morris, R. (1986). Automaticity, retrieval processes, and reading: A longitudinal study in average and impaired reading. Child Development, 57, 988–1000.
Wolf, M., & Bowers, P. (1999). The double-deficit hypothesis for the developmental dyslexias. Journal of Educational Psychology, 91, 415–438.
Wolff, P.H., Cohen, C., & Drake, C. (1984). Impaired motor timing control in specific reading retardation. Neuropsychologia, 22, 587–600.
Wolff, P., & Melngailis, I. (1994). Family patterns of developmental dyslexia. American Journal of Medical Genetics (Neuropsychiatric Genetics), 54, 122–131.
Wood, F., & Felton, R. (1994). Separate linguistic and attentional factors in the development of reading. Topics in Language Disorders, 14, 42–57.
Wood, F., & Flowers, D. (1999). Functional neuroanatomy in dyslexic subtypes. In D. D. Duane (ed.), Reading and attention disorders: Neurobiological correlates (pp. 129–159). Baltimore, MD: York Press.
Wood, F., & Grigorenko, E. (in press). Emerging issues in the genetics of dyslexia: A methodological preview. Journal of Learning Disabilities.
Yates, C., Berninger, V., & Abbott, R. (1995). Specific writing disabilities in intellectually gifted children. Journal for the Education of the Gifted, 18, 131–155.
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Grant P50 33812-06 from the National Institute of Child Health and Human Development supported preparation of this article.
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Berninger, V.W. Understanding the ‘Lexia’ in dyslexia: A multidisciplinary team approach to learning disabilities. Ann. of Dyslexia 51, 21–48 (2001). https://doi.org/10.1007/s11881-001-0004-3
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DOI: https://doi.org/10.1007/s11881-001-0004-3