Specific Learning Disorder


Author: Kainat Talib

 
Specific Learning Disorder
    A specific learning disorder is defined as a neurodevelopmental disorder characterized by a problem in reading, writing, and mathematic domains. According to a survey, 84% of people in the U.S. perceive learning disabilities as a growing issue, and 63% are familiar with someone who has a learning disability (Zivoder et al., 2017).

Kirk (1962) was the first person to use the term "learning disability" and presented the initial definition as:

A learning disability refers to retardation, disorder, or delayed development in one or more of the processes of speech, language, reading, writing, arithmetic, or other school subject resulting from a psychological handicap caused by a possible cerebral dysfunction and/or emotional or behavioral disturbances. It is not the result of mental retardation, sensory deprivation, or cultural factors (Zumeta, 2014).

After Kirk's conceptualization, several other definitions were presented, but the focus of all definitions was conceptual and inadequate to explain the operational features. Therefore, these definitions were not enormously influential for learning disabilities identification. In 2004, the Individuals with Disabilities Education Improvement Act defined specific learning disabilities as:

The term "specific learning disability" means a disorder in one or more of the basic psychological processes involved in understanding or using language, spoken or written, which may manifest itself in the imperfect ability to listen, think, speak, read, spell, or do mathematical calculations. Such a term includes perceptual disabilities, brain injury, minimal brain dysfunction, dyslexia, and developmental aphasia. Such a term does not include a learning problem that is primarily the result of the visual, hearing, or motor disabilities; of mental retardation; of emotional disturbance; or environmental, cultural, or economic disadvantage (IDEA 2004, 602.30, Definitions).

As the presented definitions were insufficient to provide explicit guidelines for the identification and diagnosis of specific learning disabilities, therefore, three systems of classification were introduced (a) evaluation through the criteria of IDEA 2004, (b) Diagnostic and Statistical Manual of Mental Disorders, 2013 and (c) International Classification of Diseases, (2016).

Types of Specific Learning Disorder

Specific learning disorders are categorized as dyslexia, dysgraphia, and dyscalculia based on their characteristics.

Specific Reading Disorder (Dyslexia)

Dyslexia is defined as a specific learning disability that has a neurological origin. This disorder is characterized by difficulties with correct and/or fluent word recognition and poor decoding and spelling abilities. Deficits in the phonological component of language are usually unexpected relative to other cognitive abilities, and the facility of effective classroom instruction cause these difficulties. These difficulties may lead to reading comprehension problems and reduced reading experience that can hinder the development of vocabulary and background knowledge (International Dyslexia Association, 2014). According to International Dyslexia Association, children with dyslexia may have one or more of the following symptoms: (a) problem with oral language, (b) trouble with reading, and (c) problem with written language.

           Specific reading disorder is further divided into four subtypes.

Dysphonetic Dyslexia

Students with dysphonetic dyslexia find it difficult to sound out words in a phonological way hence caused them to be dependent on the semantic and orthographic properties of words. The neuroanatomical deficits for this problem lie in the left temporal-parietal areas. 

Surface Dyslexia

Students with surface dyslexia find it difficult to recognize words in print rapidly and automatically. The neuroanatomical deficits are in the fusiform gyrus of the left hemisphere.

Mixed Dyslexia

Mixed dyslexia is the severest form of dyslexia in which students have reading deficits determined by impairments in phonological and orthographic processing skills. Neuroanatomical deficits are in the left temporal-parietal regions, fusiform gyrus, and angular gyrus.

Comprehension Deficits

Incomprehension deficits the difficulty persists in understanding the meaning from print, but the reading process remains fine. Neuroanatomical problems are in the executive functioning skills and left dorsolateral prefrontal cortex. 

Dysgraphia

Students with dysgraphia usually have handwriting problems with or without relative spelling problems. Sometimes these students have only orthographic spelling problems associated with smooth access to definite spellings in long-term memory. Consequently, students with dysgraphia have trouble with a written expression of an idea through writing.

Oral and Written Language Specific Learning Disability

Students with this specific learning disability find to have problems with word reading, spelling, reading comprehension, and written expression of ideas; his causes deficits in morphological, syntactic awareness, and word retrieval. Hence, it is both an oral and written language disorder.

Dyscalculia

Students with dyscalculia find it challenging to learn and perform mathematics. Usually, it is considered developmental without any observable etiology. It affects the ability to learn or comprehend mathematics. Dyscalculia is further divided into developmental dyscalculia, math learning disability, developmental arithmetic disorder, specific learning disability in mathematics, and mathematics disability.

Acalculia

The presence of acquired mathematical difficulties characterizes a student with acalculia. It usually occurs due to traumatic brain injury or other neurological deficits. Acalculia is a type of aphasia that causes an inability or loss of ability to do mathematical tasks. Acalculia is further divided into aphasic acalculia, visual-spatial acalculia, and anarithmetia. It is considered more severe than dyscalculia.

Conclusion

The purpose of defining specific learning disorders and their types is to make the teachers and parents realize that sometimes students face academic failure due to such issues. If they find their child or student facing these problems, they should consult or refer them to a psychologist to evaluate and manage (if needed). Instead of blaming them (they are doing wrong willingly), the teachers or parents first make sure that there is no other problem that can cause academic failure.


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