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[神经科学对发育性阅读障碍的诊断及教育治疗的贡献]

[Contributions of neuroscience to the diagnosis and educational treatment of developmental dyslexia].

作者信息

López-Escribano C

机构信息

Universidad Complutense de Madrid, Facultad de Educación, Departamento de Psicología Evolutiva y de la Educación, Madrid, España.

出版信息

Rev Neurol. 2007;44(3):173-80.

Abstract

AIM

To examine the advances made in the fields of cognitive psychology, neuroscience and education and how they have contributed to each other.

DEVELOPMENT

The paper offers a review of the current models of dyslexia and analyses the relation between these models and neuroimaging studies and educational intervention. The first model presented here is the 'phonological deficit' model, which is the most widely proven and accepted today. People with dyslexia have difficulty in completing tasks that involve segmenting language at a phonological level. Neuroimaging studies also reveal the existence of atypical brain activation in dyslexics while performing tasks that require phonological processing. Intervention programmes of a phonological nature have proved to be effective on both a behavioural and a neurophysiological level. Given the complexity of the reading process, further research is currently looking into other models. Although the 'temporal processing' deficit model is more controversial and not as widely accepted as the previous model, some reports provide both behavioural and neurophysiological evidence for the existence of differences in the visual and auditory processing of dyslexic and control subjects. Different educational approaches to put this temporal processing deficit to rights have been tested in dyslexic children with successful outcomes. Finally, the present status between neuroscience and education in the area of reading disorders is examined and future implications concerning the different approaches and methods used in current research are analysed.

CONCLUSIONS

Although we are still a long way from understanding the causes of reading deficiencies, collaboration between neuroscience, psychology and education does help further our understanding of the psychology of reading, its diagnosis and its intervention.

摘要

目的

探讨认知心理学、神经科学和教育领域所取得的进展,以及它们如何相互促进。

发展

本文对当前诵读困难模型进行了综述,并分析了这些模型与神经影像学研究及教育干预之间的关系。这里介绍的第一个模型是“语音缺陷”模型,它是目前得到最广泛证实和认可的模型。诵读困难者在完成涉及语音层面语言分割的任务时存在困难。神经影像学研究还揭示,诵读困难者在执行需要语音处理的任务时,大脑激活存在异常。语音性质的干预方案已在行为和神经生理层面均被证明有效。鉴于阅读过程的复杂性,目前进一步的研究正在探究其他模型。尽管“时间处理”缺陷模型更具争议性,且不像前一个模型那样被广泛接受,但一些报告提供了行为和神经生理证据,证明诵读困难者与对照组在视觉和听觉处理方面存在差异。针对诵读困难儿童,已测试了纠正这种时间处理缺陷的不同教育方法,并取得了成功结果。最后,本文审视了阅读障碍领域神经科学与教育之间的现状,并分析了当前研究中使用的不同方法和手段的未来影响。

结论

尽管我们距离理解阅读缺陷的成因仍有很长的路要走,但神经科学、心理学和教育之间的合作确实有助于加深我们对阅读心理学、其诊断及干预的理解。

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