Indiana State University, Terre Haute, Indiana.
Ann Dyslexia. 1988 Jan;38(1):31-49. doi: 10.1007/BF02648247.
A controversy whether developmental dyslexia is qualitatively different from other forms of reading disability has existed among reading specialists for many years because poor readers, regardless of the labels attached to them, resemble each other symptomatically (i.e., in reading achievement). For this reason, it is difficult to establish a priori criteria based on symptoms to identify dyslexia and compare it with other forms of reading disability. One possible solution to this impasse is to see if poor readers differ in the etiology of their reading disability and, if they do, then to see whether one group of poor readers fits the traditional definition of dyslexia. This strategy was adopted in the present study. In this paper, it was hypothesized that the etiology of dyslexia is different from that of other forms of reading disability because there is a difference in the components that malfunction in dyslexia and other forms of reading disability. Studies have shown that the two components that account for a large proportion of variance in reading are decoding and comprehension. Previous studies also indicate that dyslexic children are deficient in decoding skills but not necessarily in comprehension. In this study, reading-disabled children were divided into two groups on the basis of their listening comprehension. Children whose listening comprehension was at or above grade level were placed in one group; poor readers with below-grade-level listening comprehension were placed in the second group. Both groups, however, were matched for reading comprehension. The two groups and a control group of normal readers were administered a number of tasks that were designed to assess the efficiency of the components of reading. It was found that poor readers with normal listening comprehension were deficient in tasks that involved grapheme-phoneme conversion (Component I, decoding). When tested on tasks that minimized decoding requirements, their reading comprehension was comparable to that of normal readers. In contrast, the group with sub-average listening comprehension was poor in measures of reading comprehension, even when decoding requirements were minimal. With the exception of very few children, this group also had adequate decoding skills. Because poor readers with normal listening comprehension had average or above average IQ, they conform to the traditional definition of dyslexia. Poor readers with below average listening comprehension had below average IQ and could be considered as "general reading backward." It was, therefore, concluded that the etiology of developmental dyslexia is different from that of general reading backwardness.
发展性阅读障碍是否与其他形式的阅读障碍在质上不同,这在阅读专家中一直存在争议,因为无论给他们贴上什么标签,阅读困难的学生在症状上都很相似(即阅读成绩)。基于此,很难根据症状预先建立标准来识别阅读障碍,并将其与其他形式的阅读障碍进行比较。解决这一困境的一个可能方法是观察阅读困难的学生在病因上是否存在差异,如果存在,那么观察其中一组阅读困难的学生是否符合传统的阅读障碍定义。本研究采用了这一策略。本文假设阅读障碍的病因不同于其他形式的阅读障碍,因为阅读障碍和其他形式的阅读障碍在功能失调的组成部分上存在差异。研究表明,在阅读中占很大比例的两个组成部分是解码和理解。之前的研究还表明,阅读障碍儿童在解码技能方面存在缺陷,但在理解方面不一定存在缺陷。在这项研究中,根据听力理解能力将阅读障碍儿童分为两组。听力理解能力达到或高于年级水平的儿童被分到一组;听力理解能力低于年级水平的阅读障碍儿童被分到第二组。然而,两组在阅读理解方面是匹配的。对两组和一组正常阅读者进行了多项任务的测试,这些任务旨在评估阅读组成部分的效率。结果发现,听力理解正常的阅读障碍儿童在涉及字符到音素转换的任务(第一组成分,解码)中存在缺陷。当他们接受需要最小解码要求的任务测试时,他们的阅读理解能力与正常读者相当。相比之下,听力理解低于平均水平的那一组在阅读理解的测量中表现较差,即使解码要求最小化。除了极少数儿童外,这一组的解码能力也很充分。由于听力理解正常的阅读障碍儿童的智商平均值或高于平均值,他们符合传统的阅读障碍定义。听力理解低于平均水平的阅读障碍儿童的智商平均值较低,可以被认为是“一般阅读落后”。因此,结论是发展性阅读障碍的病因不同于一般阅读落后的病因。