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全面的认知评估对于学习障碍的识别和治疗并非必要。

Comprehensive Cognitive Assessments are not Necessary for the Identification and Treatment of Learning Disabilities.

作者信息

Fletcher Jack M, Miciak Jeremy

机构信息

Department of Psychology, University of Houston, Houston, TX, USA

Department of Psychology, University of Houston, Houston, TX, USA.

出版信息

Arch Clin Neuropsychol. 2017 Feb;32(1):2-7. doi: 10.1093/arclin/acw103. Epub 2016 Dec 8.

Abstract

There is considerable controversy about the necessity of cognitive assessment as part of an evaluation for learning and attention problems. The controversy should be adjudicated through an evaluation of empirical research. We review five sources of evidence commonly provided as support for cognitive assessment as part of the learning disability (LD) identification process, highlighting significant gaps in empirical research and where existing evidence is insufficient to establish the reliability and validity of cognitive assessments used in this way. We conclude that current evidence does not justify routine cognitive assessment for LD identification. As an alternative, we offer an instructional conceptualization of LD: a hybrid model that directly informs intervention and is based on documenting low academic achievement, inadequate response to intensive interventions, and a consideration of exclusionary factors.

摘要

关于认知评估作为学习和注意力问题评估一部分的必要性,存在相当大的争议。这种争议应通过对实证研究的评估来裁决。我们回顾了通常作为支持认知评估作为学习障碍(LD)识别过程一部分的五个证据来源,强调了实证研究中的重大差距,以及现有证据不足以确立以这种方式使用的认知评估的可靠性和有效性的地方。我们得出结论,目前的证据并不支持将常规认知评估用于LD识别。作为一种替代方案,我们提出了一种关于LD的教学概念化:一种混合模型,它直接为干预提供指导,并且基于记录低学业成绩、对强化干预的不充分反应以及对排除因素的考虑。

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