Stein John
Department of Physiology, Anatomy & Genetics, Oxford University, Oxford OX1 3PT, UK.
Brain Sci. 2023 Jan 26;13(2):208. doi: 10.3390/brainsci13020208.
Despite proving its usefulness for over a century, the concept of developmental dyslexia (DD) is currently in severe disarray because of the recent introduction of the phonological theory of its causation. Since mastering the phonological principle is essential for all reading, failure to do so cannot be used to distinguish DD from the many other causes of such failure. To overcome this problem, many new psychological, signal detection, and neurological theories have been introduced recently. All these new theories converge on the idea that DD is fundamentally caused by impaired signalling of the timing of the visual and auditory cues that are essential for reading. These are provided by large 'magnocellular' neurones which respond rapidly to sensory transients. The evidence for this conclusion is overwhelming. Especially convincing are intervention studies that have shown that improving magnocellular function improves dyslexic children's reading, together with cohort studies that have demonstrated that the magnocellular timing deficit is present in infants who later become dyslexic, long before they begin learning to read. The converse of the magnocellular deficit in dyslexics may be that they gain parvocellular abundance. This may often impart the exceptional 'holistic' talents that have been ascribed to them and that society needs to nurture.
尽管发育性阅读障碍(DD)的概念已被证明其有用性长达一个多世纪,但由于最近引入了其病因的语音理论,目前该概念正处于严重混乱之中。由于掌握语音原则对所有阅读都至关重要,因此不能将未能掌握该原则用于区分DD与导致阅读失败的许多其他原因。为了克服这个问题,最近引入了许多新的心理学、信号检测和神经学理论。所有这些新理论都趋向于这样一种观点,即DD从根本上是由对阅读至关重要的视觉和听觉线索的时间信号受损引起的。这些线索由对感觉瞬变反应迅速的大型“大细胞”神经元提供。这一结论的证据是压倒性的。特别有说服力的是干预研究,这些研究表明改善大细胞功能可提高诵读困难儿童的阅读能力,还有队列研究表明,在后来成为诵读困难者的婴儿中,早在他们开始学习阅读之前就存在大细胞时间缺陷。诵读困难者大细胞缺陷的反面可能是他们获得了丰富的小细胞。这可能常常赋予他们被归因于他们的非凡“整体”才能,而社会需要培养这些才能。