Diagnosing Dyslexia

The information in this blog is focused on developmental dyslexia, which is acquired through genetics.  Usually, students who acquire dyslexia through environmental causes can be flagged or diagnosed using the same information.

The definition of dyslexia is:

Dyslexia is a specific learning disability that is neurobiological in origin.  It is characterized by difficulties with accurate and/or fluent word recognition and by poor spelling and decoding abilities.  These difficulties typically result from a deficit in the phonological component of language that is often unexpected in relation to other cognitive abilities and the provision of effective classroom instruction.  Secondary consequences may include problems in reading comprehension and reduced reading experience that can impede growth of vocabulary and background knowledge (International Dyslexia Association, 2002).

I am not big fan of labeling students for various reasons, but labeling must occur if the student is not getting the support and instruction that they need to acquire literacy skills.  Students will continue to struggle to acquire and use grade-level literacy skills, if they do not learn foundational literacy skills during their early elementary school days.  Most students can receive the support and instruction that they need to remain at grade-level through a response to intervention (RTI) or multitiered program.   RTI is a program that when implemented with fidelity can provide instructional lessons at student learning level, in addition to their regular classroom literacy instruction.  Some students will need more intense intervention that may include special education services, which requires the development of a 504 or IEP plan.  This will depend on your school’s literacy program and student learning needs.

Diagnosing dyslexia can be tricky and complex.  Dyslexia affects approximately 3 of every 20 students.  Dyslexia is blind to ethnicity and socioeconomic status.  Some students will “scream” dyslexia, many will not. Some students will never be diagnosed.  Children of parents diagnosed with developmental dyslexia have a 50% higher chance of having dyslexia.  It is also important to note that students can show traits of dyslexia, but not have developmental dyslexia.

Diagnosing dyslexia usually begins with a screening of student literacy skills.  A screening is a series of short probes or assessments used to learn student reading ability.   Most schools universally screen students three times a year.  Universal screenings can flag students who may have dyslexia, this will depend on the reading probes used to screen students.  Some probes have a stronger correlation to reading deficits normally found in individuals diagnosed with dyslexia.  Student knowledge of phonological awareness is a stronger flag until Grade 2, when rapid automatized naming tests (RAN) or reading fluency probes become a stronger flag (Ray, 2017).  Usually students that show a deficit in decoding nonsense words are dyslexic.  Teacher observations of student reading ability can strengthen the validity of a word decoding outcome.  There are also “private” on-line screenings.  Use on-line screening with caution, as not all screenings are valid.  The Shaywitz DyslexiaScreenTM was developed by Dr. Sally Shaywitz, a professor and researcher in Learning Development at Yale University. This screening can be used for students in kindergarten and Grade 1.  The screener can be found at https://dyslexia.yale.edu/, the Yale Center for Dyslexia and Creativity.  Students who show signs of literary deficits or traits of dyslexia may be assessed deeper or more extensively by a trained educational professional.

Diagnosing Dyslexia

The Gillingham (1955) formula of diagnosing dyslexia was developed by Anne Gillingham while she was working for Dr. Samuel Orton in the early 1900s.  She believed that standardized achievement tests were not a valid method to diagnose students’ reading deficits or to place students in remediation.  Gillingham determined that the following seven assessments should be given to students one year before beginning reading instruction: (a) intelligence, (b) optical or vision, (c) family history, (d) motor pattern or skills, (e) visual sensory recall skills, (f) auditory sensory recall skills, and (g) kinesthetic sensory skills.  The data from each assessment should be compiled and analyzed for each child.  The child is then placed into a classroom setting, based on the analyzed outcome of these assessment.  Gillingham noted that when students were assessed correctly and place in the proper programs, many of the emotional issues disappeared.  Gillingham also noted that occasionally the analyzed placement needed to be revisited as the child progressed through their formal education.  Gillingham (1956) believed that teachers in the regular classroom were the first to identify students at-risk for reading acquisition.

Today, dyslexia can be diagnosed by a neuropsychologist who specializes in educational disabilities, in particular dyslexia.  The process includes three or four hours of testing that can be quit tiring for students.  Most public schools do not have licensed psychologists trained to administer the depth of assessment required to diagnose dyslexia.  Students can also be diagnosed using MRI imaging.  This method of diagnosis should be used with caution, as very few people know how to conduct or correctly read the MRI screening images for dyslexia traits.

Ray, J.S. (2017).  Tier 2 interventions for students in grades 1-3 identified as at-risk in reading.  (Doctoral dissertation, Walden University).  Retrieved from https://scholarworks.waldenu.edu/dissertations/3826/

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Author: Jennifer S. Ray, PhD, C-SLT

Teaching literacy became a passion of mine while raising my children. The knowledge that I learned through my experiences in teaching literacy at home and in the classroom over the past 28 years fueled my drive to earn a PhD in Education with a focus in Curriculum, Instruction, and Assessment. My graduate work centered on the curriculum, instruction, and assessment of literacy acquisition. I have a particular interest in dyslexia and discovering those students who may benefit from early intervention through a response to intervention program. I also enjoy reading, visiting state and national parks, and shopping.

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