Phonological Reading Disability

Diagnostic Features

The core feature of phonological reading disability is diminished awareness of the phonological structure of language which is the basis for accurate recognition of words that are necessary for basic reading, comprehension, and spelling (orthography).  A deficit in phonological awareness processing is characterized by difficulty accessing sound structure in one’s own oral language, which gives rise to difficulty in sounding out words, rhyming, and segmenting or manipulating sounds.  Phonological reading disabled persons often have comorbid difficulties involving math and written expression

 

Diagnostic Criteria

·   Phonological awareness abilities measured with standardized tests are below average range.

·       Performance in word reading, pseudoword decoding and spelling on standardized tests are below the average range

·       Overall cognitive reasoning abilities such as measure with the WISC-IV or Binet are above the ninth (9th) percentile. 

·     Reading comprehension is significantly below cognitive abilities and grade level or age-peers expectations. 

 

Differential Diagnosis

Phonological Reading Disability is to be distinguished from the reading subtype’s disability; namely, phonemic, fluency, vocabulary and comprehension reading disabilities for which persons’ phonological awareness abilities are within the average range.

 

Phonemic reading disability reflects problems with the use of representation of linguistic material, which is hard for phonemic disabled readers to hold in working or short-term memory. 

 

The core process that is less developed in reading fluency disability is the ability to read connected text rapidly, smoothly, effortlessly, and automatically with little conscious attention.  This disability is often due to difficulty with attention, executive functions, and other skills that influence the efficient allocation of resources. 

 

Vocabulary reading disability refers to poor recognition of vocabulary or the ability to read individual words, which restricts a person from learning word meanings at a deep level of understanding. 

 

The main feature in reading comprehension disabilities are deficits in a variety of skills needed to abstract meaning from text; for example, accessing word meaning and syntax, and constructing text-based representations of the situation described by the text by using general knowledge to make inferences. 

 

Intervention Strategies

Persons with Phonological Reading Disability benefit from intervention strategies for developing phonological awareness or activities that include rhyming games, identifying words that sound similar or different, isolating sounds in words, changing the beginning and ending of words, and clapping word segments. Teaching graphophonemic relationships (sound-symbol correspondence) with visual-to-auditory and auditory-to-visual clues augments both phonological awareness and improves spelling. 

 

Prevalence and Etiology

About 4 to 10 % of persons have phonological reading disability.  Phonological reading disability is neurobiological in origin; it runs in families and occurs across family generations.  Although neurological studies consistently have identified factors involving brain functions and hereditability, it is apparent that neurobiological and environmental factors interact in reading disability.  This is especially apparent in interventions which show that the neural system that mediate the developmental of reading skills are malleable and dependent on experience in order to develop. 

 

References

Feifer, S. G., & De Fina, P.A. (2000).  The neurology of mathematics. Middletown, MD: School Neuropsych Press.

Fletcher, J. M., Lyon, G. R., Fuchs, L. S., & Barnes, M. A.  (2007). Learning disabilities. New York: NY: The Guilford Press. 

Swanson, H. L., & Saez, L. (2003). Basic cognitive processes and reading disabilities. In Swanson, H. L., Harris, K. R., & Graham, S. (Eds). Handbook of learning disabilities (pp. 158-181). New York, NY: The Guilford Press.