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7 Adar I 5765 - February 16, 2005 | Mordecai Plaut, director Published Weekly
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Home and Family

Dyslexia Again
by A. Ross, M.Ed.

The exact nature of the problem has eluded doctors, parents, teachers and dyslexics themselves since dyslexia was first described over one hundred years ago. The mystery, and perhaps some of the stigma, is starting to lift. The more researchers learn about dyslexia, the more they realize that it is not a flaw of character but a biological fault. Indeed, it is so difficult for a skilled reader to imagine what it is like not to be able to absorb the printed word effortlessly, that many teachers suspect that the real problem lies in laziness, obstinacy or a proud parent's inability to recognize that they have a slow child. Now, however, with modern technology, there is positive proof that true dyslexics are just made differently.

What most neuroscientists know about the brain has come from studying people who were undergoing brain surgery, or had suffered brain damage. Obviously, this is not the most convenient way to study the brain, especially if you are trying to determine what is normal. Even highly detailed pictures from the most advanced computer-enhanced X-ray imaging machines could reveal only the organ's basic anatomy, not how the various parts worked together. Researchers needed a scanner which didn't subject patients to radiation, and which would show which parts of the brain were most active in healthy subjects as they performed various intellectual tasks.

The breakthrough in technology came a little less than ten years ago, with the development of a technique called functional magnetic resonance imaging. That is MRI, with an F. FMRI allows researchers to see which parts of the brain are getting the most blood at any given time. Without boring the reader with names of the various parts of the brain, the researchers identified three parts which are needed for reading alphabetically. The phoneme, or sound producer, the word analyzer and the automatic detector.

Interestingly, a Chinese neuroscientist performed these same tests using FMRI on dyslexic children and on non-dyslexic children whose mother tongue is Mandarin Chinese. Alphabet- based languages, like Hebrew, Russian or English, are based on letters or groups of letters which always sound a certain way. Once a child has mastered the rules, he can concentrate on the meaning of words.

Languages like Chinese are different. Their characters are equvalent to words. Children have to learn the meaning and the sound of each character simultaneously, so they can't tell the sound of a character just by learning it a few times. This scientist from Hong Kong University found that different parts of the brain were used by readers of Chinese and Japanese type languages. One test done on a bilingual Japanese boy showed that he was dyslexic in Japanese but not in English. Unfailingly, a child who is dyslexic in one alphabet-based language shows the same problems in any other, e.g. Hebrew and English.

It has been proven that the brains of dyslexic children are `wired' differently from non-dyslexics. They are perfectly normal and not brain damaged in the least. On the contrary, dyslexics are often skilled problem solvers. Some studies have shown that early identification and appropriate intervention can cause the brain to become `rewired' like any other brain and the child reads with normal fluency.

Dyslexia cannot be outgrown. Therefore, parents who wait and think the child is a slow developer, are making a big mistake. After the age of around nine or perhaps a little older, it is much more difficult to train different parts of the brain to change. The person never achieves real fluency, and reading will always remain a struggle.

Any developmentally normal child will learn to speak by imitating others. Reading has to be actively taught, and I, personally, find it a minor miracle every single time a child learns to process these hieroglyphics which they see on paper, into the sounds they make. At first, the phoneme producer part of the brain is used most. The child spells out k/a/t = cat. Later, the analyzer comes into play, where the reader breaks down the word into different parts: a/ni/mal. But after a while, as the reader becomes more skilled, the third section, the automatic detector, takes over. This third part of the brain builds up a permanent repertoire which enables a person to recognize words on sight and which, in time, makes reading an effortless pleasure for most people.

Time and again, boys are brought to me at the age of seven or even later, able to recognize just a few of the letters of the alef-bais, although they have been learning for three years. "The Rebbe kept saying he was fine and was doing well, and now, suddenly, he needs help. We knew that he wasn't reading at all, yet he knew so much by heart."

How is a parent to know if their child is dyslexic? Many slow learners may be just a little below average, but not dyslexic. Does your child have difficulty in rhyming words? (Hat, cat, mat) Does he have difficulty in recognizing his own name? Does he find it hard to break spoken words into syllables (grape/fruit, blan/ket)? Does he fail to recognize phonemes? (Ask him which word: dog / car / bed starts with the same sound as cot.) When he is a little older, does he just guess wildly instead of sounding out words?

Mirror writing is not a pointer to dyslexia. Most children do it at some time or other, in any language. Because dyslexics do not gain access to the analyzer and the automatic detector parts of the brain, they have an inherent difficulty in making sense of the phonemes. Furthermore, because they do not easily build up a repertoire of words, reading is labored.

Imagine having to deal with each word you see as if you have never come across it before!

There are still many teachers who deny the whole existence of the phenomenon. A certain teacher with many years of experience insists, even now, on sending weekly lists of words home with a child who is severly dyslexic and having private lessons daily. What she doesn't realize is that he might spend hours learning these ten words, and perhaps even get them all right in the test, but the next day, he will have forgotten them again.

So what can parents do when they realize that something is amiss? If the school refuses to refer you to an expert, or if you disagree with their findings, go elsewhere. Brain scans of five and six year olds who have benefited from a year's targeted instruction have shown that they are beginning to resemble the brains of non-dyslexic children.

The sooner the child starts on a program of intervention, the more likely he is to overcome the dyslexia completely. As mentioned before, he will not outgrow it! Mothers of kindergarten children can help their children by playing games to improve their phoneme awareness. All the words starting with the `b' sound. Games like `I spy,' are very useful. Repeat the same words regularly so that eventually, some of it will be internalized. Not all methods work for all children; the intervention program must be tailor-made.

Dyslexics need to overlearn. For instance, if you feel your child has learned the days of the week, ask him again, and again, and then another time. This is the one thing dyslexics have in common. They need far more repetition than other children, even if they are potentially high achievers. To prevent them from having a low self-image, don't forget to praise them for things which they CAN do well.

 

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