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Specific reading disability (dyslexia): what have we learned in the past four decades?
Abstract
We summarize some of the most important findings from research evaluating the hypothesized causes of specific reading disability (‘dyslexia’) over the past four decades. After outlining components of reading ability, we discuss manifest causes of reading difficulties, in terms of deficiencies in component reading skills that might lead to such difficulties. The evidence suggests that inadequate facility in word identification due, in most cases, to more basic deficits in alphabetic coding is the basic cause of difficulties in learning to read. We next discuss hypothesized deficiencies in reading‐related cognitive abilities as underlying causes of deficiencies in component reading skills. The evidence in these areas suggests that, in most cases, phonological skills deficiencies associated with phonological coding deficits are the probable causes of the disorder rather than visual, semantic, or syntactic deficits, although reading difficulties in some children may be associated with general language deficits. Hypothesized deficits in general learning abilities (e.g., attention, association learning, cross‐modal transfer etc.) and low‐level sensory deficits have weak validity as causal factors in specific reading disability. These inferences are, by and large, supported by research evaluating the biological foundations of dyslexia. Finally, evidence is presented in support of the idea that many poor readers are impaired because of inadequate instruction or other experiential factors. This does not mean that biological factors are not relevant, because the brain and environment interact to produce the neural networks that support reading acquisition. We conclude with a discussion of the clinical implications of the research findings, focusing on the need for enhanced instruction.
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“Advances in understanding the origin of dyslexia support a core deficit in phonological processing characterized by difficulties in recognizing and manipulating the sound structure of language (Share, 1995;Snowling, 2001;Vellutino et al., 2004;Shaywitz and Shaywitz, 2005).”
From Deviant processing of letters and speech sounds as proximate cause of reading failure: A functional magnetic resonance imaging study of dyslexic children. (2010) · cites this paper as Vellutino et al., 2004
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Metadata
- Authors
- Vellutino, F. R., Fletcher, J. M., Snowling, M. J., & Scanlon, D. M.
- Affiliations
- State University of New York (US)
- The University of Texas Health Science Center at Houston (US)
- University of York (GB)
- University at Albany, State University of New York (US)
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2004-01
- Volume
- 45
- Issue
- 1
- Pages
- 2-40
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2096587741
- Cited by
- 2,555
- References
- 269
- Citations by year
- 2026: 85 · 2025: 98 · 2024: 105 · 2023: 104 · 2022: 124 · 2021: 140 · 2020: 122 · 2019: 144 · 2018: 128 · 2017: 141 · 2016: 137 · 2015: 143 · 2014: 160 · 2013: 151 · 2012: 140
- FWCI
- 11.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p50hd025806-05, 5r01hd035938-03)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P50 HD25806, R01 HD35938, P50 HD21888)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Keywords
- dyslexia, specific reading disability, word recognition, phonological skills, learning disabilities, attention deficits, sensory impairment, reading instruction, brain-environment interaction
- MeSH terms
- Brain, Child, Cognition, Cross-Cultural Comparison, Culture, Dyslexia, Humans, Language
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