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What are learning disabilities?
Over the
past few decades a great deal of research has been done to better
understand the nature of learning disabilities. Most of this work has
focused on children and adolescents within the school system but adult
learning disabilities have only recently started to be fully
appreciated and properly diagnosed.
Perhaps the most important fact we have learned so far is that learning
disabilities are not the same as learning difficulties. We all have
trouble learning some things some of the time. However, learning
disabled individuals have difficulties that are usually quite specific
and persistent over time - typically from early childhood to adulthood.
About five percent of adults have some form of learning disability but
unfortunately many of these disabilities are often ignored or
misinterpreted as laziness, apathy, or some kind of mental deficiency.
One reason why leaning disabilities are inconsistently or improperly
diagnosed is because there is limited awareness, even among
professionals, of just what learning disabilities are.
While many different definitions of learning disabilities exist, they
all reflect the following basic concept:
Learning
disabilities are a group of disorders characterized
by specific difficulties in reading, writing, or math that cannot be
attributed
to other handicapping conditions such as inadequate intelligence,
instruction,
sociocultural opportunities, emotional disturbances, sensory
impairments,
etc.
What
do learning disabilities “feel like”?
Definitions aside, what is it like to have a learning disability?
To get a sense of what it’s like to be visually impaired we can try
walking with our eyes closed. To get a sense of being hearing impaired,
we can listen to soft music with ear plugs. But what is it like to be
learning impaired? Read the sentence below and try to figure out who
kissed who:
The man that the woman that the child hugged
kissed laughed.
Confusing? Do you need to read it over a few times? Do you find
yourself almost “getting it” only to have it all fall apart in an
instant? Are you beginning to feel frustrated? How interested would you
be in reading a
whole book, or even a page of sentences like these? How would you feel
about yourself if your classmates or coworkers didn’t seem to have any
trouble with such sentences in their reading?
From such examples we might get a sense of what a learning disabled
person may be experiencing every time he or she opens a book. We should
remember, however, that our experience may last only a few seconds - a
learning disabled individual has likely been experiencing such
frustrations for years.
What
do learning disabilities “look like”?
Learning disabilities manifest themselves through specific patterns of
errors in reading, writing, and math. They may also affect how we
relate to ourselves and to others, and how we go about our daily
routines.
Below is a brief sample of the many faces of learning disabilities:
Reading Patterns
· making errors reading single words (guest read as just)
· leaving out, inserting, or substituting words while reading
(muddy read as quagmire)
· difficulty sounding out words
· not understanding and not remembering even recently read
material
Writing Patterns
· making persistent spelling errors and not learning from
corrective feedback
· spelling phonetically (Munday, Toosday)
· reversing letters when spelling (Firday instead of Friday)
Math Patterns
· repeatedly forgetting basic math facts and procedures
· not being able to make rough estimates when making calculations
· difficulty solving problems that require multiple sequential
steps
Behaviour Patterns
· difficulty concentrating
· being easily distracted
· blurting out answers
· difficulties in dealing with novel experiences
· sticking to a strategy even when it is no longer appropriate
or useful
· poor sense of time and personal space
· clumsy or awkward movements
· misjudging social situations
· misinterpreting what others say
What
causes learning disabilities?
The underlying causes of learning disabilities all have to do with how
the brain processes information, including:
· How it processes sounds
· How it processes visual images
· How it converts text to sounds and sounds to text
· How it accesses information from memory
· How quickly it processes information
· How it coordinates the sequencing of all its mental activities.
What
can be done about learning disabilities?
The most important starting point is becoming fully aware of the nature
and severity of one’s learning disability and what role it plays at
work, at home, or in school. At the same time it is important not to
assume that all difficulties one may be experiencing are due to a
learning disability - most people, with or without learning
disabilities, often face daily challenges that at times seem
overwhelming. Individual or group counseling helps many people make
sense of what their disability means or does not mean in their daily
lives.
While there is no “cure” for learning disabilities, many effective
strategies, programs and services are available. Specific intervention
strategies generally fall into two categories.
The first set of strategies is aimed at “fixing whatever is broken”.
They are usually referred to as remedial strategies. The second set
involves utilizing individual strengths to bypass a particular
weakness. They are called compensatory strategies.
Both remedial and compensatory strategies can be effective and both are
frequently used. Because many cognitive functions are very difficult to
remediate, compensatory strategies are often the “treatment of choice”
(e.g. using checklists to compensate for poor memory).
However, some mental functions, like phonological awareness, are so
essential to reading that enhancing them through remedial instruction
is sometimes necessary.
Another set of interventions are called accommodations. These include
such things as extra time on exams, tape recording notes, or using
portable electronic spell checkers.
Learning disabled individuals sometimes need to rethink their current
educational and vocational situation and choose a vocation that does
not interfere with their particular learning disability. They also
benefit from learning to openly accept the disability, by talking about
it with others including their partners, family, and fellow students or
coworkers. Finally, they can also utilize the wide variety of services
offered to learning disabled individuals. These include, among others:
· Professional, full-service agencies such as ALDA
· Services for students with disabilities at public and some
private colleges
· Provincial and federal government supported employment and
vocational training programs
It is important to remember that in order to be eligible for many
of the services offered, an official learning disability diagnosis is
often required.
How
should a suspected leaning disability be properly diagnosed?
Learning disabilities should be formally diagnosed by a registered
psychologist with advanced training in the learning disabilities field.
The diagnosis is based on information collected during a comprehensive
psychoeducational assessment. The main purpose of the assessment is to
determine the specific nature and extent of academic difficulties (e.g.
dyslexia), and to identify, as closely as possible, a specific brain
mechanism that is responsible for these difficulties (e.g. phonological
processing).
A valid learning disability assessment should include at least the
following:
· Medical history (e.g. head injuries; exposure to environmental
toxins)
· Developmental history (e.g. onset of developmental milestones
such as walking and talking)
· Educational history (e.g. school grades; type of remedial
instruction provided)
· Performance on measures of specific mental processes (e.g.
auditory discrimination)
· Performance on measures of academic achievement (e.g. reading
comprehension)
The assessment also needs to take into account the fact that most
adults have been out of school for years, and in many cases never
received
adequate schooling in the first place. This is one reason why assessing
adult learning disabilities is much more challenging than assessing
school-aged learning problems.
Key
Benefits of a Valid Assessment
A comprehensive psychoeducational assessment provides the foundation
for developing appropriate assistance programs and interventions for
individuals with learning disabilities. Specifically, a valid
assessment will:
· Identify a profile of specific strengths and weaknesses from
which realistic training and vocational goals and relevant strategies
for attaining them can be developed
· Determine eligibility for specific training and testing
accommodations
· Determine eligibility for a variety of government-sponsored
employment and training assistance programs
Some
additional issues to consider when contemplating an
assessment:
Most people with undiagnosed learning disabilities usually suspect for
a long time that “something is not quite right”. They, along with their
teachers, family members or partners, want to finally pin down the root
cause of these difficulties. At the same time, they may feel that an
official diagnosis might just be a label that will further restrict
their social and employment opportunities.
When contemplating an assessment, it is sometimes helpful to consider
the following points:
· Finding out what’s at the heart of years of struggles at
school or at work usually brings a sense of relief and peace to many
individuals with a learning disability.
· Finding out that one is not alone, that many others have
virtually identical experiences, can be comforting and often “puts
things
in perspective”.
·
Instead of wasting energy on “hiding” a disability, one can focus on
effective strategies that work around the disability (compensations) or
make it easier to cope with it (accommodations) and stop “beating one’s
head against the wall”.
·
Finally, an assessment often helps people discover many unexpected
strengths and talents that have been unrecognized or undervalued.
For
more information please contact ALDA
(article
copyright John Vavrik / ALDA 2001-2006)
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