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Biomedical subjects

P G Aaron

Publications and source records attributed to P G Aaron.

14 recordsLinked to original sources

A cognitive tool to diagnose predominantly inattentive ADHD behavior.

Poor performance on tests of reading comprehension could be the result of weak word-recognition skills, inconsistent attention (ADD), or a combination of the two. Identifying the source of the reading disability (RD) reliably has been difficult because inconsistent attention interferes with reading and weak word recognition skill makes attention wander. The situation is further complicated by the fact that there are no objective diagnostic tests for ADD (Breggin, 1998; Diller, 1998). We proposed a new model of differential diagnosis of ADHD-I/RD and field-tested its utility in two studies. The new diagnostic procedure utilizes intra-individual differences seen in the performance of at-risk learners on tasks related to reading that vary in the degree of sustained attention required for successful performance. The hypothesis is that children whose attention is inconsistent would perform more poorly on tests such as listening comprehension, which require sustained attention, than on tests such as reading comprehension, which are more tolerant of inattention. Such differences will not be seen in the test scores of children who have only a reading disability because their performance on reading tests is determined more by the difficulty level of the tests than by the sensitivity of the tests to attention. The validity of this new model was evaluated by determining the relationship between differences seen in the scores of tests that differ in their attention requirement and the degree of inconsistency in sustained attention as measured by Conners' CPT. The results of the two studies indicate this to be a viable approach. The results of the second study are presented in this report.

Attention Deficit Disorder with Hyperactivity↗

Can reading disabilities be diagnosed without using intelligence tests?

Unlike conventional procedures, which use IQ in making diagnostic and eligibility decisions regarding learning disabilities, this demonstration study used listening comprehension and other reading-related tasks to make a differential diagnosis of reading disabilities. Tests of listening and reading comprehension were administered to 180 children from Grades 3 through 8. A regression equation was then derived to predict reading comprehension from listening comprehension. The regression equation was applied to the listening comprehension scores of seven children from Grades 3 to 8 who had reading difficulties, and their reading comprehension was predicted. Based on the discrepancy between their actual reading comprehension and the predicted reading comprehension, their reading difficulty was attributed to one of the following three factors: (a) poor decoding, (b) poor comprehension, or (c) a combination of poor decoding and poor comprehension. The validity of these diagnostic decisions was assessed by testing independently these children's word-decoding skill and reading speed. The results suggest that this diagnostic procedure has potential utility.

Adolescent↗

The paradoxical relationship between intelligence and reading disability.

Specific reading disability or developmental dyslexia is a condition wherein an individual with average or superior intelligence does not acquire normal reading skills. This paper provides a tentative explanation of the paradoxical relationship between the reading disability and intelligence. Study of 15 dyslexic college students showed that they were deficient in grapheme-phoneme conversion and that the decoding skill could be an autonomous, specific ability that is independent of the "g" factor as expressed in terms of IQ. The decoding skill appears to be a subroutine and may, in dyslexia, operate as a limiting factor that affects reading comprehension.

Dyslexia↗

A neuropsychological Key approach to diagnosis and remediation of learning disabilities.

Described a new approach in reaching clinical decisions with regard to learning disabled children. The method emphasizes a systematic deductive procedure and is presented in the form of a Key. The rationale for the diagnostic and remedial decisions reached at every node of the Key is explained and is supported by data derived from clinical and experimental studies in psychology and neurology.

Achievement↗

Dyslexia, an imbalance in cerebral information-processing strategies.

Reading ability seems to involve analytic-sequential processing of selected letters and a holistic-simultaneous perception of the salient features of the entire word. The dyslexic child, being normal in intelligence, is most likely deficient in either one of the two processes while being normal in the other. To test this hypothesis, 28 reading disabled children, on the basis of the nature of errors made in a writing from dictation task, were divided into groups: analytic-sequential deficient and holistic-simultaneous deficient. Further testing showed that the first group was poor in processing a sequence of digits but normal on holistic-simultaneous memory tasks. The opposite pattern of performance was shown by the second group. A control group of 14 normal readers did not show such an imbalance.

Child↗

Directional scanning and cerebral asymmetries in processing visual stimuli.

A perceptual exploration task involving three horizontal linear arrays of stimuli was administered to 167 children ranging in age from 3 to 7 yr. It was found that the well organized, predominantly right-to-left responses of very young children were eventually replaced by left-to-right patterns. A tachistoscopic test showed that Ss who gave right-to-left responses to the linear arrays showed hemispheric asymmetry of perception. The results were interpreted as supporting the view that directional response tendencies are related to hemispheric asymmetry.

Age Factors↗

Separating genuine cases of reading disability from reading deficits caused by predominantly inattentive ADHD behavior.

Conventional methods of differentiating reading disability (RD) caused by deficits in decoding skills or comprehension from poor reading performance caused by inconsistent attention associated with attention-deficit/hyperactivity disorder (ADHD) have produced equivocal results. This study presents a model of differential diagnosis of attentional problems and RD that differs from these conventional approaches. The new diagnostic procedure uses intraindividual differences seen in the performance of at-risk learners on tasks related to reading that vary in their sensitivity to the sustained attention required for successful performance. The hypothesis is that children with inconsistent attention would perform more poorly on tests that require sustained attention, such as listening comprehension, than on tests that are more tolerant of inattention, such as reading comprehension. Such differences would not be seen in the test scores of children who have only RD, because their performance is determined more by the difficulty level of the reading tests than by the degree of sensitivity of the task to attention. The validity of this new model was evaluated by determining the capability of the differences seen in the scores of tests that differ in their sensitivity to sustained attention to predict the degree of inconsistency in sustained attention as measured by a continuous performance test. The data obtained from 39 children who are at risk for RD suggest that this is a viable model.

Attention Deficit Disorder with Hyperactivity↗

Not all reading disabilities are alike.

In this article, reading disability is defined broadly to refer to below-average achievement in reading comprehension as assessed by a standardized test. With our research we tried to answer the question of whether all children with reading disability share a common etiology of deficient phonology, or constitute heterogeneous groups. The answer to this question was sought in four studies that examined reading disabilities from the perspective of componential skills of reading. In Part 1, the results of the first study are reported. A principal-components analysis of the performance of 139 children from Grades 3, 4, and 6 on reading-related tasks yielded two factors: decoding and comprehension. However, factor analyses conducted for each grade separately indicated that orthographic skill and processing speed could possibly constitute a third component. The orthography-speed factor emerged as a factor only in the 6th grade. Part 2 of this article reports the findings of three studies that analyzed the componential skills profiles of poor readers. It was found that the poor readers constituted heterogeneous groups and that four different types of poor readers could be identified with deficiency in any one of the following skills: (a) decoding only, (b) comprehension only, (c) a combination of decoding and comprehension, and (d) a combination of orthographic processing and reading speed. It was also found that the criteria used in selecting poor readers influenced the distribution of the ratio of the four types of poor readers within any given group.

Auditory Perception↗