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01 NRDC Dyslexia 1-88 update - Texthelp

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Developmental dyslexia in adults: a research review 51<br />

While this finding does not invalidate the phonological deficit hypothesis as a description of<br />

what for many practitioners and researchers is the central aspect of dyslexia, it offers no<br />

support for the phonological deficit hypothesis as an explanation of dyslexia.<br />

Most, but not all studies, have failed to obtain evidence of reduced or absent spelling-tosound<br />

regularity effects in dyslexia. This has been the case irrespective of whether dyslexia is<br />

defined by discrepancy or by low-end cut off scores. In other words, the overwhelming<br />

majority of spelling evidence appears not to support the prediction of the phonological deficit<br />

model (Metsala & Brown, 1998; Metsala et al., 1998). If the model were correct, dyslexic<br />

people would only be able to read by recognising the shapes of words (rather than the letter<br />

sequences they are composed of) and so there would be no difference in their ability to read<br />

regular and exception words. Since differences in the ability to read regular and exception<br />

words are reported in both dyslexics and reading age controls, this evidence appears not to<br />

support the phonological deficit model (Ellis et al., 1997a).<br />

The phonological deficit theory does not explain problems with motor skill development.<br />

The phonological deficit theory is challenged as an explanation (as opposed to a description)<br />

of dyslexia by the difficulty of distinguishing dyslexics and non-dyslexic people in terms of<br />

their spelling errors and their abilities to read regular and exception words.<br />

Do phonological deficits differentiate ‘dyslexics’ from other poor readers?<br />

With respect to spelling and handwriting, the phonological deficit theory of dyslexia is too<br />

narrow; with respect to reading, it is too broad. Implicit in the foregoing sections is the<br />

question of whether measures of phonological awareness can differentiate dyslexic people<br />

from ‘ordinary’ poor readers. It is a matter of definition that pseudoword repetition and other<br />

phonological measures differentiate poor readers from good readers. However, do they<br />

differentiate developmental dyslexic people from ‘ordinary’ poor readers? As an example, the<br />

task of pseudoword repetition requires accurate speech perception, efficient verbal working<br />

memory and the ability to keep phonological representations distinct (Holopainen et al., 20<strong>01</strong>).<br />

Task performance can be compromised by deficits in speech perception (Chiappe et al., 20<strong>01</strong>);<br />

in children with mild-to-moderate sensorineural hearing loss, serious difficulty with<br />

pseudoword repetition has been found to be compatible with normal literacy ability (Briscoe<br />

et al., 20<strong>01</strong>). Task performance can also be affected by vocabulary knowledge (Dollaghan et<br />

al., 1995), which is in its turn affected by knowledge gained from exposure to print.<br />

Otherwise-unimpaired adults who never had the opportunity to learn to read have been shown<br />

to experience difficulty in repeating pseudowords (Castro-Caldas et al., 1998).<br />

In the light of these and other findings (e.g. Bishop, 20<strong>01</strong>), it appears that the pseudoword<br />

repetition task does not differentiate between those with dyslexia and ordinary poor readers,<br />

possibly because it assesses what is common to both groups, namely limitations in<br />

declarative knowledge that might normally have been acquired at home or at school<br />

(Thompson & Johnston, 2000).<br />

It is also possible that the pseudoword repetition task might confound phonological<br />

awareness with general intellectual ability. Although children whose later reading ability was<br />

not discrepant with their assessed intelligence had performed less well at pseudoword<br />

repetition than those who were later considered to be ‘normal’ readers, children whose later<br />

reading difficulties were discrepant with their general ability could not be distinguished from

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