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Dr Duncan Milne - Dyslexia International

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eading circuits<br />

brain imaging<br />

simulations<br />

learn Neuro-Linguistics<br />

in just 5 words!<br />

discuss how dyslexia<br />

is represented<br />

<strong>Dr</strong> <strong>Duncan</strong> <strong>Milne</strong><br />

Neuropsychologist


“minlop”<br />

Nonword repetition


Nonword repetition<br />

Nonword repetition<br />

(in illiterates)<br />

Hospital de Santa Maria


The evolution of literacy<br />

2,000,000 150,000 4,000<br />

today<br />

fish<br />

Visual<br />

Auditory<br />

Reading<br />

circuits


Neuro-linguistic word<br />

1<br />

word


Introducing Mr. Brain…<br />

Phonemic<br />

Awareness<br />

Auditory<br />

Phoneme<br />

Sound<br />

Pronunciation<br />

“word”<br />

Letter shape<br />

Visual<br />

Graphemic<br />

Awareness<br />

Word form<br />

word


matching<br />

isolating<br />

blending<br />

segmenting<br />

deleting<br />

substituting<br />

Syllable Onset / Rime Phoneme


Neuro-linguistic word<br />

2


Logographic Stage<br />

Auditory<br />

Pronunciation<br />

“stop”<br />

STOP<br />

Visual<br />

Word form<br />

“stop”


Type II activation (sources location):<br />

Strongest for visible words<br />

• ~ 150ms after stimulus onset<br />

• left predominant occipito-temporal<br />

• increases with string length<br />

• = letter-string specific


Neuro-linguistic word<br />

3<br />

καλησπερα


Phonological stage<br />

“k a li spe ra”<br />

“kalispera”<br />

Auditory<br />

Phoneme<br />

Sound<br />

Pronunciation<br />

κ<br />

α λη<br />

σ<br />

π<br />

ε<br />

ρ<br />

α<br />

Letter shape<br />

Visual<br />

Word form<br />

<br />

καλησπερα<br />

“kalispera”


Orthographic Stage<br />

“kuh-aah-tuh”<br />

“cat”<br />

Auditory<br />

Phoneme<br />

Sound<br />

Pronunciation<br />

c<br />

a<br />

t<br />

cat<br />

Letter shape<br />

Visual<br />

Word form<br />

<br />

cat<br />

“cat”


Lexical access<br />

Auditory<br />

“cat”<br />

Pronunciation<br />

cat<br />

Visual<br />

Word form<br />

cat<br />

“cat”


Unknown words<br />

•unknown words > words<br />

• for sounding out<br />

Mature Reader<br />

Known words<br />

• words > unknown words<br />

•activation increases with age


was


her


first


day


school


she


drank


cold


glass


Neuro-linguistic word 4<br />

nails


She drank a cold glass of nails


PHONICS<br />

Strategies are<br />

learned for<br />

decoding new<br />

words<br />

Whole language<br />

Words are taught in<br />

context with a goal of<br />

increasing overall<br />

understanding


Neuro-linguistic word<br />

5<br />

fough


fough<br />

fow<br />

“fof”<br />

“fuf”<br />

“fou”<br />

“foe”<br />

cough<br />

“fou”<br />

plough<br />

rough<br />

cow<br />

how<br />

now<br />

tow<br />

flow<br />

grow<br />

“foe”<br />

“foo”<br />

down<br />

snow<br />

dough<br />

through


Segmentation Example<br />

Consistency<br />

(spelling / sound)<br />

Initial<br />

Consonant<br />

Vowel<br />

Final<br />

consonant<br />

‘s’ soap, sail,<br />

sea<br />

‘u’ fun, cut,<br />

bull<br />

‘p’ tap, cup,<br />

leap<br />

96%<br />

51%<br />

91%<br />

CV -<br />

‘ba’ in bat,<br />

ball, bar<br />

- VC ‘ut’ in hut,<br />

nut, put<br />

52%<br />

77%


WORD READING ACROSS LANGUAGES<br />

94%<br />

Shallow<br />

95%<br />

98%<br />

Finnish<br />

95%<br />

Greek<br />

Italian<br />

71%<br />

Spanish<br />

Portuguese<br />

French<br />

English<br />

Deep<br />

73%<br />

33%<br />

95%<br />

79%<br />

95%<br />

97%<br />

95%<br />

97%<br />

97%<br />

Seymour et al., 2003


1<br />

4<br />

5<br />

word<br />

nails<br />

fough<br />

2<br />

3<br />

καλησπερα


Balanced literacy<br />

Phonemic<br />

Awareness<br />

Auditory<br />

Phoneme<br />

Sound<br />

Pronunciation<br />

Whole<br />

language<br />

Analytic<br />

Phonics<br />

Synthetic<br />

Phonics<br />

Letter shape<br />

Visual<br />

Word form<br />

Graphemic<br />

Awareness


The Learning Difficulties Constellation<br />

attention deficit<br />

dysgraphia<br />

dysorthographia<br />

dyslexia<br />

dyspraxia<br />

dysphasia<br />

dyscalculia


Dyseidetics<br />

“kuh-aah-tuh”<br />

Irregular word reading<br />

Phonic spelling patterns<br />

Auditory<br />

Phoneme<br />

Sound<br />

c<br />

a<br />

t<br />

“cat”<br />

Pronunciation<br />

r<br />

cat<br />

Letter shape<br />

Visual<br />

Word form<br />

cat<br />

“cat”


Dysphonetics<br />

“kuh-aah-tuh”<br />

“cat”<br />

Auditory<br />

Phoneme<br />

Sound<br />

Pronunciation<br />

Nonword reading<br />

(PPhE) Spelling patterns<br />

rc<br />

a<br />

t<br />

cat<br />

Letter shape<br />

Visual<br />

Word form<br />

cat<br />

“cat”


Distal Cause Proximal Cause Intervention<br />

Dysphonetic<br />

BIOLOGY<br />

<strong>Dyslexia</strong><br />

-connectivity / wiring<br />

-constellation<br />

Poor grapheme-tophoneme<br />

conversion<br />

(decoding)<br />

Phonological<br />

•Phonemic Awareness<br />

•Synthetic Phonics<br />

Poor Reading<br />

ENVIRONMENT<br />

- orthography<br />

- exposure to print<br />

Dyseidetic<br />

Poor memory and<br />

perception of whole<br />

word configurations<br />

Orthographic<br />

•High Frequency words<br />

•Irregular words<br />

•Mnemonics<br />

•Contextual Reading


Phonemic<br />

Awareness<br />

Synthetic phonics<br />

Phonemic Clues<br />

Auditory<br />

Audio-Visual<br />

Phoneme<br />

Sound<br />

Colourcoded<br />

letters<br />

Moveable<br />

letters<br />

Analytic<br />

phonics<br />

Letter shape<br />

Visual<br />

problems sounding<br />

out new words

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