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Developmental surface dyslexias - Naama Friedmann

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cortex 44 (2008) 1146–1160 1151<br />

Table 2 – Percentage error in reading aloud of irregular and relatively regular words, and of words with and without<br />

potentiophones<br />

Participant<br />

Irregular with<br />

potentiophone<br />

Irregular no<br />

potentiophone<br />

Relatively regular<br />

with potentiophone<br />

Total irregular or<br />

potentiophone<br />

Relatively regular<br />

no potentiophone<br />

SH 37 28 45 35 8<br />

GL 39 31 47 38 8<br />

OF 29 18 34 25 8<br />

YR 56 48 56 52 11<br />

TM 50 37 60 49 9<br />

NT a 56 50 – 51 0<br />

OM 37 29 39 35 3<br />

BZ 21 10 46 23 0<br />

AS 25 18 38 26 11<br />

OS 44 37 56 44 3<br />

AK 20 18 28 22 5<br />

AM 23 31 45 33 11<br />

AL 20 13 32 20 5<br />

KR 21 21 31 24 3<br />

NF 46 28 27 33 3<br />

IR 11 7 23 14 6<br />

YD 14 3 20 12 1<br />

Control groups<br />

Fifth grade 1.5 4.3 7.8 5.0 1.6<br />

Middle school .9 2.2 3.8 2.5 .3<br />

Adults 0 .3 2.2 1.0 .1<br />

a NT was not tested on regular potentiophones.<br />

each age group we found the cut-off point beyond which the<br />

number of errors was already significantly larger ( p < .05)<br />

than the number of errors in the control group.<br />

2.3. Results<br />

2.3.1. Reading aloud<br />

The results of the reading aloud task, presented in Table 2,<br />

clearly indicate that the participants had <strong>surface</strong> dyslexia.<br />

They had significant difficulties in reading aloud of the target<br />

irregular and potentiophonic words, whereas they read the<br />

relatively regular words better. Each of the participants had<br />

significantly more errors than their matched control group<br />

(for the two adults, t(15) > 11, p < .001; for the four participants<br />

in middle school, t(23) > 6, p < .0001; for the children in fifth<br />

and sixth grade, t(27) > 3, p < .002).<br />

Their reading errors were characteristic of <strong>surface</strong> dyslexia:<br />

they produced errors of regularization, reading with<br />

the incorrect vowel when the vowel was not represented,<br />

reading with the incorrect mapping to sound of sound-ambiguous<br />

letters, and incorrect stress position (see Appendix B for<br />

error examples).<br />

Participants’ reading of irregular and potentiophonic<br />

words was significantly poorer than their reading of the relatively<br />

regular words that did not have potentiophones,<br />

z(16) ¼ 3.6, p ¼ .0003. 4 Importantly, whether or not a word<br />

had a potentiophone had a crucial effect on reading. The participants<br />

made more errors when the target irregular word<br />

had a potentiophone than when it did not. Relatively regular<br />

4 The comparison between conditions within the <strong>surface</strong> dyslexia<br />

group was done using the nonparametric Wilcoxon signed<br />

ranks test. All these comparisons were also done with the parametric<br />

Student t-test, with similar results.<br />

words with potentiophones were read significantly poorer<br />

than relatively regular words without potentiophones,<br />

z(16) ¼ 3.5, p ¼ .0005, and irregular words were read significantly<br />

poorer when they had a potentiophone than when<br />

they did not, z(15) ¼ 3.06, p ¼ .002. This also held individually<br />

for 14 of the participants. The older participants made the<br />

fewest errors on the irregular words without potentiophone,<br />

possibly because they learned to block or avoid nonlexical<br />

responses. 5<br />

The <strong>surface</strong> dyslexia of 15 of the participants was pure,<br />

with very few errors that did not result from reading via<br />

grapheme-to-phoneme conversion, as seen in Table 3. Notice<br />

that none of the participants produced semantic or morphological<br />

paralexias, indicating that they were not reading aloud<br />

via the semantic system. TM and AK had developmental<br />

attentional dyslexia in addition to developmental <strong>surface</strong><br />

dyslexia, but because the words were presented to them separately,<br />

a single word at a time, this did not affect their performance<br />

in the study. AK also had a mild letter position<br />

dyslexia 6 (<strong>Friedmann</strong> and Gvion, 2001, 2005; <strong>Friedmann</strong> and<br />

5 The regular words with potentiophones were read as poorly as<br />

the irregular words with potentiophones, and for some of the participants<br />

even significantly more poorly, as a result of the regularity<br />

and frequency relations between each target words and its<br />

potentiophone in the two word groups tested (see Lukov and<br />

<strong>Friedmann</strong>, 2006 for the detailed examination of the effect of frequency,<br />

regularity, and type of irregularity on reading aloud of<br />

various words).<br />

6 This was diagnosed using a list of 232 words with lexical potential<br />

for middle letter migration, in which he made 31 middle<br />

letter migration errors (13.4%), and a screening test that included<br />

64 migratable words, in which he made nine middle migrations<br />

(14%) (both tests from the TILTAN test battery, <strong>Friedmann</strong> and<br />

Gvion, 2003).

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