The Almost but not quite Dyslexic Child

The Greenwood Institute
Putney, VT

This pamphlet is about a group of intelligent young people whose educational needs are often
misunderstood. When compared to classic dyslexic children, these students have relatively isolated
reading difficulties. Their spelling is also impaired, but their major difficulty is in written work. If homework is
completed at all, the quality is extremely poor. Teachers remark that this type of student clearly understands
the subject matter, and suggest that poor performance is due to lack of structure or motivation.

The following paragraphs describe such a student:

    During the final marking period of fourth grade, school officials suggested that Joshua not be
    promoted. Although his reading and spelling were within the average range for the class, Joshua was
    extremely deficient in his written work. he took forever to get started on an assignment, was frequently
    off-task, and managed to misplace most of the papers he completed. Class recitation proved that he
    understood the work, and even seemed to enjoy it.

    At times Joshua also appeared impulsive, but well below the threshold of a hyperactive child. School
    personnel expressed concern that the increased demands for independent work, characteristic of fifth
    grade, could result in failure. However, it was recognized that he had many friends in the class and
    would be devastated if held back. it was finally decided, for social reasons, to risk the demands of
    fifth grade.

    The first few months of fifth grade confirmed the worst fears of the teachers. Despite all the extra help
    from the classroom teacher, Joshua could not keep up with the work. Just to begin work on an
    assignment was a project in itself. In order to avoid devoting an inordinate amount of time to Joshua,
    the teacher began to lower the standards by which his work was judged. This double standard did not
    escape notice from his peers. While they continued to be his friends, some cutting remarks were
    made. Whether from anxiety or increased difficulty of vocabulary, Joshua lost interest in the subjects
    he was good at, and rolled his eyes when anyone suggested he had talent in anything. If his parents
    or teachers complimented his work, he often tore it up. Joshua's teachers began to make frequent
    calls to his parents when Joshua, to the delight of his classmates began to make rude and disruptive
    remarks in class.

    A conference was called and Joshua's parents were presented with three options: Joshua could have
    afterschool tutoring instead of sports; Joshua could be removed from art class to attend a special
    needs class; Joshua could be enrolled in a school where a program was tailored to his needs.

The following questions examine the causes behind the behavior of students like Joshua. To facilitate this
examination, we are borrowing a term from Dr. Martha Denckla*, a researcher at Johns Hopkins University,
who has extensively studied student output. Dr. Denckla teaches that students who experience such
problems as lack of organization, poor time management, and isolated phonological errors, have a
disturbance in Executive Function.

* Denckla, Martha, "Executive Function: The Overlap Zone between Attention Deficit, Hyperactivity
Disorders, and Learning Disabilities" International Pediatric, Vol. 4, Apr-June 1989

    1. At what age do problems in Executive Function occur?
    They can occur at any age. However, they are not usually noticed until fifth grade, when students are
    expected to complete more independent assignments. This may help explain why many bright
    students begin to fail when they reach middle school. Students with very superior intelligence may
    succeed in masking difficulties in Executive Function until higher grades.


    2. Are difficulties with Executive Function primarily physical or psychological?
    Researchers generally agree that problems with Executive Function are neurologically based and
    involve the delayed development of myelin, a fatty substance forming a sheath about certain nerve
    fibers. Disagreement exists on which parts of the brain are affected. Because of its effect on output
    and performance, disturbances in executive function are sometimes wrongly judged to be primarily
    attitude or motivation issues and treated accordingly. Frequently this approach engenders a self-
    fulfilling prophecy. A student will develop an "attitude problem" if he is judged lazy because of
    unrecognized Executive Function problems.


    3. What is the relationship between problems with Executive Function and attention deficit
    and hyperactivity?
    Considerable confusion has reigned among diagnosticians about the attention deficit and
    hyperactive diagnosis. It has been changed several times in the Diagnostic Statistical Manual, the
    official handbook for psychiatric diagnosis. Some leading researchers in the field disagree on
    whether this syndrome is a physical problem or a conduct disturbance. Moreover, some
    professionals question whether it should even exist as a diagnostic entity. Thus, direct comparisons
    are difficult. Nevertheless, Executive Function helps explain some of the output-related features
    usually attributed to attention deficit. Staying on task, smooth transitions, and inhibiting inappropriate
    behaviors are qualities of intact Executive Function and goals of the attention deficit disorder and
    hyperactive student. The next question will throw additional light on this relationship.


    4. What specific processes does Executive Function encompass?
    Executive Function encompasses the following output-related processes: Initiating, Shifting, Inhibiting,
    Sustaining, Vigilance, Planning, Organizing, and Strategizing. Most children with language learning
    problems also experience difficulty with these processes. However, some notable exceptions occur.
    Students with a significant discrepancy between the performance and verbal scores on the WISC
    (performance being higher) demonstrate good Executive Function skills when working on an art
    project. They will also keep their belongings organized and demonstrate intuitive good sense when
    participating socially or in athletic events. Their difficulties are specifically language-related, but in
    certain situations, they can be taught to utilize their well-developed Executive Function skills to
    partially compensate for language problems.


    5. Many students experience problems with one or more of the Executive Function
    attributes. At what point is it considered a learning disability?
    If a person makes periodic spelling errors, this does not mean that he or she is dyslexic. However, if
    poor or unrecognizable spelling characterize a person's entire output, then dyslexia is a likely
    possibility. Likewise, if a person gets distracted at times, or experiences isolated problems in
    making transitions, this does not mean that there is a problem with Executive Function. however,
    when several of the components of Executive Function are missing or below standard, and the
    student is working below potential, then it is fair to say that Executive Function is part of a learning
    disability. The presence of isolated phonological problems also provides confirmation.


    6. What are some strategies for assisting children with problems in Executive Function?
    These children need specific guidance during the output process. A structured program, with
    emphasis on highlighting successful performance, provides the ideal intervention. When working
    within a well-designed program, a student will be trained in the attributes of Executive Function
    according to his or her needs and abilities. Beginning with how to start and sustain an academic
    activity, the student will progress to learning organizational skills, strategizing and planning. An
    independently written term paper would require intact functioning of all tributes of Executive Function.

    As a student progresses along the output continuum, he or she needs reassurance and feedback that
    the performance is improving. The key element in the program design is to offer work which is
    sufficiently challenging, but allows for successful completion. Most importantly, the student's entire
    energy should be directed exclusively toward improving his own work, rather than comparing his work
    with the work of others.


    7. Are Executive Function problems handled in the mainstream, or should the student be
    enrolled in a specialized program?
    Although it might be tempting to teach and practice the skills of Executive Function in the mainstream,
    such an approach contains some real dangers. Students who have Executive Function problems feel
    overwhelmed if they are expected to perform at the level of their normal peers. On the other hand, if
    their assignments are appropriately modified they feel significantly out of sync with their classmates.
    Since their intellectual ability is usually obvious, they are often judged to be unmotivated or lazy
    because their output is both meager and of low quality. some of the greatest anger I have
    experienced in students resulted from years of such "isolation" and misjudgment within the
    mainstream.

    When enrolled in a specialized program, the student works with teachers who can design the
    appropriate work to assure both challenge and success. This combination is critical because if the
    work is too easy as student feels condescension; if it is too hard, he feel overwhelmed. Teachers with
    the proper training and experience know how to skate this thin line between adequate challenge and
    success.


    8. Won't a child feel isolated and different if he attends a school which limits its enrollment to
    children with language problems?
    The reservation most frequently expressed about specialized programs is that the student will feel
    isolated and different. Actually the opposite is true. Once the student meets a peer group with a
    learning style similar to his own, he feels a new sense of belonging. In such an environment, skills are
    mastered more easily and the student develops a true sense of self-confidence.


    9. What are the benefits of a specialized boarding school for students with Executive
    Function problems?
    While it is conceivably possible for families and schools to coordinate a program to improve
    Executive Function skills, it is difficult to consistently provide all the appropriate elements. On the
    other hand, in a boarding school everything from making one's bed in the morning to end of study hall
    at night can be coordinated and supported with minimal strain on either student or faculty. Within such
    a structure, students gradually acquire the habits which smooth the daily activities of student life.

    While these skills are being mastered, they enjoy the company of other students who share the same
    goals. They realize that their peers are normal and highly intelligent students, and need not limit their
    aspirations. Many of these new friendships last far beyond the years at boarding school.

    Contrary to feeling isolated or singled out, students in boarding programs which are designed for the
    way they think and learn, develop a deep sense of self-confidence which serves them well when they
    return to the mainstream of education.

    Most students do not specialize in their studies until the final years of high school or college. For
    students with language and Executive Function needs, specialization during the early years of their
    education will enhance success later on.


FOR FURTHER INFORMATION
Information on residential programs for students in need of remedial language skill training is available in the
"Boarding Schools" directory published annually by the National Association of Independent Schools. This guide is
distributed to many libraries, public school guidance offices, educational counselors, and private school admissions
staff, or may be obtained by contacting: Boarding Schools, c/o NAIS, 75 Federal St, Boston, MA 02110. Tel: 617-451-
2444
This resource is provided by The Greenwood School, a pre-preparatory boarding school for boys with dyslexia and
related language disorders, and
The Greenwood Institute, offering teacher training and home schooling support
programs for teachers and parents of students with dyslexia and related language disorders.