The brain basis of the phonological deficit in dyslexia is independent of IQ

Although the role of IQ in developmental dyslexia remains ambiguous, the dominant clinical and research approaches rely on a definition of dyslexia that requires reading skill to be significantly below the level expected given an individual's IQ. In the study reported here, we used functional MRI (fMRI) to examine whether differences in brain activation during phonological processing that are characteristic of dyslexia were similar or dissimilar in children with poor reading ability who had high IQ scores (discrepant readers) and in children with poor reading ability who had low IQ scores (nondiscrepant readers). In two independent samples including a total of 131 children, using univariate and multivariate pattern analyses, we found that discrepant and nondiscrepant poor readers exhibited similar patterns of reduced activation in brain areas such as left parietotemporal and occipitotemporal regions. These results converge with behavioral evidence indicating that, regardless of IQ, poor readers have similar kinds of reading difficulties in relation to phonological processing.     

Pseudoname learning by German-speaking children with dyslexia: evidence for a phonological learning deficit

In 2 experiments, German-speaking dyslexic children (9-year-olds) showed impaired learning of new phonological forms (pseudonames) in a variety of visual-verbal learning tasks. The dyslexic deficit was also found when phonological retrieval cues were provided and when the to-be-learned pseudonames were presented in spoken as well as printed form. However, the dyslexic children showed no name-learning deficit when short, familiar words were used and they also had no difficulty with immediate repetition of the pseudowords. The dyslexic children's difficulty in learning new phonological forms was associated with pseudoword-repetition and naming-speed deficits assessed at the beginning of school, but not with phonological awareness and visual-motor impairments. We propose that the difficulty in learning new phonological forms may affect reading and spelling acquisition via impaired storage of new phonological forms, which serve as phonological underpinnings of the letter patterns of words or parts of words.     

Specific phonological impairments in dyslexia revealed by eyetracking

Phonological deficits in dyslexia are typically assessed using metalinguistic tasks vulnerable to extraneous factors such as attention and memory. The present work takes the novel approach of measuring phonology using eyetracking. Eye movements of dyslexic children were monitored during an auditory word recognition task in which target items in a display (e.g., candle) were accompanied by distractors sharing a cohort (candy) or rhyme (sandal). Like controls, dyslexics showed slower recognition times when a cohort distractor was present than in a baseline condition with only phonologically unrelated distractors. However, unlike controls, dyslexic children did not show slowed recognition of targets with a rhyme distractor, suggesting they had not encoded rhyme relationships. This was further explored in an overt phonological awareness test of cohort and rhyme. Surprisingly, dyslexics showed normal rhyme performance but poorer judgment of initial sounds on these overt tests. The results implicate impaired knowledge of rhyme information in dyslexia; however they also indicate that testing methodology plays a critical role in how such problems are identified.     

Deficient implicit phonological representations in children with dyslexia

This study tested the segmentation hypothesis of dyslexia by measuring implicit phonological representations in reading-disabled 11- to 13-year-olds. Implicit measures included lexical gating, priming, and syllable similarity tasks designed to reduce metalinguistic demands. Children with dyslexia performed consistently worse than CA and RA controls when more segmental representations were required across all three tasks. Implicit phonological representations were correlated with measures of speech perception, phoneme awareness, and phonological short-term memory, but not rapid automatized naming, and accounted for unique variance in predicting reading ability. Results provide strong support for less mature implicit phonological representations in children with dyslexia.     

An intrahemispheric integration deficit in dyslexia

In order to investigate the hypothesis that dyslexia may result from a failure of intrahemispheric integration between auditory-verbal and visual-verbal processing, a dichotic listening task and a parallel divided visual field task were administered to a group of dyslexic boys between the ages of 8 and 11 years, and a group of normal control subjects individually matched for age and WISC intelligence. The dyslexics were on average over two years retarded in reading and spelling. Dyslexics exhibited a normal right ear advantage on dichotic listening for digits although lesser right ear advantage was related to reading retardation. In the divided visual field task, the normal controls showed a left visual field advantage for digits which it is argued resulted from a failure in fixation linked to reading habits. Within the dyslexic group greater reading deficiency was associated with relative bilateralization for visual verbal processing. The results therefore support the hypothesis.     

Speech prosody and developmental dyslexia: Reduced phonological awareness in the context of intact phonological representations

Recent research indicates that awareness of the rhythmic patterns present in spoken language (i.e., prosody) may be an important and relatively overlooked predictor of reading ability. Two studies investigated the prosodic processing abilities of skilled adult readers and adults with developmental dyslexia. Participants with dyslexia showed reduced awareness of lexical and metrical stress and these skills were found to be significantly associated with, and predictive of, phonological decoding ability. In contrast, the same individuals showed normal patterns of stress based priming at magnitudes similar to controls. These results—suggesting reduced phonological awareness in the context of intact phonological representations—are consistent with recent findings reported in the domain of phonemic processing. Implications for the phonological deficit theory of dyslexia are discussed.     

The "temporal processing deficit" hypothesis in dyslexia: new experimental evidence

The notion that developmental dyslexia may result from a general, nonspecific, defect in perceiving rapidly changing auditory signals is a current subject of debate (so-called "temporal processing deficit" hypothesis). Thirteen phonological dyslexics (age 10-13 years) and 10 controls matched for chronological and reading age were compared on a temporal order judgment (TOJ) task using the succession of two consonants (/p/-/s/) within a cluster. In order to test the relevance of the temporal deficit hypothesis, the task also included two additional conditions where either the two stimuli were artificially slowed or the interstimulus interval was expanded. As expected, the TOJ performance was significantly poorer in dyslexics than in controls. Moreover, in the "slowed speech" condition dyslexics' performance improved to reach the normal controls' level, whereas no significant improvement occurred when increasing the interstimulus interval. Finally dyslexics' performances, especially on the slowed condition, were found correlated with several tests of phonological processing (phoneme deletion, rhyme judgment, and nonword spelling tasks). These results lend support to the general temporal deficit theory of dyslexia.     

发展性阅读障碍的噪音抑制缺陷

发展性阅读障碍的缺陷本质一直是研究者们关注和争论的焦点。近些年, 有研究者提出了一种新的理论假设——噪音抑制缺陷假设, 并得到了许多研究证据的支持。这种缺陷在视觉和听觉通道中均存在, 说明阅读障碍具有多感觉/一般性噪音抑制缺陷。但也有研究者指出知觉噪音抑制本质上反映了注意的功能, 因而这种缺陷可能是由注意缺陷导致的。目前还缺乏直接证据支持汉语阅读障碍存在噪音抑制缺陷。最后本文对该领域未来的发展方向做出展望。     

Electrophysiological evidence for the magnocellular-dorsal pathway deficit in dyslexia

In adults, the onset of coherent motion compared to random motion in a random dot kinematogram leads to a right hemispheric amplitude advantage of the N2 response. The source of this asymmetry is believed to lie in the motion selective MT+ cortex. Here, we tested whether the right tempo-parietal N2 component shows a similar regularity in children. In particular, we were interested in whether coherent vs. incoherent motion modulates the amplitude of N2 similarly in dyslexic and control children. We found higher N2 amplitude for coherent compared to random motion in the right hemisphere for controls but not for dyslexics. This effect was related to topographical differences of N2 amplitude for random motion between the studied groups and was accompanied by longer reaction times to random motion in dyslexic compared to control children. Furthermore, a negative correlation between the amplitude of N2 for random motion and spelling errors was observed in both groups, which is consistent with previous findings linking the magnocellular-dorsal (MD) pathway with orthographic skills. These data support the hypothesis of subtle deficiencies in the MD pathway in dyslexia.     

Aphasia, dyslexia and the phonological coding of written words

A possible account of the reading difficulty of certain aphasic-dyslexic patients includes the notion that they are impaired in translating the written word into a phonological code via grapheme-phoneme conversion rules. This notion was tested in two experiments, both utilizing orthographically regular non-words (like dake) as stimuli. The first experiment provides an analysis of two patients' (largely successful) attempts to repeat non-words, and their (almost totally unsuccessful) attempts to read them. Second, in a lexical decision task (is this written letter-string a word or not?), the finding that normals are slowed by non-words homophonic with real words (like flore) was replicated using a modified technique. This effect, attributable to phonological coding, was not shown by the patients. At the same time, their ability to discriminate between words and non-words was essentially intact. Consideration was given to mechanisms which might underlie such patients' correct and erroneous readings of words and non-words.     

Residual ability to use grapheme-phoneme conversion rules in phonological dyslexia

A case of acquired phonological dyslexia is described (P.M.). The patient was encouraged to read nonwords by analogy with real words, i.e., by changing phonemes in real words to produce pronounceable nonwords. P.M. was able to perform this task suggesting that he retained some ability to use grapheme-phoneme conversion rules. On the basis of P.M.'s performance an additional connection in Morton's logogen model is postulated.     

Unilateral implicit motor learning deficit in developmental dyslexia

It has been suggested that developmental dyslexia involves various literacy, sensory, motor skill, and processing speed deficits. Some recent studies have shown that individuals with developmental dyslexia exhibit implicit motor learning deficits, which may be related to cerebellar functioning. However, previous studies on implicit motor learning in developmental dyslexics have produced conflicting results. Findings from cerebellar lesion patients have shown that patients' implicit motor learning performance varied when different hands were used to complete tasks. This suggests that dyslexia may have different effects on implicit motor learning between the two hands if cerebellar dysfunction is involved. To specify this question, we used a one-handed version of a serial reaction time task to compare the performance of 27 Chinese children with developmental dyslexics with another 27 age-matched children without reading difficulties. All the subjects were students from two primary schools, Grades 4 to 6. The results showed that children with developmental dyslexic responded more slowly than nondyslexic children, and exhibited no implicit motor learning in the condition of left-hand response. In contrast, there was no significant difference in reaction time between two groups of children when they used the right hand to respond. This finding indicates that children with developmental dyslexia exhibited normal motor skill and implicit motor learning ability provided the right hand was used. Taken together, these results suggested that Chinese children with developmental dyslexia exhibit unilateral deficits in motor skill and implicit motor learning in the left hand. Our findings lend partial support to the cerebellar deficit theory of developmental dyslexia.     

Developmental dyslexia: the visual attention span deficit hypothesis

The visual attention (VA) span is defined as the amount of distinct visual elements which can be processed in parallel in a multi-element array. Both recent empirical data and theoretical accounts suggest that a VA span deficit might contribute to developmental dyslexia, independently of a phonological disorder. In this study, this hypothesis was assessed in two large samples of French and British dyslexic children whose performance was compared to that of chronological-age matched control children. Results of the French study show that the VA span capacities account for a substantial amount of unique variance in reading, as do phonological skills. The British study replicates this finding and further reveals that the contribution of the VA span to reading performance remains even after controlling IQ, verbal fluency, vocabulary and single letter identification skills, in addition to phoneme awareness. In both studies, most dyslexic children exhibit a selective phonological or VA span disorder. Overall, these findings support a multi-factorial view of developmental dyslexia. In many cases, developmental reading disorders do not seem to be due to phonological disorders. We propose that a VA span deficit is a likely alternative underlying cognitive deficit in dyslexia.     

Behavioral performances in participants with phonological dyslexia and different patterns on the N170 component

Adults with phonological dyslexia and controls performed a lexical decision task while ERPs were recorded in the occipitotemporal pathway. Based on N170 durations, two subgroups were formed: dysl1 showing longer N170 durations and dysl2 showing normal N170 durations. While the dysl1 subgroup had poorer accuracy for infrequent words and pseudo-words, the dysl2 group responded more slowly than controls to pseudo-words. N170 amplitudes were larger in the left hemisphere for controls irrespective of items. In the dysl1 subgroup, N170 amplitudes were larger in the left hemisphere than the right for words but not for pseudo-words, a sign of hemispheric compensation, while in the dysl2 subgroup signs of bilateralization were observed. Moreover, in the dysl1 subgroup, P100 amplitudes were smaller than controls. These results indicate different behavioral profiles of dyslexics with different patterns of P100 and N170 components. The ERP changes may be due to different behavioral strategies employed by each subgroup, logographic in dysl2 and phonological in dysl1.     

Delayed development of phonological constancy in toddlers at family risk for dyslexia

Phonological constancy refers to infants’ ability to disregard variations in the phonetic realisation of speech sounds that do not indicate lexical contrast, e.g., when listening to accented speech. In typically-developing infants, this ability develops between 15- and 19-months of age, coinciding with the consolidation of infants’ native phonological competence and vocabulary growth. Here we investigated the developmental time course of phonological constancy in infants at family risk for developmental dyslexia, using a longitudinal design. Developmental dyslexia is a disorder affecting the acquisition of reading and spelling skills, and it also affects early auditory processing, speech perception, and lexical acquisition. Infants at-risk and not at-risk for dyslexia, based on a family history of dyslexia, participated when they were 15-, 19-, and 26-months of age. Phonological constancy was indexed by comparing at-risk and not at-risk infants’ ability to recognise familiar words in two preferential looking tasks: (1) a task using words presented in their native accent, and (2) a task using words presented in a non-native accent. We expected a delay in phonological constancy for the at-risk infants. As predicted, in the non-native accent task, not at-risk infants recognised familiar words by 19 months, but at-risk infants did not. The control infants thus exhibited phonological constancy. By 26 months, at-risk toddlers did show successful word recognition in the native accent task. However, for the non-native accent task at 26 months, neither at-risk nor control infants showed familiar word recognition. These findings are discussed in terms of the impact of family risk for dyslexia on toddlers’ consolidation of early phonological and lexical skills.     

The nature of phonological processing in oral reading: Evidence from surface dyslexia

Investigation of a neurological patient (PT) who presents with a relatively pure disorder of reading was carried out. His performance on a number of oral reading tasks was very similar to that of the surface dyslexic patient (HTR) reported by Shallice, Warrington and McCarthy (1983). Both patients showed an effect of “degree” of regularity in terms of accuracy of reading response. PT did not, however, show an effect of “typicality of divergence”, which was considered by Shallice and his colleagues to be responsible for the former effect. The size of orthographic-phonological unit operational in PT's oral reading was experimentally determined. PT appeared to rely on grapheme-phoneme correspondences that were assigned in a probabilistic rather than an “all-or-none” manner. No evidence for the existence of the sub-syllable as an independent unit was found. In contrast, this unit apparently mediated the performance of skilled adult readers. Implications of these results for models of the phonological route are discussed.     

Whole-word phonological representations of disyllabic words in the Chinese lexicon: data from acquired dyslexia

This study addresses the issue of the existence of whole-word phonological representations of disyllabic and multisyllabic words in the Chinese mental lexicon. A Cantonese brain-injured dyslexic individual with semantic deficits, YKM, was assessed on his abilities to read aloud and to comprehend disyllabic words containing homographic heterophonous characters, the pronunciation of which can only be disambiguated in word context. Superior performance on reading to comprehension was found. YKM could produce the target phonological forms without understanding the words. The dissociation is taken as evidence for whole-word representations for these words at the phonological level. The claim is consistent with previous account for discrepancy of the frequencies of tonal errors between reading aloud and object naming in Cantonese reported of another case study of similar deficits. Theoretical arguments for whole-word form representations for all multisyllabic Chinese words are also discussed.     

Speed of phonological and orthographic processing as factors in dyslexia: electrophysiological evidence

The author investigated the hypothesis that speed of processing in the phonological and orthographic systems is one of the underlying variables of word-reading effectiveness. Speed of processing was assessed using measures of behavioral reaction time and electrophysiological latencies during phonological and orthographic task performance. Participants were 20 dyslexic and 20 normal-reading, male college students. An electrophysiological component complex (N1-P2-N2), as well as 2 other components (P3 and N4), was identified in both groups on each of the experimental tasks. Significant group differences were obtained only on the phonological tasks. Speed of processing during phonological judgment tasks was significantly prolonged among the dyslexic readers compared with the controls as reflected by P2, P3, and N4 latencies and reaction time. Between-task comparisons revealed significantly prolonged P2, P3, and N4 latencies on phonological compared with orthographic tasks in both dyslexic and normal readers, indicating that phonological classification of words may demand more time than orthographic classification. However, the gap score between speed of processing on the phonological and orthographic tasks was larger among the dyslexic readers and was observed mainly in P3 latency and reaction time. The highest correlation between word-reading accuracy score and the experimental measures was obtained in the dyslexic group with P3 latency gap score and in the control group with P2 latency gap score. The author proposes that slow phonological processing may cause "asynchrony" between the processing speeds within and between phonological and orthographic systems and may lead to a lack of efficient integration among the various subprocesses activated in reading, may slow down reading rate, and may impair word-reading effectiveness.     

Object naming in dyslexic children: more than a phonological deficit

In the present study, the authors investigate how some visual factors related to early stages of visual-object naming modulate naming performance in dyslexia. The performance of dyslexic children was compared with 2 control groups-normal readers matched for age and normal readers matched for reading level-while performing a discrete naming task in which color and dimensionality of the visually presented objects were manipulated. The results showed that 2-dimensional naming performance improved for color representations in control readers but not in dyslexics. In contrast to control readers, dyslexics were also insensitive to the stimulus's dimensionality. These findings are unlikely to be explained by a phonological processing problem related to phonological access or retrieval but suggest that dyslexics have a lower capacity for coding and decoding visual surface features of 2-dimensional representations or problems with the integration of visual information stored in long-term memory.