Classification Rules for Basic Phonological Processing Disabilities and Nonverbal Learning Disabilities: Formulation and External Validity*

Rules for the classification of two subtypes of learning disabilities (LD), namely, Basic Phonological Processing Disabilities (BPPD) and Nonverbal Learning Disabilities (NLD), are reported. These rules (refined as a result of application to two separate samples of children with LD) were used to select children from an entirely new sample who could be classified as having ‘definite’ or ‘probable’ BPPD or NLD. As a first step in the external validation of these rules, the patterns of psychosocial functioning exhibited by these two subtypes of LD were determined. As predicted, the vast majority of the BPPD subtype exhibited a pattern most consistent with normal or relatively normal psychosocial adjustment, and no appreciable increase in the incidence of significant psychosocial disturbance with advancing years. Also, as predicted, an increasing incidence of internalized psychosocial dysfunction (a form of significant psychosocial disturbance) was evident in the NLD subtype with advancing years. It is clear that children classified as having BPPD or NLD using these rules exhibit quite different, and predicted, relative patterns of psychosocial functioning. Thus, in this sense, the rules have concurrent validity. Finally, sets of rules/criteria for classification are presented that reflect their actual incidence in the two subtypes of LD generated for use in the validation phase of this investigation. These rules would appear to be useful for clinical purposes. It is also clear that they should be subjected to further validation studies in a broader age range for clinical and research purposes.     

Learning Disabilities and Psychosocial Adjustment: A Critical Review

Research is reviewed that assesses the extent to which difficulties in psychosocial adjustment are characteristic of broadly defined learning disabilities (LD) and of specific patterns of academic and neuropsychological assets and deficits (Rourke & Fuerst, 1991; Spreen, 1989). Overall, a majority of children and adolescents with LD are in the normal range of peer acceptance and socially competent behaviour. Some measure of difficulty in these social assessments is observed in approximately one third of children and adolescents with LD, compared with 10 to 15% of non-LD controls. Similarly, internalized emotional symptoms of depression and anxiety are assessed as somewhat higher for individuals with LD than for non-LD controls but are within the normal range of scores. Externalized emotional behaviours, specifically aggression, delinquency, and hyperactivity, are problematic but these too are at subclinical levels. In the few studies that examine psychosocial adjustment for subtypes of LD, there is some evidence that individuals with nonverbal learning disabilities (NLD) are at much greater risk for personality disturbance and behaviour problems. That the psychosocial adjustment of individuals with reading disabilities is within the range of non-LD controls remains to be convincingly demonstrated.     

Evidence for the Syndrome of Nonverbal Learning Disabilities in Children with Brain Tumors

This study examined the predicted utility of the Nonverbal Learning Disabilities syndrome (NLD) (Rourke, 1995) for characterizing neurocognitive and psychosocial outcomes in 123 children with brain tumors. Children with brain tumors were found to be at high risk of having a specific academic deficit, particularly in arithmetic. Children with arithmetic deficit evidenced a higher rate of impairment on nonverbal tasks than on verbal tasks, whereas children with reading deficit evidenced a higher rate of impairment on verbal tasks than on nonverbal tasks. However, significant differences between children with arithmetic and reading deficits were not found for all of the component features of the NLD syndrome, and arithmetic deficit was not related to treatment with irradiation.     

学习困难儿童和非学习困难儿童元记忆特点的对比研究

本研究通过向62名学习困难儿童和56名非学习困难儿童呈现数字和图形两种记忆材料,就主试控制和被试控制条件下两类儿童的元记忆水平进行了对比研究,旨在找出学习困难儿童的元记忆特点,并在此基础上,进一步揭示两类儿童的元记忆水平与其记忆成绩之间的关系.研究结果发现学习困难儿童的元记忆水平明显低于非学习困难儿童,而且两类儿童的元记忆水平与其回忆量均有较高的相关.     

学习困难儿童友谊质量、定向、孤独感的研究

采用问卷法对2－6年级学习困难儿童研究发现,与非学习困难儿童相比,学习困难儿童友谊质量、定向显著偏低,孤独感显著偏高;性别对学习困难儿童友谊质量、定向影响显著,孤独感受年龄影响显著,另外,学习困难儿童友谊质量、定向能够显著地负向预测孤独感。     

Psychosocial functioning of children: Relations between personality subtypes and academic achievement

Five hundred children from ages 6 to 12 who had been referred for neuropsychological assessment were clustered into six subtypes using a kmeans technique applied to 10 PIC scales. Five of the six subtypes were virtually identical to subtypes identified in previous research (viz., normal, somatic concern, mild anxiety, externalized psychopathology, and internalized psychopathology). A sixth subtype (conduct disorder) was also found. Wide Range Achievement Test (WRAT) Reading and Spelling scores discriminated between normal, somatic concern, and conduct disorder subtypes on the one hand vs. the more disturbed externalized and internalized psychopathology subtypes on the other;the latter groups scored higher on these measures. The internalized psychopathology subtype also showed large discrepancies between reading vs. arithmetic and spelling vs. arithmetic. The results support the view that psychosocial functioning is related to assets and deficits in cognitive/academic functioning in children, and that particular patterns of such assets and deficits are related to particular forms of psychopathology.     

Emotion knowledge,emotion regulation,and psychosocial adjustment in children with nonverbal learning disabilities

Nonverbal learning disability is a childhood disorder with basic neuropsychological deficits in visuospatial processing and psychomotor coordination, and secondary impairments in academic and social-emotional functioning. This study examines emotion recognition, understanding, and regulation in a clinic-referred group of young children with nonverbal learning disabilities (NLD). These processes have been shown to be related to social competence and psychological adjustment in typically developing (TD) children. Psychosocial adjustment and social skills are also examined for this young group, and for a clinic-referred group of older children with NLD. The young children with NLD scored lower than the TD comparison group on tasks assessing recognition of happy and sad facial expressions and tasks assessing understanding of how emotions work. Children with NLD were also rated as having less adaptive regulation of their emotions. For both young and older children with NLD, internalizing and externalizing problem scales were rated higher than for the TD comparison groups, and the means of the internalizing, attention, and social problem scales were found to fall within clinically concerning ranges. Measures of attention and nonverbal intelligence did not account for the relationship between NLD and Social Problems. Social skills and NLD membership share mostly overlapping variance in accounting for internalizing problems across the sample. The results are discussed within a framework wherein social cognitive deficits, including emotion processes, have a negative impact on social competence, leading to clinically concerning levels of depression and withdrawal in this population.     

Comprehension of nonverbal communication: A reexamination of the social competencies of learning-disabled children

This study was designed to determine whether learning-disabled (LD) children differed from nondisabled (NLD) children in their ability to comprehend nonverbal communication when potential attentional differences between the groups were controlled. In addition, the relationship between nonverbal comprehension and social competence was assessed. Thirty LD and 30 NLD boys between 9 and 12 years of age were administered a short form of the Profile of Nonverbal Sensitivity (PONS) to assess nonverbal comprehension; social competence measures included teachers' ratings of aggressive and withdrawn behaviors using the Behavior Problem Checklist, and blind judges' ratings of performance on a role-play of friendshipmaking skills. Under attention-incentive conditions, no performance differences between LD and NLD children were found on the PONS; however, LD children were judged to be more withdrawn and less socially skilled. While PONS scores were not related to other social competence measures, hey were associated with academic achievement and IQ. Results emphasize the importance of considering the presence of attentional problems in LD children that may interfere with an accurate assessment of their skills.     

Asperger syndrome: How does it relate to non‐verbal learning disability?

The syndrome of non‐verbal learning disabilities (NLD) is associated with prominent non‐verbal deficits such as reduced perceptual and spatial abilities, against a background of relatively intact verbal abilities. Asperger syndrome is one of the several developmental disorders for which Byron Rourke has claimed that almost all the signs and symptoms of NLD are present. This study investigated the claim utilizing a battery of neuropsychological tests that were found to be sensitive to NLD in the original learning disordered populations used to describe the syndrome. Children aged between 8 and 14 were recruited to form two groups: (1) children with Asperger syndrome (N=14) and (2) normal healthy schoolchildren (N=20). By contrast to the main principle outlined in the NLD model, children with Asperger syndrome did not display a relative difficulty with spatial‐ or problem‐solving tasks; indeed, they displayed significantly higher performance on some non‐verbal tasks in comparison with verbal tasks. It was only in relation to their high levels of psychosocial and interpersonal difficulties, which are also predicted on the basis of their psychiatric diagnosis, that the children with Asperger syndrome were clearly consistent with the NLD model in this study. These results raise questions about the relevance of the syndrome of NLD for children with Asperger syndrome.     

Wisconsin card sorting test and Halstead Category Test performances of children and adolescents who exhibit the syndrome of nonverbal learning disabilities

Abstract

Wisconsin Card Sorting Test (WCST) and Halstead Category Test (HCT) performances of 15 children/adolescents (age range 9 to 17 years) diagnosed with the syndrome of nonverbal learning disabilities (NLD) and 15 age-, gender-, and FSIQ-matched verbal learning-disabled (VLD) controls were examined. The VLD group made significantly fewer errors on the HCT than did the NLD group. In addition, the VLD controls significantly outperformed the NLD participants on seven of the nine WCST index scores (all except failure to maintain set and learning to learn scores). Consistent with the adult literature, the common variance between the HCT and WCST was modest, indicating that these two neuropsychological measures gauge different domains of functioning. It is suggested that the HCT assesses conceptualization/higher order reasoning abilities, whereas the WCST taps dimensions of executive functioning.     

Spatial and emotional aspects of language inferencing in nonverbal learning disabilities.

Although subtle linguistic deficits have been postulated for children identified with nonverbal learning disabilities (NLD), there is little empirical evidence to support this contention. Two experimental language inferencing measures that have been demonstrated to be problematic for individuals with right hemisphere brain damage (RHBD) and one norm-referenced inferencing task were examined in three groups of children aged 9-13: (1) children with NLD (n = 14), (2) children with verbal impairments (VI) (n = 14), and (3) children without learning disabilities who served as controls (n = 19). The NLD and VI groups did not differ from one another on any of the three measures, indicating a generalized language inferencing deficit in the NLD group. Relative to the control group, however, the NLD group experienced specific difficulties with spatial and emotional inferencing. The implications for right hemisphere involvement in the NLD profile are examined in relation to the effects of working memory on inferential abilities.     

学习困难儿童在工作记忆任务中抑制机制的研究

本研究的目的旨在探讨在WM任务中,LD儿童是否存在抑制机制缺陷。实验程序采用重复启动范式,设计“预期”和“目标”两种启动条件,随后通过间接测量的方式(内隐记忆测验)分别测得LD儿童和NLD儿童对预期词和目标词的启动量。结果表明,LD儿童对预期词的启动分数与目标词没有显著差异,NLD儿童对目标词的启动分数显著高于对预期词的启动分数。我们得出结论:在工作记忆任务中,LD儿童存在抑制机制缺陷。     

学习困难学生问题行为及其影响因素的研究

采用问卷法,探讨了学习困难学生的违纪行为、情绪困扰,情绪困扰与注意障碍的关系,以及问题行为与应激的关系.结果表明:(1)在违纪行为、注意及多动问题评定中,无论是教师评价,还是家长评定,学习困难学生(学困生)的得分均显著高于学习优秀学生(学优生);在情绪评定中,教师评价显示,学困生的情绪困扰显著高于学优生;(2)教师评价时,注意问题与情绪困扰的相关显著,但多动因子则与情绪困扰关系不大;(3)在正性应激量上,学优生高于学困生,未出现显著差异;而在负性应激量上,学困生的得分显著高于学优生;(4)负性应激量对情绪和注意问题的预测作用显著,但对违纪行为预测作用不明显,而正性应激量对情绪和注意问题以及违纪行为预测作用均不明显.     

A multisource exploration of the friendship patterns of children with and without learning disabilities

Friendship patterns of 117 children with learning disabilities (LD) and 115 children without LD in Grades 4–8 were examined. In comparison with children without LD, boys with LD had fewer mutual friends, children with LD had more friends with learning problems and more younger friends, and children with LD in Grades 4–6 had less stable relationships. With regard to friendship quality, children with LD reported higher levels of conflict, lower levels of validation, and more problems with relationship repair than did children without LD. The findings were discussed in terms of factors that have been found to enhance friendship such as proximity and similarity, and the social skills difficulties that have been associated with learning disabilities.     

Narrative comprehension and retelling abilities of children with nonverbal learning disabilities

Nonverbal learning disabilities (NLD) are characterized by weaknesses in narrative discourse. Thirty-three children (M ag e= 11.7 years), 15 girls and 18 boys, listened to stories to evaluate their narrative comprehension and retelling abilities. Children with NLD (n = 11) performed as poorly as children with verbal impairment (n = 10) on all narrative measures. Compared to typical controls (n = 12), the NLD group was poorer in comprehending inferences, but not facts. They included less of the original content than controls in their story retells, and there were strong trends suggesting fewer utterances and less variety in their vocabulary usage. Results are discussed regarding their implications for understanding the neuropsychological profile of NLD.     

The dissociation of repetition priming and recognition memory in language/learning-disabled children.

Recent research has found that the performance of learning-disabled and non-disabled children is dissociated on explicit and implicit tests of memory (Lorsbach & Worman, 1989). The current study further examined this phenomenon by comparing language/learning-disabled (L/LD) and nondisabled children (NLD) on tasks measuring primed picture-naming and item recognition. Included within the design of the experiment was the manipulation of both presentation format (pictures or words) and retention interval (immediate or 1 day). Children were initially presented with pictures and words. Performance was measured both immediately and following a 1-day retention interval on a picture naming task, an item recognition task, and a supplementary measure of memory for presentation format. The magnitude of facilitation associated with primed picture-naming was found to be independent of item recognition performance. In addition, the effects of population (L/LD and NLD) and retention interval (immediate test or 1 day) each produced dissociations between the magnitude of naming facilitation and item recognition performance. Results were discussed in terms of their implications for our understanding of the nature of memory difficulties in L/LD children.     

Nonverbal learning disabilities: The syndrome and a case study

Presents the syndrome of nonverbal learning disabilities (NLD) and the model developed to encompass its complex manifestations. Included are the history of the development of the syndrome, the types of children in whom its principal features are manifest, the hypothesized neurological bases of the syndrome, and a test of its developmental dimensions. A case study with assessment results and treatment implications illustrates the clinical dimensions of the syndrome. General developmental and treatment implications of the NLD syndrome and the NLD model are also included.     

Social functioning using direct and indirect measures with children with High Functioning Autism,nonverbal learning disability,and typically developing children

Social perception is an important underlying foundation for emotional development and overall adaptation. The majority of studies with children with High Functioning Autism (HFA) or nonverbal learning disabilities (NLD) evaluating social functioning have used measures of parent and/or teacher ratings. The present study utilized parent and teacher ratings of behavior as well as executive functioning in addition to direct measures of social perception. Three groups participated in this study (control [n = 38] HFA [n = 36], NLD [n = 31]). Results indicated that the HFA group experienced the most difficulty understanding emotional cues on the direct measure while both the HFA and NLD groups experienced difficulty with nonverbal cues. Significant difficulties were reported on the parent rating scale for sadness and social withdrawal for both clinical groups. Executive functioning was found to be particularly problematic for the clinical groups. The direct social perception measure was highly correlated with the measures of executive functioning and reflects the contribution that executive functions have on social functioning. These findings suggest that the clinical presentation on behavior rating scales may be very similar for children with HFA and NLD. Moreover, it appears that measures of executive functioning are sensitive to the clinical difficulties these groups experience. The findings also suggest there is a commonality in these disorders that warrants further investigation.     

Periventricular leukomalacia (PVL): an identical twin case study illustration of white matter dysfunction and nonverbal learning disability (NLD).

This paper discusses the implications of Periventricular Leukomalacia (PVL) lesions for the development of Nonverbal Learning Disabilities (NLD) as illustrated through an identical twin case study. PVL lesions were identified in an 8-year-old child, but were not detected in his identical twin brother who served as a matched comparison. While the nonclinical twin displayed a largely unremarkable neuropsychological profile, the clinical twin evidenced a distinct pattern of social, intellectual, academic, and neuropsychological test results often identified among children with PVL and those with the NLD syndrome. The clinical and theoretical implications for this case study are discussed.     

Periventricular Leukomalacia (PVL): An Identical Twin Case Study Illustration of White Matter Dysfunction and Nonverbal Learning Disability (NLD)*

This paper discusses the implications of Periventricular Leukomalacia (PVL) lesions for the development of Nonverbal Learning Disabilities (NLD) as illustrated through an identical twin case study. PVL lesions were identified in an 8-year-old child, but were not detected in his identical twin brother who served as a matched comparison. While the nonclinical twin displayed a largely unremarkable neuropsychological profile, the clinical twin evidenced a distinct pattern of social, intellectual, academic, and neuropsychological test results often identified among children with PVL and those with the NLD syndrome. The clinical and theoretical implications for this case study are discussed.