英语发展性阅读障碍的训练程序

英语发展性阅读障碍的成因解释有三种倾向：基于语言的,非语言的,以及二者兼有的。语言学取向者认为障碍发生在语言学层次上,尤其是语音障碍;非语言学取向者认为有着更基本的视听知觉障碍,尤其是听觉时间加工缺陷;基于流畅性的双重障碍假说则认为二者兼有。根据这三类假设,研究者们开发了与之相应的基于语音意识缺陷、听觉时间加工缺陷和双重障碍的训练方案,其设计思路、材料选择和程序安排,对中文发展性阅读障碍的训练研究,有一定参考价值     

发展性阅读障碍的听觉时间加工缺陷

发展性阅读障碍是指个体在智力正常并且不缺乏学校教育的情况下, 仍无法获得与年龄相匹配的阅读技能的一种学习障碍, 其缺陷的本质一直是研究者争论的焦点。大量研究显示, 阅读障碍者常表现出听觉时间加工损伤。在行为层面, 阅读障碍者难以辨别快速、连续呈现刺激的顺序以及刺激本身的动态时间特征。在神经层面, 阅读障碍者诱发的失匹配负波更弱且具有异常的神经同步加工。这些损伤同时存在于对言语和非言语刺激的加工中, 表明听觉时间加工缺陷非言语加工所特有。未来的研究还需阐明以下几个问题：1)阅读障碍的听觉时间加工缺陷发生在哪些时间窗口, 随年龄增长如何变化; 2)阅读障碍听觉时间加工缺陷在神经层面的时间进程是怎样的; 3)听觉时间加工缺陷是否为阅读障碍的核心缺陷。     

Can a temporal processing deficit account for dyslexia?

In this comment, we argue that although Farmer and Klein (1995) have provided a valuable review relating deficits in nonreading tasks and dyslexia, their basic claim that a “temporal processing deficit” is one possible cause of dyslexia is somewhat vague. We argue that “temporal processing deficit” is never clearly defined. Furthermore, we question some of their assumptions concerning an auditory temporal processing deficit related to dyslexia, and we present arguments and data that seem inconsistent with their claims regarding how a visual temporal processing deficit would manifest itself in dyslexic readers. While we agree that some dyslexics have visual problems, we conclude that problems with reading caused by the visual mechanisms that Farmer and Klein postulate are quite rare.     

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.     

发展性阅读障碍与知觉加工

近年来许多行为实验和神经生理学实验都发现 ,发展性阅读障碍与基本知觉障碍有关。在视觉领域研究者提出了巨细胞障碍假设 ,这种假设认为阅读障碍者视觉神经系统中的巨细胞障碍导致他们对某种类型的视觉刺激加工存在困难 ,进而影响阅读。在听觉领域研究发现阅读障碍者加工快速、系列、短暂呈现的声音刺激存在障碍。研究者认为阅读障碍者加工快速刺激输入障碍反映了普遍的时间知觉障碍。这方面的研究发展非常迅速 ,理论观点非常明确 ,并且直接与内在的神经机制相联系 ,形成了与传统的“语言障碍”理论迥然不同的“知觉障碍”理论。“知觉障碍”理论综合了行为、认知和神经等多个层次的研究 ,反映了神经科学发展所带来的巨大影响和认知加工模块化理论的渐渐衰退。     

发展性阅读障碍亚类型研究进展

发展性阅读障碍是一种特殊的学习障碍,伴有多种认知缺陷并且存在不同的亚类型。依据相关的阅读模型理论,阅读障碍可划分为语音型和表层型。从认知缺陷角度出发,语音加工缺陷是主要的缺陷表现,以此为特征形成一种主要的阅读障碍的亚类型,同时还有以正字法加工缺陷和快速命名缺陷为主的其他亚类型。而以基本感知觉缺陷为标准,主要有以视觉加工缺陷和以听觉加工缺陷为主的两种亚类型。在汉语条件下,依据同样的阅读模型理论,语音型阅读障碍亚类型比例明显低于拼音文字条件下的。汉语阅读障碍也具有分别以语音加工缺陷、快速命名缺陷和正字法加工缺陷为主要认知缺陷的亚类型。未来有必要从神经机制角度进一步明确不同亚类型的神经基础。     

Process dissociation of sight vocabulary and phonetic decoding in reading: a new perspective on surface and phonological dyslexias

Recent research on developmental dyslexia has suggested a phonological core deficit hypothesis (e.g., Manis, Seidenberg, Doi, McBride-Chang, & Peterson, 1996; Stanovich, Siegel, & Gottardo, 1997) whereby pure cases of developmental phonological dyslexia (dysfunctional phonetic decoding processing but normal sight vocabulary processing) can exist, but pure cases of developmental surface dyslexia (dysfunctional sight vocabulary processing but normal phonetic decoding processing) should not. By applying Jacoby's (1991) and Lindsay and Jacoby's (1994) process dissociation procedure to the reading of regular and exception words, we present a method that serves to estimate readers' reliance on sight vocabulary and phonetic decoding during real word recognition. These reliance estimates are then used in Castles and Coltheart's (1993) regression-based approach to identify normal readers and developmental dyslexics. This new method: (1) allows one to explore normal reading acquisition and both the delay and deviance accounts of developmental dyslexia, (2) provides an alternative to matching dyslexics to both chronological-age and reading-age control groups, and (3) uses only real words. We present evidence that pure cases of developmental surface dyslexia can be obtained with both Castles and Coltheart's measure as well as our own, and that developmental surface dyslexia is not simply a delayed reading deficit. The theoretical importance and utility of estimates of reliance on sight vocabulary and phonetic decoding is discussed.     

Rise time and formant transition duration in the discrimination of speech sounds: the Ba-Wa distinction in developmental dyslexia

Across languages, children with developmental dyslexia have a specific difficulty with the neural representation of the sound structure (phonological structure) of speech. One likely cause of their difficulties with phonology is a perceptual difficulty in auditory temporal processing (Tallal, 1980). Tallal (1980) proposed that basic auditory processing of brief, rapidly successive acoustic changes is compromised in dyslexia, thereby affecting phonetic discrimination (e.g. discriminating /b/ from /d/) via impaired discrimination of formant transitions (rapid acoustic changes in frequency and intensity). However, an alternative auditory temporal hypothesis is that the basic auditory processing of the slower amplitude modulation cues in speech is compromised (Goswami et al., 2002). Here, we contrast children's perception of a synthetic speech contrast (ba/wa) when it is based on the speed of the rate of change of frequency information (formant transition duration) versus the speed of the rate of change of amplitude modulation (rise time). We show that children with dyslexia have excellent phonetic discrimination based on formant transition duration, but poor phonetic discrimination based on envelope cues. The results explain why phonetic discrimination may be allophonic in developmental dyslexia (Serniclaes et al., 2004), and suggest new avenues for the remediation of developmental dyslexia.     

The role of sensorimotor impairments in dyslexia: a multiple case study of dyslexic children

This study attempts to investigate the role of sensorimotor impairments in the reading disability that characterizes dyslexia. Twenty-three children with dyslexia were compared to 22 control children, matched for age and non-verbal intelligence, on tasks assessing literacy as well as phonological, visual, auditory and motor abilities. The dyslexic group as a whole were significantly impaired on phonological, but not sensorimotor, tasks. Analysis of individual data suggests that the most common impairments were on phonological and visual stress tasks and the vast majority of dyslexics had one of these two impairments. Furthermore, phonological skill was able to account for variation in literacy skill, to the exclusion of all sensorimotor factors, while neither auditory nor motor skill predicted any variance in phonological skill. Visual stress seems to account for a small proportion of dyslexics, independently of the commonly reported phonological deficit. However, there is little evidence for a causal role of auditory, motor or other visual impairments.     

The timing deficit hypothesis of dyslexia and its implications for Hebrew reading

Vast amounts of neuropsychological evidence have been collected in recent years in support of the hypothesis that developmental dyslexia is caused not only by phonological deficits, but also by timing deficits that affect all senses (e.g., Tallal, Miller, & Fitch, 1995; Stein & Walsh, 1997). In parallel, recent developments in the study of Hebrew reading place heavy emphasis on root awareness in the mental lexicon and early root extraction in the process of word identification (e.g., Frost, Forster, & Deutch, 1997). The present study creates a link between the timing hypothesis and the special demands of Hebrew reading. The performance of dyslexics and normally reading children is compared on tasks requiring visual extraction of trigrams that approximates extracting roots out of Hebrew words. Partial findings show that dyslexics take longer and make more errors while performing trigram extractions on all levels examined, and that sequentiality in the task affects dyslexics and skilled readers in different ways.     

Naming problems do not reflect a second independent core deficit in dyslexia: Double deficits explored

The double deficit hypothesis states that naming speed problems represent a second core deficit in dyslexia independent from a phonological deficit. The current study investigated the main assumptions of this hypothesis in a large sample of well-diagnosed dyslexics. The three main findings were that (a) naming speed was consistently related only to reading speed; (b) phonological processing speed and naming speed loaded on the same factor, and this factor contributed strongly to reading speed; and (c) although general processing speed was involved in speeded naming of visual items, it did not explain the relationship between naming speed and reading speed. The results do not provide support for the existence of a second independent core naming deficit in dyslexia and indicate that speeded naming tasks are mainly phonological processing speed tasks with an important addition: fast cross-modal matching of visual symbols and phonological codes.     

汉语发展性阅读障碍亚类型的初步探讨

以阅读水平匹配组为参照对29名汉语发展性阅读障碍儿童的认知缺陷模式进行了分析,并考察了不同亚类型阅读障碍儿童的汉字识别模式。结果表明汉语发展性阅读障碍存在不同的亚类型,以语音缺陷型、快速命名缺陷型及两者结合的双重缺陷型为主,与英语国家研究中的双重缺陷假设一致。语音缺陷型儿童汉字识别时有更多的语义错误,对声旁中的部分语音线索不敏感;快速命名缺陷型儿童汉字识别时依赖声旁语音线索,表现出阅读发展的一般延迟;双重或多重认知缺陷型是阅读损伤最严重的亚类型     

Picture naming deficits in developmental dyslexia in German

Recent research with English developmental dyslexics comparing the picture naming performance of these children to the picture naming performance of non-dyslexic (‘garden variety’) poor readers, reading age matched controls and chronological age matched controls has suggested that a selective difficulty in retrieving the phonological codes of known names on demand underlies the picture naming deficit found in developmental dyslexia (Swan & Goswami, Picture naming deficits in developmental dyslexia: the phonological representations hypothesis, Brain and Language, 56 (1997), 334–353). If the underlying causal factors in dyslexia are independent of the orthography that the child is learning to read, then a difficulty in retrieving the phonological codes of known names on demand should also be found in developmental dyslexics who are learning to read other languages. We therefore set out to replicate Swan and Goswami’s study with a group of German developmental dyslexics. We were interested to see whether a phonological deficit is characteristic of dyslexia in all orthographies, even those, such as German, in which high orthographic transparency means that dyslexic children read with considerable accuracy.     

发展性阅读障碍视听时间整合缺陷可能的机制：视听时间再校准能力受损

发展性阅读障碍的本质一直是研究者争论的焦点。大量研究发现, 阅读障碍者具有视听时间整合缺陷。然而, 这些研究仅考察了阅读障碍者视听时间整合加工的整体表现, 也就是平均水平的表现, 却对整合加工的变化过程缺乏探讨。视听时间再校准反映了视听时间整合的动态加工过程, 对内部时间表征与感觉输入之间差异的再校准困难则会导致多感觉整合受损, 而阅读障碍者的再校准相关能力存在缺陷。因此, 视听时间再校准能力受损可能是发展性阅读障碍视听时间整合缺陷的根本原因。未来的研究需要进一步考察发展性阅读障碍者视听时间再校准能力的具体表现, 以及这些表现背后的认知神经机制。     

Temporal processing and phonological impairment in dyslexia: effect of phoneme lengthening on order judgment of two consonants

The evidence of supporting phonological deficit as a cause of developmental dyslexia has been accumulating rapidly over the past 2 decades, yet the exact mechanisms underlying this deficit remain controversial. Some authors assume that a temporal processing deficit is the source of the phonological disorder observed in dyslexic children. Others maintain that the phonological deficit in dyslexia is basically linguistic, not acoustic, in nature. Three experiments were conducted and tested the impact of the temporal alteration and the impact of complex syllabic structure on consonant order judgments. Thirteen phonological dyslexics (age 10-13) and 10 controls matched for chronologial 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 possible relevance of the temporal deficit hypothesis, the task also included two additional conditions where either the two stimuli were artificially slowed or two phonological structures were opposed (CCV and CVCV). 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 manipulating the phonological structure complexity provided no significant improvement. Finally dyslexics' performances, especially on the slowed condition, were found correlated with several tests of phonological processing. These results lend support to the general temporal deficit theory of dyslexia.     

中文阅读障碍儿童的时间加工缺陷:来自知觉学习干预研究的证据

前人研究指出,阅读障碍群体具有听觉通道内的时间加工缺陷,但截止目前为止,该缺陷的非模态性、跨语言一般性、干预前景及具体机制尚不明确。本文通过综述三项在中文阅读障碍儿童中开展的听觉、视觉时间加工知觉训练,以及它们对阅读成绩的迁移效应,对时间加工技能与阅读障碍的关系,及其影响阅读发展的认知机制进行了探讨和分析,并在此基础上,提出了未来的研究构想,以充实该领域的理论建构。     

Developmental and acquired dyslexia: A comparison

Jorm (1979a) has drawn attention to similarities between developmental dyslexia and acquired deep dyslexia, an analogy which has been criticized by A. W. Ellis (1979). A series of three experiments compared the two syndromes, using the techniques applied by Patterson and Marcel (1977) to adult deep dyslexics, to study a group of 15 boys suffering from developmental dyslexia. Patterson and Marcel's patients were able to perform a lexical decision task but showed no evidence of phonemic encoding of nonwords; our dyslexic children performed this task very slowly and with reduced accuracy but showed clear evidence of phonemic coding of the nonword items. Patterson and Marcel observed that their patients could not read out orthographically regular nonwords; our dyslexic children were able to do this task, although more slowly and somewhat less accurately than their chronological age or reading age controls. Finally, Patterson and Marcel observed that highly imageable words were more likely to be read correctly than words of equal frequency but low imageability; we observed a similar effect in both our dyslexic group and in their reading age controls. This implies that the imageability effect may not be peculiar to dyslexics but may be characteristic of normal reading under certain conditions. It is concluded that developmental dyslexics differ from the patients studied by Patterson and Marcel in demonstrating a pattern of reading which, though slow, is qualitatively similar to the reading of normal readers of a younger age. As such, our results do not support Jorm's position.     

The relationship between auditory temporal processing,phonemic awareness,and reading disability

Recent research suggests an auditory temporal deficit as a possible contributing factor to poor phonemic awareness skills. This study investigated the relationship between auditory temporal processing of nonspeech sounds and phonological awareness ability in children with a reading disability, aged 8-12 years, using Tallal's tone-order judgement task. Normal performance on the tone-order task was established for 36 normal readers. Forty-two children with developmental reading disability were then subdivided by their performance on the tone-order task. Average and poor tone-order subgroups were then compared on their ability to process speech sounds and visual symbols, and on phonological awareness and reading. The presence of a tone-order deficit did not relate to performance on the order processing of speech sounds, to poorer phonological awareness or to more severe reading difficulties. In particular, there was no evidence of a group by interstimulus interval interaction, as previously described in the literature, and thus little support for a general auditory temporal processing difficulty as an underlying problem in poor readers. In this study, deficient order judgement on a nonverbal auditory temporal order task (tone task) did not underlie phonological awareness or reading difficulties.     

听觉、时间加工能力与发展性阅读障碍

近年来阅读障碍者的知觉加工越来越受到重视 ,本文介绍了近期国外关于阅读障碍者的听觉加工能力、时间加工能力的最新研究进展。快速听觉加工能力的缺失在阅读障碍者身上普遍存在 ,并被认为是阅读障碍产生的主要原因 ;有研究者提出“时间控制障碍”假说 ,认为阅读障碍源自一种普遍性的时间知觉障碍 ,不具有通道特异性。除此之外 ,还发现阅读障碍者对声音频率、响度等非时间特征也出现了觉察困难。通过这些研究我们可以看到 ,听觉加工能力、快速时间加工能力与阅读能力之间可能有着密切的关系 ,但这几种能力如何具体作用于阅读发展 ,它们之间如何相互作用、相互影响仍需进一步探讨。