Re: Digest for schoolneuropsychology@googlegroups.com - 1 update in 1 topic

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Leslie Tremayne

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May 26, 2023, 11:08:33 AM5/26/23
to schoolneur...@googlegroups.com

In the last few years, I've been running into more situations that appear to be good Phonemic Awareness, but poor orthographic memory and poor sound-symbol associative memory. I don't know if there's an association with disrupted education during COVID or maybe a COVID related memory thing since we don't have good data on kids having had COVID, but could just be a weird correlation or nothing at all. In any case, sound-symbol associative skills are not strong. Also, I think reading instruction is spending too much time in Phonemic Awareness skills and not moving on to Morphemic Awareness skills.

Interesting case...

Leslie Tremayne, MA, ABSNP, CLDE
Licensed School Psychologist
Diplomate - American Board of School Neuropsychologists
Certificate - Culturally and Linguistically Diverse Education

303-594-2096 Cell
877-292-0493 Voicemail and Faxline


On Fri, May 26, 2023 at 5:59 AM <schoolneur...@googlegroups.com> wrote:
Emily Tucker <dremil...@gmail.com>: May 25 08:41AM -0700

Thank you, that is a helpful perspective. And I appreciate your sharing that article!
 
Best,
 
Emily
 
Emily S. Tucker, Ph.D., ABSNP
 
Licensed Psychologist
 
3746 Mount Diablo Boulevard, Suite 201B
 
Lafayette, CA 94549
 
(925)787-1621
 
DrEmilyTucker.com
 
From: Tamra O'Keefe
 
Sent: Wednesday, May 24, 2023 1:29 PM
 
To: schoolneur...@googlegroups.com
 
Subject: Re: Dyslexia Profile Question
 
Wondering if it has to do more with the combining of sound/syllable groupings. Somewhat like our kiddos who can visually process simple information, but struggle when the page is visually cluttered. Likewise, perhaps with a simple repetition of pairing the sound and the symbol they can perform an isolated task, but combining them is too cognitively complex. "C-"-"cee" is simple memorization. Being able to combine letters/sounds might be more to do with visual/verbal memory, sound manipulation, blending, etc.
 
We are seeing a high incidence of kiddos who have stronger phonological awareness, but low non-word repetition skills. So they can blend phonologically, but not associate the sound/symbol in an unknown (non-memorized) word.
 
I am still learning all about dyslexia myself, and have found " The Neurobiology of Dyslexia" by Devin M. Kearns, Roeland Hancock, Fumiko Hoeft, Kenneth R. Pugh, and Stephen J. Frost very helpful as a reference tool.
 
In their article, they note that "The left precentral gyrus—a region involved in articulation (ie, the production of speech sounds)—shows more activation in children and adults with dyslexia than that of their typical peers (Richlan et al., 2011). Currently, researchers have hypothesized that readers use articulation to compensate for their weakness in the temporoparietal system that involves decoding (Hancock, Richlan, & Hoeft, 2017).
 
https://haskinslabs.org/sites/default/files/files/Kearns%2C%20Hoeft%2C%20Hancock%2C%20Pugh%2C%20Frost%20(2019)%20Neurobiology%20of%20dyslexia.pdf
 
This may also account for some of the phenomena you have seen.
 
Very interesting observation!
 
Thank you for sharing with the group.
 
Tamra O'Keefe, MA
 
Director of Special Education, 504 Compliance Officer/Coordinator, School Psychologist
 
"I always wondered why somebody doesn't do something about that. Then I realized I was somebody." Lily Tomlin
 
On Wed, May 24, 2023 at 1:50 PM Emily Tucker <dremil...@gmail.com> wrote:
 
Thank you for that helpful feedback. Interestingly, and I should have clarified, the profile is a mixed dyslexia – weaknesses in both phonological processing and orthographic processing. Otherwise, I may have thought the same!
 
I appreciate your sharing those thoughts.
 
Emily S. Tucker, Ph.D., ABSNP
 
Licensed Psychologist
 
3746 Mount Diablo Boulevard, Suite 201B
 
Lafayette, CA 94549
 
(925)787-1621
 
DrEmilyTucker.com
 
From: Bert Green
 
Sent: Wednesday, May 24, 2023 11:46 AM
 
To: schoolneur...@googlegroups.com
 
Subject: Re: Dyslexia Profile Question
 
Good Afternoon,
 
One question to consider: could it be that they are stuck in the alphabetic stage of reading, and do not develop proper orthographic processing for automatic and efficient reading? If that is the case, I might look for visual inefficiencies (assuming their PA stays on developmental course).
 
It is interesting!
 
Bert Green
 
413-374-5848
 
On Wed, May 24, 2023 at 2:32 PM Emily Tucker <dremil...@gmail.com> wrote:
 
Hi All,
 
I am looking for some resources to better understand a unique dyslexia profile I have been seeing in my practice. I have recently worked with several kids who had very early letter recognition and letter-sound awareness (as early as 2-years-old) and then hit a plateau. As they progressed to early elementary school, they have struggled with emerging reading skills and clearly have dyslexia, showing below grade-level reading (and processing) despite strong cognitive skills and extra practice.
 
This is a confusing profile for parents as their kids seemed to be “early readers” yet now reflect a dyslexic profile and are struggling to make progress as fluent readers. I am hoping to gather a better understanding myself so I can better explain this developmental trajectory to parents.
 
Any feedback or suggestions are much appreciated!
 
Thank you,
 
Emily
 
Emily S. Tucker, Ph.D., ABSNP
 
Licensed Psychologist
 
3746 Mount Diablo Boulevard, Suite 201B
 
Lafayette, CA 94549
 
(925)787-1621
 
DrEmilyTucker.com
 
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