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Letter Recognition Problems and LD

LD and ADD/ADHD Expert Advice from Jerome J. Schultz, Ph.D.

Q: A friend of mine has a kindergartner who doesn't recognize letters yet, except for two in his name. He did not start school too early and a psychological evaluation does not reveal any mental deficits. His scores were not scattered enough between the WPPSI and achievement testing to determine a learning disability. He passed visual and auditory screenings as well as language testing. What other areas do they need to examine? Do they need to wait another year so the spread between IQ and achievement scores is bigger? Thanks for any info.

A: Although a large difference between IQ and achievement is often viewed as a classic hallmark of a learning disability, recent research tells us that we shouldn't equate this "gap" with learning disabilities. There are a lot of reasons that children have uneven profiles, and we know that many children without any evidence of learning disabilities often exhibit this discrepancy. For this reason, many professionals in the field of LD are calling for an end to the use of the "discrepancy formula" as a way to determine learning disabilities. So waiting for a bigger spread to occur is not the solution.

There certainly are reasons to be concerned if there is large gap between how a child performs on tests that are designed to measure school performance (e.g., achievement tests) and tests that are supposed to measure intellectual capacity (e.g., IQ tests). But it's just not appropriate to leap to the conclusion that learning disabilities are the cause without more careful analysis of this child's performance. This is especially true in kindergarten. First of all, the range of children's pre-academic and academic skills is very wide in the early grades, since children develop at such different rates. Because of this, it's inappropriate to give much significance to achievement tests results at this age, since so much of the variance in scores is due to difference in development, and not to "problems." Furthermore, IQ tests, even though they are well-respected tools, are least valid when used with very young children for the same reasons.

It is important to note how well young children are acquiring readiness and early learning skills, and to look for the early indicators of learning disabilities. Clearly, difficulty recognizing letters could be a cause for concern, but more information is needed in order to diagnose LD. Don't forget to identify this child's strengths. He might be gifted verbally, but relatively slow to develop visual perceptual skills required for letter identification. For a very helpful selection of resources and checklists that will help your friend and her child's teachers determine whether or not the child has a learning disability, I encourage you to go to: LD Online.

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Jerome (Jerry) Schultz is the founding clinical director of the Learning Lab @ Lesley University, a program that provides assessment, tutoring, and case management services for children with learning challenges. Schultz holds a Ph.D. from Boston College, and has completed postdoctoral fellowships in both clinical psychology and pediatric neuropsychology.

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