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7/27/2019 Learning Disability Power Point
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LEARNINGDISABILITYKUNNAMPALLIL GEJO JOHNSPEECH LANGUAGE PATHOLOGIST
KUNNAMPALLIL GEJOJOHN,MASLP
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INTRODUCTION
Learning disability is the most recent classification to beincluded in the category of disability. since the term
was introduced ,its use has become widespread in
education. But many educators still remain unsure
about the category .currently the learning disability
field includes concept such as perceptual motor
problem , hyperactivity ,minimal brain damage &
psychoneurological disorders that have their roots inorigin of this field.
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History of learning disability
SAMUEL KIRK was the first to propose the term learningdisability in the year 1963.he introduced the term at a
meeting of parents advocating special educational
services, who were not considered disabled by mental
retardation or emotional disturbances.In earlier decades ,these childrens difficulty
had been variously categorized as exogenous mental
retardation ,minimal brain dysfunction , perceptual
impairment, hyperactivity & slow learning. Thedifficulties designated by these & other terms were
eventually amalgamated into the concept of learning
disabilities.KUNNAMPALLIL GEJO
JOHN,MASLP
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DEFINITIONS
KIRKS DEFINITION[1962]A Learning disability refers to a retardation,
disorder,or delayed development in one or more
process of speech ,language,reading,writing,arithmetic
or other school subject resulting from a psychological
handicap caused by a possible cerebral dysfunction
&/or emotional or behavioral disturbances.it is not the
result of mental retardation,sensory deprivation or
cultural & instructional factors.
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DEFINITIONS
A Disorder in one or more of the basic psychological processes
involved in understanding or in using the language, spoken or
written, that may manifest itself in an imperfect ability to listen,
think, speak, read, write, spell, or to do mathematical
calculations, including conditions such as perceptual disabilities
brain injury, minimal brain dysfunction, Dyslexia, andDevelopmental Aphasia the term does not include learning
problems that are primarily the result of visual, hearing, or motor
disabilities, of Mental Retardation, of Emotional Disturbance, or
of Environmental, Cultural, or Economic Disadvantage
(US Office of Education, as an Individuals
with Disabilities Education Act,IDEA )KUNNAMPALLIL GEJOJOHN,MASLP
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DEFINITIONS
BATEMANS DEFINITION[1965].
Children who have learning disorders are thosewho manifest an educationally significant discrepancy
between their estimated intellectual potential and actuallevel of performance related to basic disorders inlearning process ,which may or may not be accompanied
by demonstrable central nervous system dysfunction , &which are not secondary to generalized mentalretardation , educational or cultural deprivation ,severeemotional disturbance or sensory loss.
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Definition
NATIONAL JOINT COMMITTEE (reviseddefinition)[1988]learning disability is a general term that refers to a
heterogeneous group of disorders manifested by significantdifficulties in acquisition and use of listening, speaking, reading,
writing, reasoning, or mathematical abilities. These disorders areintrinsic to the individual, presumed to be due to central nervoussystem dysfunction, & may also occur across the life span.Problems in self regulatory behaviors, social perception, andsocial interaction may exist with learning disabilities but do not
by themselves constitute a learning disability, although learning
disabilities may occur concomitantly with other handicappingconditions such [e.g., sensory impairment, MR, seriousemotional disturbances] or with extrinsic influences [e.g.,cultural differences, insufficient/inappropriate instruction], theyare not the result of those condition or influences.
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Causes
Etiology of LD is unknown
Central Auditory Processing Disorder
Minimal Brain Dysfunction (MBD)
Developmental Apraxia of speech
Mixed dominance of cerebral hemisphere
Environmental factors KUNNAMPALLIL GEJOJOHN,MASLP
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Prevalence
Prevalence is 4.09% among the age range of 6-21years(According to the federal government of US,
1976)
Increasing prevalence
There is a rapid growth in number of Learning
disabled children:
Misdiagnosis
Lack of knowledge about LD (Hallahan)
Sex Ratio:
3/4:1, Male : Female.KUNNAMPALLIL GEJOJOHN,MASLP
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Characteristics
Hyperactivity: Inappropriate excessive motor activitysuch as tapping the foot, jumping out of seat, skipping
from task to task.
Attention deficits: Distracted by irrelevant stimuli or
perseveration, or behavior is repeated over and over
Motor Deficits: General co-ordination problem
resulting in awkward or clumsy movements
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Characteristics
Perceptual motor deficits: Difficulty in integrating
visual or auditory stimuli with a motor response
Language deficits: Delay in speech and difficulty inunderstanding and comprehending spoken language.
Impulsivity: lack of reflective behavior
Cognitive defects: deficits in memory and concept
formationKUNNAMPALLIL GEJO
JOHN,MASLP
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Orientation Deficits:Have poorly developed spatial and
temporal concepts
Specific learning deficits: Problem in acquiring,
reading, writing and arithmetic skills.
Learning disabled children have IQs in the low to mid
90s or slightly below the average 0f 100.
Learning Disabled students tend to have lower self
concept than normal students.
Characteristics
KUNNAMPALLIL GEJOJOHN,MASLP
S h & L
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Speech & Language
Characteristics
Spoken Language:Both Expressive and Receptive Language skills are affectedin learning disabled population but some studies haveshown that they have greater difficulty using spokenlanguage to express themselves than they do understanding
the spoken language of others. (Hessler & Kitchen 1980;Noel, 1980)
Some of the specific areas that may cause difficulty are
1. Phonology
2. Syntax3. Morphology
4. Semantics
5. Pragmatics
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1.Phonology
Problems withphonological production of speech are referred toas articulation problems.
Auditory Discrimination
Phonemic Segmentation. E.g, Rhyming
Sound Blending. E.g, Mmmiiiiiisssst can be blended into mist
Statement Repetition
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2.Syntax
Problem seen:
Selecting Appropriate picture to a referred sentence
Difficulty in understanding a pronoun
Grammatically incorrect sentences
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3.Morphology
Problem seen:
Difficulty in using Morphological rules
Forming Plurals
Creating Adjective form of word
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4.Semantics
Problems Seen:
Impoverished vocabularies
Labeling pictures
Difficulty in completing orally presented sentence that
has a common word missing
Difficulties in understanding sentences in which
ambiguous word is used
Errors in defining common words
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5.Pragmatics
Problems seen :
In using more complicated and longer communication
pattern
Inability to provide descriptive information about an
object
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Reading Problems
Dyslexia:
The term dyslexia is used to refer to an impairment in the
ability to read.
It also suggests severe reading disability, perhaps
because of students with quite serious deficits are more
likely to be taken to clinics than the students with less
severe problems.
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Reading Problems
Reading is often broken into 2 major stages:
1.Decoding: Refers to the aspects of reading that happens
as the reader converts the printed letters and words on
the page into more familiar spoken or heard language
2. Comprehending: Involves grasping like significance
meaning of the words, once decoding hasaccomplished.
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Reading Problems
The deficits seen are:
1. Reversals
2. Phonology3. Syntax
4. Semantics
5. Gist Comprehension
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1.Reversals
Students sometimes read or write a letter,letters or word
BACKWARD.a student may look at a written word
WAS as SAW or may write dog as bog.similar mistakes
can be made with numerals,writing 3as E or 6 as 9.
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2.Phonology
Fluent decoding requires phonological
competence,without it reading problems abound. manydifficulties with reading comprehension can be
attributed to poor decoding skills.
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3.Syntax
[It is grammatical structure of a language]
Students who have decoding problem have difficulty
with certain aspects of syntax , particularly morphology.
Problems with understanding the syntax of written
sentences probably involved in students problem withreading comprehension.
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4.Semantics
[refers to meaning of a language] reading comprehension is greatly influenced by decoding
skills.many children with comprehension deficits have
inferior performance on task requiring simple reading of
words.
Slower in reading unfamiliar words.
Hampered in reasoning out by their inaccurate decoding
& impoverished vocabularies[kavale 1980]. Deficits in vocabulary & general word
knowledge.
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5.Gist Comprehension
Understanding the theme of narrative-
is that their background knowledge intrudes too much into
their interpretation of what they read.
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WRITING PROBLEMS
Writing problems consist of;
1. handwriting problems.
2. Spelling problems.
3. Composition problems.
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1.HAND-WRITING
It is the development of a stylish & uniformhand.it is a tool skill which has to become
routine as rapidly & efficiently as
possible[herricle 61]
Problems with handwriting are known as
DYSGRAPHIA which refers to partial
ability\inability to remember how to make certain
alphabet or arithmetic symbols in
handwriting.[jordon 1977]
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HANDWRITING PROBLEMS
IN LDs INCLUDE;1. Misformation of letters[o for a].2. Poor spacing both vertically & horizontally[o j
for g].
3. Extremely slow writing.
4. Reversals [b for d(vice versa),mirror writing.
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2.SPELLING
The formal name for the system of representing
spoken language in written form is
ORTHOGRAPHY.
In greek, ortho-correct , graphy-writing.This requires a person to produce in a written or
oral form the correct sequence of letters that form
a particular word .To do this ,a person must
convert phonemes into graphemes
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Spelling probs seen in LDs LDs have poor spellings & particularly show
difficulty with morphological structures.
Problems in spelling cause;
Hampered handwriting. Delay of motor activity involved in writing the word.
Composition difficulties.
Reading problems.
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3.COMPOSITION. Composition is orderly prose that is consistent with
grammatical conventions.
STUDENTS WITH LD;
Score lower in vocabulary & thematic maturity aswell as in word usage,style & overall writing skill.
Use less sentence structure & include fewer type
of words
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Write paragraphs that are less well
organized.
Include fewer ideas in writing products .
Write stories which have fewer important
components,such as introducing maincharacters, setting scenes,describing a
conflict to be resolved & so forth.
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ARITHMETIC &
MATHEMATICS PROBS. DYSCALCULIA is the most widely used termfor disabilities in arithmetic & mathe
matics.dyscalculia means inability to calculate.
LDs have problem in arithmetic
calculation that is;
Problem in naming the number of things.
Problem in reading mathematical symbols.
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Problem in the concept of borrowing orcarrying over system in subtraction.
Problems in understanding mathematical
concepts & relationships
Problems in performing arithmetic
operations.
KUNNAMPALLIL GEJOJOHN,MASLP
COGNITIVE PROBLEMS
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COGNITIVE PROBLEMS.
Cognition is the ability to think,is primarily
unobservable.COGNITIVE PROBS FACED BY LDS;
1. Field independence vs field dependence.
children with Ld are fielddependent.
2. Reflectivity vs impulsivity
children with LD are more
impulsive
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MEMORY. Short term memory
ability to remember information over arelatively short period of time.
Long term memory
the ability for retention for several hours,days or
so longer Working memory
it is ability to keep a small amount of information inmind while carrying out further operation.
LDs have prob in short term memory- in retention of auditory &visual info.
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METACOGNITIVE PROBS
Metamemory probs. Meta listening probs.
Meta comprehension probs in reading.
Motivational probs. Negative attribution about self.
Learned helplessness.
Inactive learners.
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ATTENTION PROBS.
PROBLEMS SEEN IN;
Selective attention
-ability to focus on relevant features of a task,
without being distracted by its irrelevant
aspects. Decision making
ability to choose the first relevant
alternative for decision making.
Maintaining attention
sticking to one task, once they begin
with it ,till it ends.KUNNAMPALLIL GEJOJOHN,MASLP
EMOTIONAL & BEHAVIOURAL
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EMOTIONAL & BEHAVIOURAL
PROBS.
PROBS SEEN ARE;
Inability to learn that cannot be explained by
intellectual,sensory or health factors. Inability to build or maintain inter-person
relationships with peers & teachers
In appropriate type of behavior or feelings
under normal condition
e.g., tempertantrums,hyperactivity
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A general pervasive mood of unhappiness
or depression.
Tendency to develop physical symptoms ,pains or fears associated with personal orschool problems.
The problems fall under 2 category;
1. Externalizing behavior; uncontrollable,conduct disorder consisting of anger,agression, disruption.
2. Internalizing behavior; overcontrolledwithdrawal consisting of anxiety & feelingsof inadequacy & depression.
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Thank
YouKUNNAMPALLIL GEJO
JOHN,MASLP
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TREATMENT FORLEARNING DISABILITY
KUNNAMPALLIL GEJO
JOHN,MASLP
Introduction:
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Introduction:Treatment of LD is an elaborative process which
has to be dealt keeping in mind the various aspects
of impairment.
It comprises various professionals and also deals
with different areas of deficits.
THE DIFFERENT PROFESSIONALS ARE:
Classroom teacher
School psychologist
Resource teacher
SLP
Social worker
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JOHN,MASLP
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The different areas of deficits are:
Spoken language
Reading
Writing
Spelling
Composition
Arithmetical and mathematical skills
Cognitive , meta cognitive and attention deficits
and social and emotional problems
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JOHN,MASLP
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Importance of early
intervention
Children with language impairment identified beforeschool age may receive intervention before they enter
the school, and intervention may continue during school
years. In contrast children identified as LD may not
have been identified until school years, when theintervention may begin. In these cases it is possible that
a large focus of intervention for these children will be
on academic manifestation of the learning disabilities
rather than on their language difficulties.
So intervention should begin as early as possible so
as to lessen the types of LDsKUNNAMPALLIL GEJO
JOHN,MASLP
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As children move from grade to grade, the
structure of their formal education changes; the
amount of play time decreases, and number of
subjects and teachers increases.
So, children with learning disabilities will require
special attention as they make major gradetransitions, such as from elementary to junior high
school.
The class room teachers will need assistance fromtheprofessionals in observing and identifyingchildren who reveal new learning problems.
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JOHN,MASLP
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Intervention :For problems in spoken language:
Consists of two approaches:
Behavioral approach
Nativist approach
Behavioral approach [ Skinner, 1957]Language skills are taught by environment
Modeling and reinforcement influences the performance
Differential reinforcement is used so as to stabilize certain
target response.KUNNAMPALLIL GEJO
JOHN,MASLP
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E.g. :
If the student does not know the plural form of man, i.e; if the
student says mans instead of men, the teacher can model and say:
Listen to me and say it men, provide the student to repeat itcorrectly and reinforce the usage and further provide opportunity
to generalize .
Specific language deficits are identified and activities are
designed to get the students use those skills
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JOHN,MASLP
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Nativist approach :Stresses on the environment and its influences on thebehavior o the speaker.
Emphasizes on the importance of the innate abilities and
interpretation of the listenerDe-emphasizes the importance of direct teaching.
Main means used to encourage the acquisition of language
isExpansion.
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JOHN,MASLP
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SPECIFIC TECHNIQUES:Psycholinguistic Intervention:Focuses on the pupils strengths and weaknesses. Specific
language abilities are processed and isolated and each skills are
trained using educational technique.
Cognitive psycholinguistic Intervention:
Are very similar to the process of expansion. Here the teacher
presents the stories and ask questions in order to get the students
to answer in sentences. Based on the answer got teacher employsone of the several technique and teach the child to use more
grammatically acceptable sentence.
KUNNAMPALLIL GEJO
JOHN,MASLP
For problems in reading:
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For problems in reading:
This addresses thraee major topics:
Contemporary issues in reading problems
Teaching beginning reading
Correcting reading problems
Contemporary issues in reading problems :Different approaches are:
Teaching phonological awareness
Learning styles
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JOHN,MASLP
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Teaching beginning reading:Different approaches are:
Whole word approach
Linguistic approach, [decoding necessary ,not only meaning
sufficient]
E.g. Nat the fat cat sat on a mat.
Language experience approach[LEA]
Learning to read is a natural part of the languagedevelopment.
Code emphasis approachKUNNAMPALLIL GEJO
JOHN,MASLP
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Correcting reading problemsDifferent approaches are:
Fernaldapproach [FERNALD 1943]A visual Auditory Kinesthetic Tactile approach
Orton-Gillingham approach [GILLINGHAM, STILMAN 65]
Orton [neurologist] said the information is stored in both the
hemispheres and they mirror each other, so when the dominance is
not achieved confusion occurs, and reversals are present.They are
taught to study the relations between letter and the sounds.
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JOHN,MASLP
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Reading recovery program [CLAY 1985]
Hegge-KirkKirk approachDesigned to help the students remember phoneme- grapheme
relationship by providing extensive practice and by simplifying
relationship between letters and their sounds.
KUNNAMPALLIL GEJO
JOHN,MASLP
For problems in writing:
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For problems in writing:
Task Stimuli Intervention
Writing letters Blank lined paper Write the alphabet
Copying letters Alphabet letters
randomly presented
Copy these letters
Copying letters in
sequence, near point
Words and sentence
with space to copy
below each other
Copy these words in
space below
Far point copy Ten words in sentence
written on board and
three yards away from
the student
Copy these words onto
your paper
KUNNAMPALLIL GEJO
JOHN,MASLP
For problems in spelling:
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For problems in spelling:It involves a memorization approach
presenting words in sentences or paragraphs
Ignoring the errors. presenting extensive lists of words to be learned each week.
having individuals devise their own methods of studying.
Using the phoneme grapheme correspondences.
Presenting the word lists.Practice writing words in the air.
Practicing lists of only three words per day
Practice writing words on paper, teaching letter titles, or
typing words on a computer
Rewarding achievement
Using spelling gamesKUNNAMPALLIL GEJO
JOHN,MASLP
For problems in composition
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For problems in composition
The primary steps include:
Have students plan what they will write
Translate their plans into written product
Edit I.e; having to read the data and identify the errors
The specific techniques are:Sentence combining
Reinforcement
Story grammar
Cognitive behavioral techniqueKUNNAMPALLIL GEJO
JOHN,MASLP
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FOR PROBLEMS IN ARITHEMATIC ANDMATHEMATICAL SKLLS.:The different techniques recommended for teaching arithmetic
and mathematics includes:
Modeling
Reinforcing the responses
Strategy training
Self instruction training.
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JOHN,MASLP
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FOR PROBLEMS IN COGNITIVE ANDMETACOGNITIVE AND ATTENTION PROBLEMS:Cognitive problems :
Auditory information:
Auditory short term memory task.
Visual information:
Visual short term memory task
Memory strategies:Rehearsals Organizations
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JOHN,MASLP
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Meta cognitive problems: Mnemonic key word methods
Meta comprehension training.
Self monitoring of academics.
Attention problems:Treatment intervention for attention problems can be categorized
into four general readings
Stimulus reduction and structureBehavior modifications
Cognitive trainingKUNNAMPALLIL GEJO
JOHN,MASLP
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FOR PROBLEMS IN SOCIAL AND EMOTIONALSKILLS:Teaching appropriate behavior Positive reinforcement.
Parental counseling.
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JOHN,MASLP
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