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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJOJOHN,MASLP

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    2.Syntax

    Problem seen:

    Selecting Appropriate picture to a referred sentence

    Difficulty in understanding a pronoun

    Grammatically incorrect sentences

    KUNNAMPALLIL GEJOJOHN,MASLP

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    3.Morphology

    Problem seen:

    Difficulty in using Morphological rules

    Forming Plurals

    Creating Adjective form of word

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJOJOHN,MASLP

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    5.Pragmatics

    Problems seen :

    In using more complicated and longer communication

    pattern

    Inability to provide descriptive information about an

    object

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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    Reading Problems

    The deficits seen are:

    1. Reversals

    2. Phonology3. Syntax

    4. Semantics

    5. Gist Comprehension

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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    WRITING PROBLEMS

    Writing problems consist of;

    1. handwriting problems.

    2. Spelling problems.

    3. Composition problems.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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]

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJOJOHN,MASLP

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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.

    KUNNAMPALLIL GEJOJOHN,MASLP

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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

    KUNNAMPALLIL GEJO

    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

    KUNNAMPALLIL GEJO

    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.

    KUNNAMPALLIL GEJO

    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

    KUNNAMPALLIL GEJO

    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.

    KUNNAMPALLIL GEJO

    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

    KUNNAMPALLIL GEJO

    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.

    KUNNAMPALLIL GEJO

    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.

    KUNNAMPALLIL GEJO

    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

    KUNNAMPALLIL GEJO

    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.

    KUNNAMPALLIL GEJO

    JOHN,MASLP

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