[LearningDisabilities 1542] Re: definition/diagnosis
Will Fagan
wfagan at mun.ca
Sat Nov 10 17:51:31 EST 2007
To Robin:
Excellent points including the FDR quote.
Bill
On 8-Nov-07, at 1:32 PM, robinschwarz1 at aol.com wrote:
> Bill--- We know the intervention is correct when the person
> requesting it says it works. Part of what I have been trying to
> say is that asking the persons in question about what they need and
> how best it should be provided will result in far better results
> all over the place than detailed diagnostic workups with tests.
>
> Let us not forget WHY the original laws were needed-- because
> people who learned differently were not allowed by their teachers
> or schools to learn differently--so laws had to be created to
> assure that they were allowed to do so---then that gradually got
> turned into diagnosticians and service providers telling people
> what they needed instead of finding out from them.
>
> There was a terrific study that lasted 5 years at James Madison
> University in VA that formalized the "let the learner tell us"
> approach: On arriving at the college, students with special
> learning needs were given the opportunity of meeting with a
> counselor ( usually students in the SPed/LD master's program) about
> getting support. Then, as classes got going the student with SLN
> worked with the counselor to fit the support to the class--one
> student might need a scribe in one class, but not another, or a
> content tutor in one class but not another. The very careful
> attention to what each student wanted for specific circumstances
> was very successful on all levels-- learner, counselor and
> professors--and of course the school--which had a higher success
> rate that usual. That is a model I wish were more widespread.
>
> And I couldn't agree more about the diagnostic teaching. It is
> something I actively teach in my training sessions--I was taught to
> do it as a special ed. teacher----basically it was/is the
> embodiment of FDR's famous quote--"If something works do more of
> it; If it doesn't, do something else"
>
> Robin Lovrien Schwarz, M. Sp. Ed:LD
> Independent Consultant in Adult ESOL/Education and Learning
> Difficulties.
>
>
>
> -----Original Message-----
> From: Will Fagan <wfagan at mun.ca>
> To: The Learning Disabilities Discussion List
> <learningdisabilities at nifl.gov>
> Sent: Wed, 7 Nov 2007 6:05 pm
> Subject: [LearningDisabilities 1485] Re: definition/diagnosis
>
> Robin:
> Thanks for your input.
> If we don't know who we are working with (questionable or general
> diagnosis) then how do we know that the intervention is correct?
> If we base our diagnosis on the discrepancy model, then we are
> creating a generic category and assuming that a "one size fits all"
> intervention will do. Maybe some individuals with a learning
> disability (read in your definition) do not have problems with math?
> Also the IQ discrepancy could arise for a number of reasons, such
> as lack of motivation, or emotional difficulties which may not be
> easily detectable.
>
> It is interesting how we go round in circles. Responsiveness to
> Intervention is new to me. But I can recall in the 1970's the big
> thrust was "diagnostic teaching" which seems to be the same
> concept. Through diagnostic teaching procedures, teachers provided
> intervention for children experiencing difficulty in learning.
> There was no need to label and children were not removed from the
> classroom.
>
> Only when we fit the intervention to the diagnosis will be making
> strides in dealing with learning disabilities. But this must start
> with a diagnosis that lets us determine the nature of the disability.
> Bill
>
>
>
>
> On 7-Nov-07, at 5:23 PM, robinschwarz1 at aol.com wrote:
>
>> Bill-- if I can jump in here---Kathleen's quote is, unfortunately
>> more or less accurate. This is the great soft underbelly of the
>> field: no consistent definition nor diagnostic procedures. The
>> great criticism of the definitions is that they are not
>> diagnosable--they only are exclusive--it is such and so problem
>> that is not the result of this or that. That fact, plus the
>> unavoidable fact that despite the testing world's devotion to it,
>> the discrepancy model is full of flaws. What Kathleen's quote
>> primarily refers to is that states' laws about how many standard
>> deviations on IQ and achievement tests constitute a profile
>> considered to be typical of LD varies so much that indeed, one
>> COULD travel west to east and be LD, not LD, ADD, MR, etc. The
>> variation is so great that one can only conclude that at bottom,
>> the decision about cutoff scores is arbitrary. There is no real
>> reason why in one someone havin g scores that diverge by 1.5
>> standard deviations is more or less LD than someone having scores
>> diverging by 2 standard deviations in the state next door.
>>
>> Moreover, a roomful of diagnosticians interpreting the tests would
>> have wildly divergent conclusions about who had LD and who did
>> not--in both groups. The fragility of a decision based on the
>> scores of just the two tests is such that diagnosticians
>> realistically need a LOT of supporting evidence gained through
>> other testing, evaluation, interview and history. A really good
>> diagnosis should involve several sessions with the diagnostician
>> and hours of interpretation. Few adults in adult education ever
>> get that kind of diagnosis because it is very expensive. In my
>> mind, the whole process is downright scary, to say nothing of
>> harmful to a lot of people.
>>
>> And relevant to the field of adult ed. is the fact that few
>> diagnosticians are trained and experienced in testing and
>> evaluating ADULTS. I remember hearing two states TANF
>> representatives a couple of summers ago reporting on fiascos that
>> had happened in their states when they thought they had vetted
>> diagnosticians well, but had not. The diagnosticians were either
>> declaring all members of different groups as having MR or using
>> cutoff scores without reference to other tests or information--
>> which, as I indicated above, will inevitably result in lots of
>> people being declared LD or even MR despite other evidence to the
>> contrary. In both cases, panic ensued as these conclusions were
>> 100% actionable.
>>
>> One flaw cited since the inception of the discrepancy model in the
>> mid 70's to satisfy the federal law according accommodations to
>> those deemed to have LD is that if one took any population of
>> 1,000 "normal" people and gave them IQ and achievement tests, a
>> great many would have the discrepancy profile that is considered
>> typical of LD; conversely, if you tested 1,000 people who had been
>> previously diagnosed as having LD, many of those would NOT have
>> the discrepancy needed for legal definition of LD. That is
>> because the field of identification of the real causes of and
>> nature of LD as we know it in the US is still in its infancy.
>> Neuroscience is on the way to providing us with much finer tuned
>> answers to what is going on in someone's brain. A
>> neuropsychologist I worked with not long ago commented after
>> attending an MIT conference on the brain that he felt like he was
>> doing his diagnostic work with axes and shovels, so crude does the
>> testing model look i n the face of sophisticated science that can
>> watch the brain work.
>>
>> Another problem with the discrepancy model is that it is a self-
>> fulfilling prophecy--if one has reading deficits or processing
>> difficulties or abstraction difficulties, one will do poorly on
>> the IQ and/or achievement tests-- so even if one has actually kept
>> up in school through excellent compensatory skills, the
>> achievement tests will not show that. That is why a good
>> diagnostician needs to look at a wide variety of tests and
>> information and not just the two pieces used for the discrepancy.
>>
>> Still another decades-old objection to the IQ and achievement
>> testing is that they are culturally biased if one is not of the
>> American middle class. Work has been done to alleviate the bias,
>> but much of it is still there. A story I read just a few years
>> ago about Wechsler, of the IQ test, was about one item in the
>> verbal reasoning test in which a child is asked what he would do
>> if a playmate hit him while they were on the playground.
>> Sociologists and others representing inner-city children said that
>> in those cultures the right answer would be to hit the other kid
>> back--while Wechsler was quoted as saying. " That is wrong. A
>> child should walk away from a fight." Ha ha..... Of course,
>> no amount of work is going to make our testing models culturally
>> and linguistically appropriate for persons from other cultures and
>> language backgrounds--but that is a discussion unto itself!
>>
>> In fact, if one mines the literature of LD well, only dyslexia has
>> been pinned down enough internationally through brain studies to
>> be diagnosable through direct testing--and that means testing for
>> phonological deficits that appear to cause reading difficulties,
>> not through the discrepancy model. However, even that conclusion
>> is being hotly contested by those who say there is still an
>> underlying cause to the phonological deficits and THAT would be
>> the cause of dyslexia--so stay tuned and open minded about changes
>> in diagnosis and definition that hopefully will be more specific
>> and helpful.
>>
>> Robin Lovrien Schwarz, M. Sp. Ed:LD
>> Independent Consultant in Adult ESOL/Education and Learning
>> Difficulties
>>
>>
>>
>> -----Original Message-----
>> From: Katherine G <Kgotthardt at comcast.net>
>> To: The Learning Disabilities Discussion List
>> <learningdisabilities at nifl.gov>
>> Sent: Wed, 7 Nov 2007 10:12 am
>> Subject: [LearningDisabilities 1469] Re: Transition Questions
>>
>> Someone on another list told me if you want to change your
>> diagnosis, just
>>
>>
>>
>> cross state lines. Does that answer your question? LOL.
>>
>>
>>
>>
>>
>>
>>
>> Katherine Mercurio Gotthardt, ESOL Online Instructor
>>
>>
>>
>> Prince William County Public Schools
>>
>>
>>
>> Adult Education
>>
>>
>>
>> P.O. Box 389
>>
>>
>>
>> Manassas, VA 20108
>>
>>
>>
>> work 703-791-8387
>>
>>
>>
>> fax 703-791-8889
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>> -----Original Message-----
>>
>>
>>
>> From: learningdisabilities-bounces at nifl.gov
>>
>>
>>
>> [mailto:learningdisabilities-bounces at nifl.gov]On Behalf Of Will Fagan
>>
>>
>>
>> Sent: Monday, November 05, 2007 1:09 PM
>>
>>
>>
>> To: The Learning Disabilities Discussion List
>>
>>
>>
>> Subject: [LearningDisabilities 1456] Re: Transition Questions
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>> Is there a common diagnosis for learning disability across the
>> nation?
>>
>>
>>
>> Are common tests used as part of this diagnosis?
>>
>>
>>
>> Or would diagnosis of learning disability depend on the state or
>> region or
>>
>>
>>
>> district in which a person lives?
>>
>>
>>
>> Bill Fagan
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
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>>
>>
>>
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>>
>> On 4-Nov-07, at 7:49 PM, PatMFL at aol.com wrote:
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>> 1. For the student with a learning disability that is planning on
>> continuing
>>
>>
>>
>> their education at a post-secondary institute, what information
>> should the
>>
>>
>>
>> student know about themselves and what would be the best
>> documentation to
>>
>>
>>
>> provide?
>>
>>
>>
>>
>>
>>
>>
>> 2. What information should be included in a student's summary of
>> performance
>>
>>
>>
>> so that this document would be useful to those who will be providing
>>
>>
>>
>> services in post-secondary settings?
>>
>>
>>
>>
>>
>>
>>
>> 3. What transition assessments provide the most useful information
>> for the
>>
>>
>>
>> student with a learning disability that is planning on continuing
>> their
>>
>>
>>
>> education in a post-secondary institution?
>>
>>
>>
>>
>>
>>
>>
>> 4. What are the skills that need to be learned by a student with a
>> learning
>>
>>
>>
>> disability that is transitioning from a "world on entitlement" to
>> a "world
>>
>>
>>
>> of eligibility"?
>>
>>
>>
>>
>>
>>
>>
>> Patrick Mulvihill, M.Ed
>>
>>
>>
>> Consultant
>>
>>
>>
>> The Transition Center at the University of Florida
>>
>>
>>
>>
>>
>>
>>
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>>
>>
>>
>> **************************************
>>
>>
>>
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>>
>>
>>
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>>
>>
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>>
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>>
>>
>>
>>
>>
>>
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