National Institute for Literacy
 

[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

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>> 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

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>>

>> **************************************

>>

>>

>>

>> See what's new at http://www.aol.com

>>

>>

>>

>> ----------------------------------------------------

>>

>>

>>

>> National Institute for Literacy

>>

>>

>>

>> Learning Disabilities mailing list

>>

>>

>>

>> LearningDisabilities at nifl.gov

>>

>>

>>

>> To unsubscribe or change your subscription settings, please go to

>>

>>

>>

>> http://www.nifl.gov/mailman/listinfo/learningdisabilities

>>

>>

>>

>> Email delivered to wfagan at mun.ca

>>

>>

>>

>>

>>

>>

>>

>> ----------------------------------------------------

>>

>>

>>

>> National Institute for Literacy

>>

>>

>>

>> Learning Disabilities mailing list

>>

>>

>>

>> LearningDisabilities at nifl.gov

>>

>>

>>

>> To unsubscribe or change your subscription settings, please go to

>>

>>

>>

>> http://www.nifl.gov/mailman/listinfo/learningdisabilities

>>

>>

>>

>> Email delivered to robinschwarz1 at aol.com

>> Email and AIM finally together. You've gotta check out free AOL Mail!

>> ----------------------------------------------------

>> National Institute for Literacy

>> Learning Disabilities mailing list

>> LearningDisabilities at nifl.gov

>> To unsubscribe or change your subscription settings, please go to

>> http://www.nifl.gov/mailman/listinfo/learningdisabilities

>> Email delivered to wfagan at mun.ca

>

> =

> ----------------------------------------------------

>

> National Institute for Literacy

>

> Learning Disabilities mailing list

>

> LearningDisabilities at nifl.gov

>

> To unsubscribe or change your subscription settings, please go to

>

> http://www.nifl.gov/mailman/listinfo/learningdisabilities

>

> Email delivered to robinschwarz1 at aol.com

> ----------------------------------------------------

> National Institute for Literacy

> Learning Disabilities mailing list

> LearningDisabilities at nifl.gov

> To unsubscribe or change your subscription settings, please go to

> http://www.nifl.gov/mailman/listinfo/learningdisabilities

> Email delivered to wfagan at mun.ca


-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://www.nifl.gov/pipermail/learningdisabilities/attachments/20071110/d86b1fac/attachment.html


More information about the LearningDisabilities mailing list