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[LearningDisabilities 4243] Re: Horse vs Cart
HKerr at aol.com
HKerr at aol.comWed Nov 4 11:50:40 EST 2009
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Brant,
Thank you for your post. While there is limited time for me to write or
you to read, I shall nonetheless make some attempt to give my view on the
points you raise. Although a long post, this will still be a truncated and
simplified gallop through a wealth of complicated issues you raise. We have
debated before, you and I, and I remember suggesting you looked in my book on
my website to be found at the bottom of all my posts. Chapter eight of
this book is a longer, fuller and frankly better exposition of my critical
views about dyslexia, including my specific concerns, necessarily rather
general, about the genetics of it. Chapter 3 also deals with some phonological
issues.
I think I detect an undertone of impatience in your post with my views, on
the grounds that they are not mainstream today. So I feel I have to make
it plain that I enter all such debates in a spirit of very genuine enquiry
and base my remarks upon considerable experience with ABE students and much
reading and thought. I see my role as dogged scepticism because I have
found the dyslexia field to be credulous, much of the thinking casual and much
of the research flawed. It has often seemed to me that science is being
stretched well beyond reasonable limits in the field, and unjustifiable
conclusions often reached thereby. Scepticism is sacred. It is fundamental to all
science.
First, the work of Tallal and the whole phonological awareness, auditory
acuity area of the field. My thinking is made more clear in chapters 3 & 8
of my book, below, but there are a few points which can be made briefly
here.
One is absolutely fundamental to the entire field, namely the selection of
a sample for study. The question ‘who is dyslexic?’ remains unanswered.
The old criterion, regarded as pathognomic, was the IQ-achievement
criterion. Today, it is no longer regarded as a valid diagnostic tool – in other
words people with such a discrepancy merely reveal that they may have a
problem with literacy, nothing valid can be said about the causation of any such
problem on the basis of the discrepancy and no diagnosis made. In yet other
words, the criterion does not identify a dyslexic. The upshot of all this
is that practically all studies of ‘dyslexics’, before the late nineties
at least, have no scientific validity because they selected their sample
solely on the discrepancy criterion. The people they said were ‘dyslexic’ may
not have been, so the conclusions they reached about ‘dyslexics’ are
invalid.
Another general point about the phonological skills debate is the obvious
one that these are also cart and horse issues. People do seem to have wide
differences in their ability to distinguish and manipulate the sounds of
language and, unsurprisingly, their literacy abilities tend to co-vary with
these phonological abilities. But most of the work I have read showing these
correlations, the reality of which I do not at all dispute, leave me
wondering whether the correlations are really causations. It seems to me very
feasible that they are probably indicators, among other such potential
indicators, of many other influences on literacy acquisition and facility which
are likely to co-vary, among these being letter awareness, for example, but
it also seems to me that there are also a plethora of ill-defined and
largely unknown social influences which must be confounding this area of study
without being identified or accounted for. [One reference here might be
Castles & Coltheart (2004) Cognition 91: 77-111. They conclude their review of
the literature by saying that they do not believe it has been shown that
phonological awareness has a causative relationship with literacy
achievement.]
So I accept that there may be differences in auditory acuity between
individuals, but I remain sceptical as to the degree to which any such
difference, per se, may or may not make a difference to literacy facility. It is
likely to be highly predictive, but may not be causative, or solely causative,
or reliably causative. I also consider that there are many more likely
reasons for a difference in auditory ability, especially linguistic auditory
abilities, than an innate neurological difference. People have such
alarmingly varied experiences with language, among many other things of course,
from the earliest of ages (see Hart & Risley (1995), for example) and there
are so many confounding variables involved, about which we have no idea. And
these suggested variables are so much more everyday and likely than is an
innate neurological deficit. We medicalise too early, on too little evidence
and with too little differential diagnosis. We leap to the deficit theory
and fail to consider much else. Good diagnosis demands greater humility
than this.
In short, I have found the work of Tallal to be unconvincing, for these
general reasons, among others. And although I have not read the work of
Torgesen specifically, I have read much other work about this much-researched
aspect of the debate and found it similarly unconvincing for similar reasons.
Genetics: This is an area of the debate which is fiendishly complex. It is
a discipline which H. sapiens does not yet understand well applied to an
organ, the brain, which our species also does not yet understand well. In
other words, I feel very strongly that much of the science is wildly
over-interpreted – apparent findings being stretched well beyond what can actually
be justified on the basis of today’s understanding. (And on another list we
have been referred to the Santiago Declaration 2007 –
_www.jsmf.org/declaration_ (http://www.jsmf.org/declaration) - in which leading
neuroscientists point out that brain science, properly understood, does not offer good
evidence-based information to guide education. Quote: “Neuroscientific
research, at this stage in its development, does not offer scientific guidelines
for policy, practice or parenting.”) We need less precipitate
interpretation and more humility, in other words.
Again, many genetic studies consistently relied upon, even today, in
dyslexia literature as ‘scientific truth’ were carried out using
discrepancy-diagnosed subjects – ie these studies are, or should be, thereby invalidated.
The field, however, carries right on referring to, and theorising upon,
such work.
On this aspect, several workers from the Colorado group, who do much of
the world’s research, have recently stated that they will simply use the
bottom 10% on the bell curve of reading ability and consider them ‘dyslexic’,
there being no agreed consensus on diagnostic criteria for dyslexia. This
is, of course, not a valid way of selecting a sample of ‘dyslexics’ as
there will be many reasons other than innate neurological deficit for being in
that bottom 10% (and membership of that group will not, anyway, be at all
consistent). Research based on such poorly selected samples cannot validly
theorise about ‘dyslexics’. Twin studies are also consistently critiqued by
more informed minds than mine. I am not adequately qualified (very, very
few people are!) to examine the genetic arguments, but I can note that there
are many who appear to be and who do thus argue, and sceptical interest
remains respectable. Please see the section in my book, chapter eight, for
fuller debate.
As for my veterinary experience and this aspect of the issues, it is
precisely because I have some knowledge of biological science, and the practical
and instantly tested application thereof, that I am inevitably sceptical.
Which brings me on to anatomy.
The post-mortems you refer to are, I imagine, those conducted under the
auspices of Geschwind and Galaburda, two highly controversial figures. There
is first the general, but fundamental, point to make, again, that their
sample ‘dyslexics’ (only 8 in number, I think) were ‘diagnosed’ using the
then gold standard but now discredited discrepancy criterion. In other words,
today they would not be considered a valid sample of ‘dyslexics’ and the
work would probably not be published.
Second, the conclusions were hotly contested and most writing I read today
chooses to overlook this work altogether. Third, the work over-simplifies
a complex organ. The ‘abnormalities’ they reported (especially in the
planum temporale) are quite probably no more than normal variation (they were
not even consistent within their sample) and there is no evidence directly
linking them, even if they were genuine abnormalities, to any actual
behaviour, normal or otherwise. The brain is, at bottom, simply not amenable to
such weights-and-measures approaches, it’s far more subtle than this. The
apparent results of such rudimentary measurements are over-interpreted in
exactly the same way in which brain scans are today. These methods are much too
crude and broad-brush for such a subtle, interwoven and plastic organ as
the brain. Our understanding of the brain is, in short, too primitive as yet
to sustain many of the conclusions people seek to reach.
The same arguments can be deployed in respect of the neuronal migration
theories (mostly deriving from Galaburda’s thinking). To say that we do not
understand the ways in which the brain comes to be constructed in any
meaningful detail would be an understatement; we know in only very broad outline
how the migration of nervous tissue affects outcomes in terms of behavour.
We do not have the detailed understandings to point at any part of the
brain, or any aspect of its suspected developmental history, and claim an
innate literacy deficit is thereby revealed. The organ is, apart from anything
else, nothing like that fixed; we are just beginning to see how massively
plastic it is, how flexible in terms of site of operation and how malleable
in terms of response to circumstance. If we could even reliably come to know
(as we have not yet) that a few thousand neurons ‘migrate to the incorrect
location’ it would almost certainly make absolutely no detectable
difference to subsequent behavour, especially in respect of such a wholly learned
skill as literacy, we must remember, actually is.
I hope this helps to show the generality of my view.
Hugo
at: _http://www.hugokerr.info_ (http://www.hugokerr.info/)
"We're here to help each other get through this thing - whatever it might
be." (Kurt Vonnegut)
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