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01 NRDC Dyslexia 1-88 update - Texthelp

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Developmental dyslexia in adults: a research review 31<br />

From this perspective, atypical brain functioning may not be ‘pathological’ but rather an<br />

adaptive response to atypical experience (Locke, 1997), representing variation within the<br />

normal evolutionary range (Levelt, 20<strong>01</strong>). The discovery of a neural signature for this atypical<br />

functioning—differential activation in the three brain areas identified above—does not<br />

establish that dyslexic brains are inherently and categorically different from other brains.<br />

Dyslexic brains differ by definition from non-dyslexic brains.<br />

It has not been established that the observed differences are either inherent or categorical.<br />

Is there a gene for dyslexia?<br />

Introduction<br />

We have seen that a careful interpretation of the brain imaging research does not— or not yet,<br />

at any rate—validate the belief that ‘dyslexic’ and ‘non-dyslexic’ brains are inherently and<br />

categorically different, as many people believe them to be. In the face of unwarranted<br />

accusations of stupidity or laziness, the dyslexic person’s need for self-vindication cannot be<br />

met by findings from imaging studies. Can this need be met by research in genetics?<br />

Modes of inheritance and their implications<br />

From time to time the media report that ‘Scientists identify dyslexia gene’ (BBC), or that<br />

‘<strong>Dyslexia</strong> found in genetic jungle’ (Reuters), but such reports are potentially misleading: there<br />

is no ‘gene for dyslexia’ in the same way that there is a gene for, say, cystic fibrosis. Although<br />

single-gene inheritance once seemed a possible mode of transmission (Smith et al., 1990)<br />

and has been reported to occur in some families (Fagerheim et al., 1999; Nopola-Hemmi et<br />

al., 20<strong>01</strong>), it now appears unlikely that dyslexia could fit a single-gene, single-disease model<br />

in which a simple genetic mutation results in failure to synthesise an essential protein<br />

(Pennington, 1999).<br />

In one single-gene model—namely, autosomal dominant transmission—where only one<br />

parent has to transmit the gene for it to be expressed, the explanation would be consistent<br />

with the observed prevalence rate, but inconsistent with the observation that some readingdisabled<br />

individuals have no affected relatives (Plomin et al., 20<strong>01</strong>). In a second single-gene<br />

model—namely, X-linked recessive transmission—either parent can transmit the abnormal<br />

gene, but it will be expressed only if the son or daughter lacks a normal copy of it from the<br />

other parent, so that a dyslexic son would need to have a dyslexic mother whereas, for a<br />

dyslexic daughter, both parents would need to be dyslexic. This explanation is consistent with<br />

a higher reported prevalence among males, but inconsistent with the observation that reading<br />

disability passes as often from father to son as it does from mother to son (Plomin et al.,<br />

20<strong>01</strong>).<br />

A single-gene model of heritability does not fit the observations about dyslexia, not least<br />

because of the problems it creates by assuming that dyslexics differ categorically from nondyslexics.<br />

A better fit is offered by a multiple-gene model, which assumes that poorer readers<br />

differ dimensionally from better readers both in their genetic constitution and also in the<br />

environmental risk factors to which they are exposed (Pennington, 1999). According to this<br />

model, which currently dominates research into the genetics of reading difficulty (e.g. Cardon<br />

et al., 1994; Fisher et al., 2002; Fisher et al., 1999; Grigorenko et al., 20<strong>01</strong>; Wijsman et al.,<br />

2000), a quantitative behavioural trait could be the effect of a number of genes—perhaps<br />

dozens, perhaps hundreds—the variation in each of which adds a small difference to a wide<br />

range of outcomes in the population (Plomin et al., 20<strong>01</strong>).

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