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01 NRDC Dyslexia 1-88 update - Texthelp

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Developmental dyslexia in adults: a research review 71<br />

The framework accommodates multiple routes to the final common pathway of difficulty in<br />

acquiring a specific skill such as reading. It takes into account the unlikelihood that one<br />

common factor alone will explain a significant majority of nonsyndromic cases of<br />

developmental learning disability in the population. Similarly, it holds that no single gene is<br />

responsible for the majority of cases or deficit of any particular form of developmental<br />

learning disability and that, for example, genes putting individuals at risk do not necessarily<br />

correspond to specific cognitive aspects of reading ability. It thus contests the assumption<br />

that any genetic effect on reading ability will be focused, singular and direct.<br />

With respect to theories associating dyslexia with abnormal neural migration, the concept of<br />

atypical brain development accommodates the possibility that such an effect could affect<br />

multiple brain areas, not just those associated with reading and that even a specific singlegene<br />

effect will show great variation between individuals. For this reason, it is suggested that<br />

the search for genes should be redirected towards those that cause brain variation in the<br />

population at large rather than towards those that might cause a specific defect. The concept<br />

of atypical brain development is not confined to gene effects, however; it embraces the effects<br />

of harmful substances in the environment, such as lead, drugs taken during pregnancy and<br />

impoverished postnatal environments.<br />

It remains to be seen whether the concept of atypical brain dysfunction will lead to new<br />

strategies for research. At the very least, it provides an incentive to dispense with univariate<br />

contrasting-groups strategies. It also offers an opportunity to explore differential patterns of<br />

function and dysfunction across five large-scale neurocognitive networks: spatial awareness,<br />

language, memory and emotion, working memory and executive functions and face and object<br />

identification (Mesulam, 1998). It might also be an appropriate conceptual framework within<br />

which to explore (and perhaps also to rename) the concept of ‘dyslexia’ without literacy<br />

problems (Miles et al., 2003).<br />

The concept of atypical brain development provides a framework for the development of<br />

theory.<br />

The concept questions the validity of discrete categories and syndromes in the diagnosis of<br />

developmental disabilities.<br />

Atypical development may not have a single specific cause but may happen as the extreme of<br />

a continuously-distributed trait.<br />

Although the concept was formulated as a perspective for researchers, it might alert<br />

practitioners to student characteristics that would otherwise have escaped their notice.

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