By Joe K Adams
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Indd 25 07/09/11 11:05 AM 26 ESSENTIALS OF DYSLEXIA ASSESSMENT AND INTERVENTION in writing, until the correct associations were built up and the permanent elision of the reversed images and reversals in direction were assured. The ﬂash method would seem from this point of view not only to be inadequate to correct early mistakes in orientation, but also to put these children under an unnecessary and unjust handicap, at least until they had acquired the fundamentals in readily available form. The child has no opportunity to puzzle out whether a symbol means p or q by the ﬂash method, and many such errors might well be perpetuated” ( p.
25). They emphasized the importance of careful diagnostic study in planning intervention programs for children and stated: “The single most important factor in planning for a child with a learning disability is an intensive diagnostic study” (p. 50). Although Myklebust’s original work was in the area of deafness, he found that many of the children who were referred to his clinic had normal hearing acuity, but trouble in understanding what they heard (Hallahan & Mercer, 2002). Myklebust (1954) stated: “It is apparent that there is a need to view the problem of auditory disorders in children as one requiring differential diagnosis” (p.
Confusions are noted with speech sounds. Reversals of letters and transpositions of letters may be apparent. Reading is slow and laborious. Adults with dyslexia often have a slow reading rate and poor spelling. Dyslexia does not affect all domains of functioning; strengths are often present. Difficulty learning to read has a profound effect on self-esteem. Problems in behavior and motivation decrease as reading skill improves. Affective factors must be considered in the treatment plan. 12 Insights from History Regarding Assessment and Intervention Comprehensive evaluations are needed to diagnose dyslexia.