Tuesday, 15 June 2021

SPECIFIC LEARNING DISABILITY IN WRITING (DYSGRAPHIA)

Written language is the highest and most complex type of communication. In the hierarchy of the development of language skills, it is the last to be learned.

The complexity of written expression can eb attributed to the various related abilities and skills it requires such as

-      Auditory – visual – motor coordination

-      Adequate oral language skills

-      Knowledge of rules of written usage

-      Ability to develop ideas, etc.

Despite its complexity, the importance of written expression cannot be denied for the following reasons:

-      Writings allow the relay of information and have given us links to the past.

-      Effective writings of great men and women have influenced society.

-      Writings of others help us to improve our own ability to express our thoughts.

-      Some people may express themselves better by writing. Writing can be therapeutic.

-      Writings leave lasting impressions.

-      For students, writing is indispensable for most subjects.

-      The need to write can only be reduced but not eliminated.

Components of writing

-      Handwriting

-      Spellings

-      Mechanics

-      Usage

-      Ideation

 

DSM 4 criteria for disorder of written expression

a.   Writing skills as measured by individually administered standardized tests (or functional assessments of writing skills), are substantially below those expected given the individual’s chronological age, measured intelligence and age-appropriate education (criterion A)

b.   The disturbance in criterial A significantly interferes with academic achievement or activities of daily living that require the composition of written texts (e.g., writing grammatically correct sentences and organized paragraphs).

c.   If a sensory deficit is present, the difficulties in writing skills are in excess of those usually associated with it.

 

Symptoms

Students who have difficulties in written expression usually show the following characteristics:

-      Discrepancy between verbal and writing skills.

-      Saying words out loud while writing.

-      Tend to dislike coloring, drawing, printing readiness activities.

-      Broad range of avoidance behaviors around paper-pencil activities.

-      Tendency to copy extremely slowly from the board.

-      Difficulty in improving their work.

-      Often labelled as ‘lazy’ with comments like ‘does not complete his work in class’.

-      Difficulty with syntax structure and grammar.

-      Illegible handwriting.

-      Unusual pencil grip.

-      Inconsistent positioning on page.

-      Inconsistent spaces between words and letters.

-      Slow or labored copying or writing – even if it is neat and legible.

-      Tiring quickly.

-      Inconsistencies in letters: mixtures of print and cursive, upper and lower case, or irregular sizes, shapes, or slant of letters.

-      Random or non-existent punctuation.

-      Difficulty in maths when it becomes written.

-      Occasionally have general organizational difficulties.

-      Spelling errors – same word spelled differently, reversals, phonic approximations, unfinished or omitted letters or syllables, difficulty with phone-grapheme correspondence, difficulty with sight words.

-      Reversals of numbers.

-      Confusion about similarly formed letters e.g., w and u or letters and numbers e.g., 2 and z.

-      Pain in hand and body while writing.

Often one parent has had similar difficulties.

Stress, frustration, action out behaviors and withdrawal are common problems often associated with dysgraphia.

 

Strategies to help a person with difficulties in written expression to achieve success:

-      Accommodations: providing alternatives to writing expression.

-      Modifications: changing expectations or tasks to minimize or avoid the area of weakness.

-      Remediation: providing instruction for improving handwriting and writing skills.

Strategies for graphomotor or handwriting difficulties:

-      Kinesthetic pattern or feel of letters.

-      Writing instrument that is most comfortable.

-      Typing (keyboarding) skills.

-      Use of cursive or manuscript, whichever is most legible.

-      Alphabet lines at corner of desk.

-      Paper with the raised lines for primary students.

-      Line width of students’ choice.

-      Graph paper for math, or lined paper turned sideways.

-      If a student becomes fatigued have them try the following:

Shake hands fast, but not violently.

Rub hands together and focus on the feeling of warmth.

Rub hands on some mild texture in circles.

Use the thumb of the dominant hand to click the top of a ballpoint pen while holding it in the hand. Repeat using the index finger.

Sitting position, paper placement, pencil grip.

Writing readiness activities such as scribbling, chalkboard activities. Variety of material for writing practice e.g., sand tray, finger painting.

Find motor activities e.g., picking tiny objects, molding play dough, stringing spools, finger Olympics, using tweezers, stencils, tracing with reducing cues, coloring and drawing within lines, verbal cues, letters to words to sentences.

 

Strategies for spelling difficulties

Phonological awareness (Consonants, vowels – including double vowels, blends, digraphs, position of phoneme in word, segmenting speech sounds, segmenting syllables)

Word families e.g., silent ‘e’ words

Spelling rules e.g., If a word ends in one vowel and one consonant, the last consonant should be doubled before adding ‘ed’, ‘ing’, e.g., hopped, hopping (double ‘p’) but rest – rested, resting, (no double ‘t’ because there are two consonants in the end).

Keywords to form a group e.g., ‘air’ (keyword) – pair, chair, airplane.

Sight words may be taught separately.

Multisensory methods

 

Fitzgerald (1955) – Meaning and pronunciation – imagery – recall – writing – mastery.

Fernald method – Students select word – teacher writes and says word – students trace saying it several times, write it while saying it – write from memory – if incorrect tracing repeated, if correct goes into box – later stages all steps not needed.

Personal spelling book

Spell check

‘Test – study – test; versus ‘study – test’

 

Strategies to improve written content

Abundant input – through reading, listening, discussions, observations, experiences.

Dictation of ideas into a tape recorder and listening and writing them down later.

Talking aloud while writing.

Topics of students’ choice.

Provision of written outlines,

Mind map

Graphic organizer.

Students may draw a picture of a thought for each paragraph.

Sense of audience.

Language for thinking – grammar, figures of speech, idioms, direct/indirect speech, active/passive voice, transformation of sentences, use of thesaurus.

Ideation e.g., continue a story, interpret a picture / sounds, providing alternatives.

 

Some more strategies:

Provision of information such as teacher prepared handouts or photocopies of other students’ notes.

Practice of writing.

Teaching of stages of the writing process – pre-writing, drafting, revising, and sharing with audience.

Imitation of students’ errors.

Identification and connection of own errors, reference to list of errors while self-correcting.

Removal of ‘neatness’ or ‘spelling’ (or both) as grading criteria for some assignments / designing of assignments to be evaluated on specific parts of the writing process.

Use of abbreviations

Extended time for written tasks.

Provision of extra structure and use of intermittent deadline for long term assignments.

Exemption from unnecessary copying.

Dictation to a writer and then changes made without assistance from the writer.

Tape recording of some assignments, oral answers to exercises / tests.

Modelling of the writing process and strategic thinking.

Reinforcement of the positive aspects of students’ efforts.

Be patient and encourage the student to be patient with him / herself.

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