Defining and Understanding Dyslexia Past Present and Future
Defining and Understanding Dyslexia Past Present and Future
Defining and Understanding Dyslexia Past Present and Future
To cite this article: Margaret J. Snowling, Charles Hulme & Kate Nation (2020) Defining and
understanding dyslexia: past, present and future, Oxford Review of Education, 46:4, 501-513,
DOI: 10.1080/03054985.2020.1765756
ABSTRACT KEYWORDS
Dyslexia is a difficulty in learning to decode (read aloud) and to spell. Dyslexia; reading disorder;
DSM5 classifies dyslexia as one form of neurodevelopmental disorder. reading difficulties; history;
Neurodevelopmental disorders are heritable, life-long conditions definition
with early onset. For many years, research on dyslexia proceeded on
the basis that it was a specific learning difficulty – specific meaning
that the difficulty could not be explained in terms of obvious causes
such as sensory problems or general learning difficulties (low IQ).
However, the failure to find qualitative differences in reading, and
phonological skills, between children with dyslexia and children with
more general learning problems led this kind of ‘discrepancy’ defini-
tion to fall from favour. The Rose Review stated that dyslexia can occur
across the IQ range and that poor decoding skills require the same
kinds of intervention irrespective of IQ. In this paper, we argue that
loosening the criteria for dyslexia has influenced common under-
standing of the condition and led to diagnostic confusion. In the
longer term, the use of the term may need to change. Implications
for research and practice are discussed.
A central theme in the history of dyslexia is the tension between the specificity of the
disorder and its complex association with other forms of learning disability. Since its
earliest description over 100 years ago, through the case files of the Word Blindness
Centre (Whyte, this issue) and of Tim Miles (Evans, this issue) to more recent neurop-
sychological case studies (e.g. JM; Snowling & Hulme, 1989) is the notion that dyslexia
is specific – a particular problem with reading and spelling that is somehow unex-
pected and therefore requiring a diagnosis and an explanation, as well as specialist
intervention. At the same time, the history of dyslexia captures a sense of complexity
that there might be ‘several “species” of dyslexia’ and it reflects a ‘family of disabilities’.
These tensions play out in perennial discussions surrounding the definition of dyslexia,
whether there are different ‘subtypes’ and questions about whether it even exists. In
this article, we argue that loosening the criteria for dyslexia means that a far wider
range of individuals now receive the label; furthermore, by understanding the co-
occurrence of dyslexia with other disorders, we reach a better understanding of the
heterogeneity of its manifestations.
In an attempt to reconcile these views, the Diagnostic and Statistical Manual of the
American Psychiatric Association (American Psychiatric Association, 2013) uses the term
‘Specific Learning Disorder with impairment in reading’ to describe what others, and
lobbyists in particular, call dyslexia. The DSM5 definition notes that the term refers to
a pattern of learning difficulties characterised by problems with accurate or fluent word
reading, poor decoding, and poor spelling ‘that must have persisted for at least 6 months,
despite the provision of interventions that target those difficulties’ (p. 66). It also notes
that a good indicator is ‘low academic achievement for age or average achievement that
is sustainable only by extraordinarily high levels of effort or support’ (p. 69).
In summary, dropping the IQ-discrepancy definition of dyslexia has proven controver-
sial for many, particularly for those who see ‘dyslexia’ as a special category of disorder and
reject the view that it is only a reflection of poor reading. We will argue here that it is
important is to have a better understanding of the dimensionality of reading disorders
and how they frequently occur with other difficulties.
Putting learning into the definition of dyslexia and the phonological deficit
hypothesis
Although intellectual disability precludes a diagnosis of specific learning disorder, once
the practice of restricting the diagnosis of dyslexia to those principally with above-
average IQ is abandoned, the kinds of learning difficulties to which the label ‘dyslexia’
applies widen and now include children with a broader range of learning problems. Such
children have a range of problems with reading which are not best characterised as
affecting only accuracy and fluency. A more principled approach then is to first consider
the demands of learning to read and then consider how specific aspects of learning are
affected in different ‘types’ of poor reader.
At the core of dyslexia is a difficulty in learning to decode and to spell. It is important
therefore that our understanding of dyslexia is cast within a framework of learning to read.
Reading development is a complex process (for a review see Castles et al., 2018). In simple
terms, learning to read starts with learning mappings between print and sound. In alphabetic
languages, the mappings are at a fine-grain between phonemes (the smallest units of speech)
and graphemes (letter and letter groups), and in English there are many inconsistencies in the
mappings, making learning to read difficult. As children grasp this alphabetic principle, they
can translate print into sound and from that access the meaning of familiar words. This
decoding process provides a mechanism for acquiring detailed orthographic knowledge
about how written language works. Over time, and with reading experience, reliance on
overt decoding declines as word recognition becomes increasingly efficient and automatised,
allowing children to go from print to meaning rapidly and effortlessly.
More formally, we can consider reading development within the context of the influential
‘triangle model’, a computational model devised by Seidenberg and McClelland (1989). The
triangle model comprises three sets of representations (phonological, orthographic and
semantic) that interact and connect together to constitute the word recognition system.
Well before learning to read, children have well-developed phonological knowledge
(of the sounds of words) that has connections with their semantic system (the meaning of
words). Faced with written words, children need to form mappings from orthography to
phonology and thus to meaning. Semantic knowledge can also support the development
504 M. J. SNOWLING ET AL.
of word reading, providing the means to adjust a partial decoding attempt (such as
reading school as ‘s-chule’) and bring it in line with a known word. Reading experience
allows orthographic representations to become structured and for the whole system to
embody the statistical regularities that exist between print and sound, and print and
meaning.
In dyslexia, children are slow to learn to decode words and become fluent; they also
struggle to generalise, that is, to read novel words they have never seen before. It is well
established that in cognitive terms, dyslexia is caused by problems at the level of
phonological representation (e.g. Shankweiler et al., 1979; Snowling & Hulme, 1994).
This hypothesis has its roots in long-standing clinical observations, arguably starting
with Orton (1937) and continuing with Bannatyne (1974), who noted difficulties in
‘auditory sequencing, auditory discrimination, and associating auditory symbols with
sequences of visual symbols’. A considerable body of research has since detailed the
nature of ‘auditory’ problems in dyslexia, narrowing the deficit to one affecting the sound
(phonological) structure of speech (Griffiths & Snowling, 2001; Vellutino et al., 2004):
problems with phonology lead to difficulty in learning mappings between orthography
and phonology and other difficulties which include problems learning new spoken words,
poor verbal short-term memory and problems with word retrieval and picture naming
(see Snowling, 2019 for review). Although learning to read has a reciprocal influence on
phonological skills (Morais & Kolinsky, 2005), there is good evidence that phonological
deficits in dyslexia are present in the preschool years, long before reading instruction
begins (Snowling, Nash et al., 2019). Moreover, training phonological skills and letter
knowledge improves reading ability, strengthening the claim that phonological skills are
causally related to reading development (Hulme et al., 2012).
Nonetheless, despite the strength of the phonological deficit hypothesis, it seems that
phonological difficulties are neither necessary nor sufficient to account for dyslexia
(Pennington, 2006). While poor phonology is the impairment most consistently asso-
ciated with dyslexia, many children at family risk of dyslexia who do not succumb to
reading difficulties also have problems with phonological awareness (Snowling & Melby-
Lervåg, 2016) and many individuals with dyslexia have deficits outside of the phonologi-
cal domain (Saksida et al., 2016; White et al., 2006). According to the influential theory by
Pennington (2006), dyslexia is the outcome of multiple risks which accumulate towards
a threshold for what is usually termed ‘diagnosis’. What are these additional risks and how
can they be conceptualised?
To consider these questions, we can begin by looking within the reading system itself.
While learning to read depends initially on learning mappings between orthography and
phonology, other factors are also important. Semantic knowledge adds another source of
variation: children with low language show relative weaknesses in learning to read words,
especially evident for those words that are difficult to decode (Nation & Snowling, 1998).
More generally, longitudinal studies show that preschool variations in oral language are
associated with word reading ability in 8–9 year-olds (Hulme et al., 2015). Other research
has focussed more directly on the learning mechanisms involved and asked whether the
reading difficulties seen in dyslexia are associated with differences in paired-associate
learning or statistical learning (see Nation & Mak, 2019 for a review). In addition, some
children have been shown to have particular difficulty with letter position coding, making
errors when dealing with words where precision is needed (e.g. pirates and parties; smile
OXFORD REVIEW OF EDUCATION 505
and slime; Kohnen et al., 2012). Together these findings indicate that an individual child’s
score on a standardised test of word reading reflects multiple sources of variation (and
difficulty). As computational models make clear, dyslexia is characterised by heterogene-
ity and individual differences (Harm & Seidenberg, 1999; Perry et al., 2019). However, to
understand dyslexia fully we need to look beyond the details of the reading system itself
and ask how additional factors influence reading and its development.
In summary, some of the complexity associated with dyslexia arises because the
predominant proximal cause – a phonological deficit – is often not the only deficit that
is observed. Moreover, phonological skills are themselves dimensional and can affect one
or more aspects of reading. In particular, if the phonological difficulties occur as
a ‘downstream’ effect of earlier language problems then reading comprehension as well
as word decoding will be significantly affected.
Comorbidities of dyslexia
Comorbidity refers to the co-occurrence between two (or more) disorders in the same
individual. Comorbidity can be found between disorders within the same diagnostic
grouping, e.g. reading disorder and mathematics disorder (both learning disorders with
shared risk factors) as well as between disorders from different diagnostic groupings, such
as between reading disorder and behavioural and emotional disorders (Angold et al.,
1999). Rates of comorbidity between reading disorder and other neurodevelopmental
disorders vary widely but, on average, about 40% of the children with a reading disorder/
dyslexia will have another disorder as well (Moll et al., 2020). Many children with dyslexia
have oral language problems extending well beyond the phonological domain. This was
recognised by the Invalid Child’s Aid Association in setting up the Word Blind Centre
(Whyte, this issue) and is highlighted by Maughan et al. (2020) drawing on data from the
Isle of Wight studies in the 1960s. An inevitable consequence of removing the discrepancy
definition is that more children with poor reading in the context of broader and more
serious language difficulties will be labelled ‘dyslexic’. Since reading for meaning draws on
language skills, it follows that many poor readers also have poor reading comprehension
skills. Thus, whereas in classic discrepancy-defined dyslexia, reading comprehension is
only an issue insofar as poor decoding presents a bottleneck to the construction of
meaning, this is not the case for children with dyslexia who have co-occurring language
problems; these children have poor reading comprehension too (Bishop & Snowling,
2004).
Some children with dyslexia meet criteria for Developmental Language Disorder (DLD),
a disorder characterised by persistent difficulties in expressive and/or receptive language
(Bishop et al., 2017). While usually considered a communication disorder separate from
learning disorders, DLD is a major risk factor for dyslexia. Indeed, McArthur et al. (2000)
showed that among children with specific reading difficulties (dyslexia), some 40% had
significant language impairments; on the other hand, children who enter school with DLD
are at high risk of literacy difficulties (Bishop & Adams, 1990). In short, the boundaries of
dyslexia are not clear-cut: it is not uncommon for children with dyslexia to have language
problems and some children also meet clinical criteria for DLD (Catts et al., 2005;
Snowling, Nash et al., 2019). These language problems are under-diagnosed but are likely
to affect response to intervention (Adlof & Hogan, 2019).
506 M. J. SNOWLING ET AL.
DLD is not the only disorder that co-occurs with dyslexia. Dyslexia is also often
comorbid with attentional and motor coordination problems (Gooch et al., 2014;
Rochelle & Talcott, 2006). There is also an overlap between dyslexia and speech sound
disorder (Pennington & Bishop, 2009), socio-emotional and behavioural disorders (Carroll
et al., 2005) and internalising problems such as anxiety and depression (Francis et al.,
2019). None of these comorbidities should be viewed as ‘core’ features of dyslexia, but
they can complicate both its presentation and response to intervention (Rose, 2009).
Importantly for the present discussion, following relaxation of the discrepancy definition
and hence the IQ cut-off, the number of ‘symptoms’ co-occurring with dyslexia has
increased.
Another disorder that is frequently comorbid with dyslexia is mathematics disorder (or
dyscalculia). Like reading disorder, mathematics disorder is classified as a specific learning
disorder in DSM5 (American Psychiatric Association, 2013); it is comorbid with dyslexia in
between 30% and 70% of the cases (Landerl & Moll, 2010). Like reading, mathematics is
also a complex skill with multiple components. The overlap with dyslexia is high because
many aspects of mathematics depend on verbal skills, e.g. number knowledge, counting,
retrieval of number facts and verbal problem solving (Göbel & Snowling, 2010; Moll et al.,
2018). However, mathematics also involves non-verbal skills; these include the ability to
estimate numerosity and to compare differing magnitudes (Malone et al., in press).
Further, numeracy problems have been associated with poor visual-spatial skills, poor
executive function and working memory deficits; such deficits are commonly features of
the kinds of non-verbal learning difficulty associated with lower Performance IQ (Gillberg
& Gillberg, 1989). We can think of IQ as a broad measure of many aspects of cognition
(including language, spatial, and attentional skills). Statistically, if we insist that only
children with average IQ can be diagnosed with dyslexia, this will make dyslexia appear
to be a specific disorder (because children with language or attentional problems will
tend on average to have lower than average IQs and so fail to be diagnosed as dyslexic).
In summary, we argue that cases of ‘specific dyslexia’ exist and they are most apparent
when a strict discrepancy definition (reading poorer than expected for a child’s age and IQ) is
adopted. However, when it is dropped, a wider range of difficulties are observed among
children with reading disorders. The clinical and educational reality is that for many children,
poor reading sits within a constellation of difficulties each of which represents a dimension. As
the history of dyslexia shows, these are far from newly recognised issues; they have dogged
dyslexia since it was first identified in the 19th century (Kirby, this issue).
learning (to read/spell) and no catch-up with peers despite extra help at home or school;
there should also be a low academic achievement. While precise criteria are avoided given
the dimensional nature of the disorder, the manual does suggest that achievement (e.g. in
literacy or numeracy skills) more than 1.5 standard deviations below the mean (a standard
score of 78) assures the greatest diagnostic certainty; it also goes on to assert various
exclusionary criteria and continues to advocate the importance of clinical judgement.
Arguably, it is the issue of clinical judgement which lies behind the dyslexia debate –
and yet for all clinical conditions including infections and diseases, clinical judgement
needs to be exercised before treatment can be determined.1 We should also emphasise
that dimensional disorders are common in many other areas of medicine and psychol-
ogy – there are no clear cut-offs for diagnosing hypertension, obesity or depression; but
for each of these very real conditions there need to be clinical decisions made about when
an individual needs treatment. The same is true for dyslexia. To avoid the issue of clinical
judgement and poor reliability around diagnostic thresholds, some have advocated the
use of ‘response to intervention’ as an approach to diagnosis (Fletcher & Vaughn, 2009).
Such an approach undoubtedly makes sense – if a child responds to treatment positively
and can catch up with peers, then the label of ‘dyslexia’ is not appropriate because the
condition is not persistent. Such children might be regarded as ‘instructional causalities’ –
not having been taught properly in the first place or having suffered a set-back, for
example, because of a poor command of the language in the case of migration. However,
implementation of the response-to-intervention approach has not borne the anticipated
fruit; children who fail to respond to well-founded intervention are just as likely to be
identified following a comprehensive assessment with objective standards for referral for
intervention as after their poor response to intervention – so why wait? Moreover, the
characteristics of ‘treatment resistors’ include the phonological deficits that characterise
dyslexia (Al Otaiba et al., 2014; Vellutino et al., 2004).
So where does this leave the issue of diagnosis and more broadly the practice of labelling
a child or adult as having dyslexia? First, we propose that the term dyslexia should not be used
as a shorthand for ‘reading disorder’ but should be used to refer to a difficulty with decoding
and spelling fluency which is evident from the early school years and persistent over time.
Second, it should affect academic functioning, such that progress is less good in literacy-based
areas of the curriculum than that of peers in a similar setting. Third, if there are co-occurring
features, these should be labelled as such but should not be considered core to the ‘diagnosis’.
Finally, the diagnosis should be qualified as mild (fully compensated when appropriate
arrangements are in place), moderate or severe; we hypothesise that those with ‘severe’
difficulties are often those with a range of comorbid conditions.
In a similar vein, Miciak et al. (2014) criticised approaches that focus on a range of
features in order to ‘diagnose’ dyslexia. Rather, they suggest that assessments should
focus on the defining symptoms of reading difficulties, the functional impairments and
co-occurring conditions. Such clarity is important if the causes of dyslexia are to be
properly understood and the concept is to be fully embraced in educational policy.
Another issue that has concerned those who do not support the use of the term ‘dyslexia’
is the fact that the types of intervention that are known to be helpful do not differ from
the interventions that are useful for other poor readers. This is, however, a simplistic view.
Dyslexia does equate with poor decoding and word reading, and therefore to say it
requires similar treatment to poor reading is a tautology. The most robust evidence for
508 M. J. SNOWLING ET AL.
the effectiveness of reading interventions comes from randomised trials (e.g. Connor
et al., 2013; Hulme & Melby-Lervåg, 2015; Melby-Lervåg & Lervåg, 2014). To date, the
evidence suggests that the most effective interventions for children with dyslexia are
phonologically based, involving training in phoneme awareness and letter knowledge
combined with structured reading practice (McArthur et al., 2012). These interventions
tackle the decoding deficit in dyslexia directly. However, there is a dearth of evidence for
the efficacy of interventions to improve spelling and writing fluency – future research
must address these important questions as a matter of urgency. There is also a need for
treatment plans to consider the comorbidities that are associated with dyslexia, particu-
larly language problems, and to consider their impact on the developing reading system.
If these are not addressed, then response to intervention is likely to be poor.
In summary, elaborate comprehensive assessments are not required to identify a child
as in need of reading intervention. What needs to be recognised is that reading is
a dimension that is correlated with other skills and co-occurring difficulties (comorbid-
ities) need separate management.
Note
1. Michael Rutter, contribution of oral history to the Dyslexia Archive, 2019.
OXFORD REVIEW OF EDUCATION 509
Disclosure statement
No potential conflict of interest was reported by the authors.
Funding
This work was funded by the Wellcome Trust Institutional Strategic Support Fund and supported by
St. John’s College, University of Oxford.
Notes on contributors
Margaret J. Snowling is President of St. John’s College and Professor of Psychology, University of
Oxford. She is also professionally qualified as a clinical psychologist. Her research on children’s
reading and language is at the interface of psychology and education.
Maggie was awarded the British Psychological Society Presidents’ Award (2003) and the Samuel
T Orton Award of the International Dyslexia Association (2005); she is Past-President of the Society
for the Scientific Study of Reading and former Joint Editor of the Journal of Child Psychology and
Psychiatry. She served on Sir Jim Rose’s Expert Advisory Group on provision for Dyslexia, was advisor
to the Phonics Screening Check and Reception Baseline Assessment in England and an expert
member of the Education for All: Fast Track Initiative group in Washington DC in (2011).
Maggie has been awarded honorary doctorates from Goldsmiths London, University College
London, Warwick and Bristol Universities for contributions to the science of reading and
dyslexia.
She is Fellow of the British Academy, Fellow of the Academy of Medical Sciences and Fellow
of the Academy of Social Sciences. She was appointed CBE for services to science and the
understanding of dyslexia in 2016.
Charles Hulme is Professor of Psychology and Education at the University of Oxford. His research
interests are in reading, language and memory and their development and he is an expert on
randomised controlled trials in Education. Publications include a number of assessment materials
including the York Assessment of Reading for Comprehension (2009), the Phonological Abilities
Test (1997), Sound Linkage (2014) and The Test of Basic Arithmetic and Numeracy Skills (2015) as
well as several books dealing with various aspects of reading development. He is a former Editor-
in-Chief of the journal ‘Scientific Studies of Reading’ and a former Senior Editor of the Association
of Psychological Science’s flagship journal, Psychological Science. In 2009 he published
‘Developmental disorders of language, learning and cognition’ (Wiley-Blackwell; co-authored
with Maggie Snowling). He received the Feitelson Research Award from the International
Reading Association (1998), the Marion Welchman International Award for Contributions to the
study of Dyslexia from the British Dyslexia Association (2016) and the Society for the Scientific
Studies of Reading Distinguished Scientific Contributions Award (2019). He is a Fellow of the
British Academy and of the Academy of Social Sciences, holds an honorary doctorate from the
University of Oslo (2014), and is a member of Academia Europea.
Kate Nation is Professor of Experimental Psychology at the University of Oxford and a Fellow of St
John’s College, Oxford. Her research is concerned with with language processing, especially reading
development. She is interested in how children learn to read words and comprehend text, and more
generally, the relationship between spoken language and written language. Her research spans
both typical and atypical development. A key aim at present is to investigate the mechanisms
involved in the transition from novice to expert. She also studies language processing in adults,
addressing the issue of how skilled behaviour emerges via language learning experience. Kate has
contributed to building links between psychological research and educational policy and practice.
She has served on a number of Editorial Boards and her research has been recognised by awards
510 M. J. SNOWLING ET AL.
from the British Psychological Society and the Experimental Psychology Society. For more information
see www.readoxford.org and follow her on twitter @ReadOxford.
ORCID
Margaret J. Snowling http://orcid.org/0000-0003-0836-3861
References
Adlof, S. M., & Hogan, T. P. (2019). If we don’t look, we won’t see: Measuring language development
to inform literacy instruction. Policy Insights from the Behavioral and Brain Sciences, 6(2), 210–217.
https://doi.org/10.1177/2372732219839075
Al Otaiba, S., Wagner, R. K., & Miller, B. (2014). “Waiting to fail” redux: Understanding inadequate
response to intervention. Learning Disability Quarterly, 37(3), 129–133. https://doi.org/10.1177/
0731948714525622
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry,
40(1), 57–87. https://doi.org/10.1111/1469-7610.00424
Bannatyne, A. (1974). Diagnosis: a note on recategorization of the wisc scaled scores. Journal Of
Learning Disabilities, 7, 272-274.
Bishop, D. V., Snowling, M. J., Thompson, P. A., & Greenhalgh, T. (2017). Phase 2 of CATALISE:
A multinational and multidisciplinary Delphi consensus study of problems with language devel-
opment: Terminology. Journal of Child Psychology and Psychiatry, 58(10), 1068–1080. https://doi.
org/10.1111/jcpp.12721
Bishop, D. V. M., & Adams, C. (1990). A prospective study of the relationship between specific
language impairment, phonological disorders and reading retardation. Journal of Child
Psychology and Psychiatry, 31(7), 1027–1050. https://doi.org/10.1111/j.1469-7610.1990.tb00844.x
Bishop, D. V. M., & Snowling, M. J. (2004). Developmental dyslexia and specific language impairment:
Same or different? Psychological Bulletin, 130(6), 858–888. https://doi.org/10.1037/0033-2909.130.
6.858
Carroll, J., Maughan, B., Goodman, R., & Meltzer, H. (2005). Literacy difficulties and psychiatric
disorders: Evidence for co-morbidity. Journal of Child Psychology and Psychiatry, 46(5), 524–532.
https://doi.org/10.1111/j.1469-7610.2004.00366.x
Castles, A., Rastle, K., & Nation, K. (2018). Ending the reading wars: Reading acquisition from novice
to expert. Psychological Science in the Public Interest, 19(1), 5–51. https://doi.org/10.1177/
1529100618772271
Catts, H. W., Adlof, S. M., Hogan, T. P., & Ellis Weismer, S. (2005). Are specific language impairment
and dyslexia distinct disorders? Journal of Speech, Hearing and Language Research, 48(6),
1378–1396. https://doi.org/10.1044/1092-4388(2005/096)
Connor, C. M., Morrison, F. J., Fishman, B., Crowe, E. C., Al Otaiba, S., & Schatschneider, C. (2013).
A longitudinal cluster-randomized controlled study on the accumulating effects of individualized
literacy instruction on students’ reading from first through third grade. Psychological Science, 24
(8), 1408–1419. https://doi.org/10.1177/0956797612472204
Elliott, J. G., & Grigorenko, E. L. (2014). The dyslexia debate. Cambridge University Press.
Evans, R. J. W. (2020). A Pioneer in Context: T R Miles and the Bangor Dyslexia Unit. Oxford Review of
Education, 46(4), this issue.
Fletcher, J. M., & Vaughn, S. (2009). Response to intervention: Preventing and remediating academic
difficulties. Child Development Perspectives, 3(1), 30–37. https://doi.org/10.1111/j.1750-8606.2008.
00072.x
Francis, D. A., Caruana, N., Hudson, J. L., & McArthur, G. M. (2019). The association between poor
reading and internalising problems: A systematic review and meta-analysis. Clinical Psychology
Review, 67, 45–60. https://doi.org/10.1016/j.cpr.2018.09.002
OXFORD REVIEW OF EDUCATION 511
Gillberg, I., & Gillberg, C. (1989). Children with preschool minor neurodevelopmental disorders. IV:
Behaviour and school achievement at age 13. Developmental Medicine and Child Neurology, 31(1),
3–13. https://doi.org/10.1111/j.1469-8749.1989.tb08406.x
Göbel, S. M., & Snowling, M. J. (2010). Number-processing skills in adults with dyslexia. Quarterly
Journal of Experimental Psychology, 63(7), 1361–1373. https://doi.org/10.1080/
17470210903359206
Gooch, D. C., Hulme, C., Nash, H. M., & Snowling, M. J. (2014). Comorbidities in preschool children at
risk of dyslexia: The role of language ability. Journal of Child Psychology and Psychiatry, 55(3),
237–246. https://doi.org/10.1111/jcpp.12139
Griffiths, Y. M., & Snowling, M. J. (2001). Auditory word identification and phonological skills in
dyslexic and average readers. Applied Psycholinguistics, 22(3), 419–439. https://doi.org/10.1017/
S0142716401003071
Harm, M. W., & Seidenberg, M. S. (1999). Phonology, reading acquisition and dyslexia: Insights from
connectionist models. Psychological Review, 106(3), 491–528. https://doi.org/10.1037/0033-295X.
106.3.491
Hulme, C., Bowyer-Crane, C., Carroll, J., Duff, F., & Snowling, M. J. (2012). The causal role of phoneme
awareness and letter-sound knowledge in learning to read: Combining intervention studies with
mediation analyses. Psychological Science, 23(6), 572–577. https://doi.org/10.1177/
0956797611435921
Hulme, C., & Melby-Lervåg, M. (2015) Educational interventions for children’s learning difficulties. In
Thapar, A., Pine, D., Lackman, J., Scott, S., Snowling, M.J. & Taylor, E. (Eds). Rutter’s Textbook of
Child and Adolescent Psychiatry (6th Edition), (pp 533-544). London: Wiley-Blackwell.
Hulme, C., Nash, H. M., Gooch, D., Lervåg, A., & Snowling, M. J. (2015). The foundations of literacy
development in children at familial risk of dyslexia. Psychological Science, 26(12), 1877–1886.
https://doi.org/10.1177/0956797615603702
Kirby, P. (2020 Dyslexia debated, then and now: a historical perspective on the dyslexia debate.
Oxford Review of Education, 46(4), this issue.).
Kirby, P. (2019). Literacy, advocacy and agency: The campaign for political recognition of dyslexia in
Britain (1962–1997). Social History of Medicine. hkz030. https://doi.org/10.1093/shm/hkz030
Kohnen, S., Nickels, L., Castles, A., Friedmann, N., & McArthur, G. M. (2012). When ‘slime’ becomes
‘smile’: Developmental letter position dyslexia in English. Neuropsychologia, 50(14), 3681–3692.
https://doi.org/10.1016/j.neuropsychologia.2012.07.016
Landerl, K., & Moll, K. (2010). Comorbidity of learning disorders: Prevalence and familial transmission.
Journal of Child Psychology and Psychiatry, 51(3), 287–294. https://doi.org/10.1111/j.1469-7610.
2009.02164.x
Malone, S. A., Burgoyne, K., & Hulme, C. (in press). Number knowledge and the approximate number
sense are two critical foundations for early arithmetic development. Journal of Educational Psychology.
https://doi.org/10.1037/edu0000426
Maughan, B., Rutter, M., & Yule, G. (2020). The Isle of Wight studies: the scope and scale of reading
difficulties. Oxford Review of Education, 46(4), this issue.
McArthur, G., Eve, P. M., Jones, K., Banales, E., Kohnen, S., Anandakumar, T., & Castles, A. (2012).
Phonics training for English-speaking poor readers. Cochrane Database of Systematic Reviews, 12.
https://doi.org/10.1002/14651858.CD009115.pub2
McArthur, G. M., Hogben, J. H., Edwards, V. T., Heath, S. M., & Mengler, E. D. (2000). On the ‘specifics’
of specific reading disability and specific language impairment. Journal of Child Psychology and
Child Psychiatry, 41(7), 869–874. https://doi.org/10.1111/1469-7610.00674
Melby-Lervåg, M., & Lervåg, A. (2014). Effects of educational interventions targeting reading com-
prehension and underlying components. Child Development Perspectives, 8(2), 96–100. https://
doi.org/10.1111/cdep.12068
Miciak, J., Fletcher, J. M., Stuebing, K. K., Vaughn, S., & Tolar, T. D. (2014). Patterns of cognitive
strengths and weaknesses: Identification rates, agreement, and validity for learning disabilities
identification. School Psychology Quarterly, 29(1), 21–37. https://doi.org/10.1037/spq0000037
512 M. J. SNOWLING ET AL.
Moll, K., Landerl, K., Snowling, M. J., & Schulte-Körne, G. (2018). Understanding comorbidity of
learning disorders. Journal of Child Psychology and Psychiatry, 60(3), 286–294. https://doi.org/10.
1111/jcpp.12965
Moll, Kristina, Snowling, M J.., & Hulme, Charles. (2020). Introduction to the special issue “comorbid-
ities between reading disorders and other developmental disorders”. Scientific Studies Of Reading,
24(1), 1–6. doi: 10.1080/10888438.2019.1702045
Morais, J., & Kolinsky, R. (2005). Literacy and cognitive change. In M. J. Snowling & C. Hulme (Eds.),
The science of reading: A handbook (pp. 188–204). Blackwell.
Naidoo, S. (1972). Specific dyslexia. Pitman Publishing.
Nation, K., & Mak, M. H. C. (2019). Orthographic learning and learning to read: Implications for
developmental dyslexia. In D. L. Compton, J. Washington, & P. McCardle (Eds.), Dyslexia 101:
Revisiting etiology, diagnosis, treatment and policy, pp.71–81. Brookes Publishing.
Nation, K., & Snowling, M. J. (1998). Semantic processing and the development of word-recognition
skills: Evidence from children with reading comprehension difficulties. Journal of Memory and
Language, 39(1), 85–101. https://doi.org/10.1006/jmla.1998.2564
Orton, S. T. (1937). Reading, writing and speech problems in children. Chapman & Hall.
Pennington, B. F. (2006). From single to multiple deficit models of developmental disorders.
Cognition, 101(2), 385–413. https://doi.org/10.1016/j.cognition.2006.04.008
Pennington, B. F., & Bishop, D. (2009). Relations among speech, language, and reading disorders.
Annual Review of Psychology, 60(1), 283–306. https://doi.org/10.1146/annurev.psych.60.110707.
163548
Perry, C., Zorzi, M., & Ziegler, J. C. (2019). Understanding dyslexia through personalized large-scale
computational models. Psychological Science, 30(3), 386–395. https://doi.org/10.1177/
0956797618823540
Rochelle, K. S. H., & Talcott, J. B. (2006). Impaired balance in developmental dyslexia? A meta-analysis
of contending evidence. Journal of Child Psychology and Psychiatry, 47(11), 1159–1166. https://
doi.org/10.1111/j.1469-7610.2006.01641.x
Rose, J. (2009). Identifying and teaching children and young people with dyslexia and literacy difficulties
(DCSF-00659-2009). DCSF Publications. http://webarchive.nationalarchives.gov.uk/
20091004042342/http://www.dcsf.gov.uk/jimroseanddyslexia/
Saksida, A., Iannuzzi, S., Bogliotti, C., Chaix, Y., Démonet, J. F., Bricout, L., Billard, C., Nguyen-Morel, M.-
A., Le Heuzey, M.-F., Soares-Boucaud, I., George, F., Ziegler, J. C., & Ramus, F. (2016). Phonological
skills, visual attention span, and visual stress in developmental dyslexia: Insights from
a population of French children. Developmental Psychology, 52(10), 1503–1516. https://doi.org/
10.1037/dev0000184
Seidenberg, M. (2017). Language at the speed of sight: How we read, why so many cannot, and what
can be done about it. Basic Books.
Seidenberg, M. S., & McClelland, J. L. (1989). A distributed, developmental model of word recogni-
tion and naming. Psychological Review, 96(4), 523. https://doi.org/10.1037/0033-295X.96.4.523
Shankweiler, D., Liberman, I. Y., Mark, L. S., Fowler, C. A., & Fischer, F. W. (1979). The speech code and
learning to read. Journal of Experimental Psychology: Human Learning and Memory, 5(6), 531–545.
https://doi.org/10.1037/0278-7393.5.6.531
Snowling, M., & Hulme, C. (1989). A longitudinal case study of developmental phonological dyslexia.
Cognitive Neuropsychology, 6(4), 379–401. https://doi.org/10.1080/02643298908253289
Snowling, M., & Hulme, C. (1994). The development of phonological skills. Philosophical Transactions
of the Royal Society of London. Series B: Biological Sciences, 346(1315), 21–27. https://doi.org/10.
1098/rstb.1994.0124
Snowling, M. J. (2019). Dyslexia: A very short introduction. Oxford University Press.
Snowling, M. J., Hayiou-Thomas, M. E., Nash, H. M., & Hulme, C. (2019, October 29). Dyslexia and
developmental language disorder: Comorbid disorders with distinct effects on reading
comprehension. Journal of Child Psychology and Psychiatry, published online. https://doi.org/10.
1111/jcpp.13140
Snowling, M. J., & Melby-Lervåg, M. (2016). Oral language deficits in familial dyslexia: A meta-analysis
and review. Psychological Bulletin, 142(5), 498–545. https://doi.org/10.1037/bul0000037
OXFORD REVIEW OF EDUCATION 513
Snowling, M. J., Nash, H. M., Gooch, D. C., Hayiou-Thomas, M. E., & Hulme, C., & Wellcome Language
and Reading Project Team. (2019). Developmental outcomes for children at high risk of dyslexia
and children with developmental language disorder. Child Development, 90(5), e548–e564. doi:
10.1111/cdev.13216
Stanovich, K. E. (1986). Matthew effects in reading: Some consequences of individual differences in
the acquisition of literacy. Reading Research Quarterly, 21(4), 360–364. https://doi.org/10.1177%
2F0022057409189001-204
Stanovich, K. E. (1991). Discrepancy definitions of reading disability: Has intelligence led us astray?.
Reading Research Quarterly, 26(1), 7–29. https://doi.org/10.2307/747729
Stanovich, K. E., & Siegel, L. S. (1994). Phenotypic performance profile of children with reading
disabilities: A regression-based test of the phonological-core variable-difference model. Journal
of Educational Psychology, 86(1), 24–53. https://doi.org/10.1037/0022-0663.86.1.24
Vellutino, F. R., Fletcher, J. M., Snowling, M. J., & Scanlon, D. M. (2004). Specific reading disability
(dyslexia): What have we learned in the past four decades? Journal of Child Psychology &
Psychiatry, 45(1), 2–40. https://doi.org/10.1046/j.0021-9630.2003.00305.x
Wechsler, D. (1974). Selected papers of David Wechsler. Academic Press.
White, S., Milne, E., Rosen, S., Hansen, P., Swettenham, J., Frith, U., & Ramus, F. (2006). The role of
sensorimotor impairments in dyslexia: A multiple case study of dyslexic children. Developmental
Science, 9(3), 237–255. https://doi.org/10.1111/j.1467-7687.2006.00483.x
Whyte, W. (2020). Class and Classification: The London Word Blind Centre for Dyslexic Children,
1962-1972. Oxford Review of Education, 46(4), this issue.