Learning with disabilities


Nonverbal Learning Disorders

There is no question that mostdid in 1975) that nonverbal learning
scholastic accomplishments are measureddisabilities "are more debilitating than
and defined through language-basedverbal disabilities." The specific
communication. Yet, it has been foundcentral processing abilities and
that more than 65% of all communicationdeficits that characterize this syndrome
is actually conveyed nonverbally. We areare now well defined. Still, nonverbal
all familiar with "non-verballearning disorders remain predominantly
communication," but few professionalsmisunderstood and largely go
have been specifically trained to lookunrecognized.
for deficits in this area. AlthoughA child's earliest mode of communication
intelligence measures are designed toshould be nonverbal. Both parents and
evaluate both the verbal and nonverbalteachers will often suspect that
aspects of intelligence, educators tend"something is amiss" early on, but they
to ignore evidence of nonverbalcan't quite "put a finger on it." Three
deficiencies in students. Or worse, theycategories of dysfunction present
brand students with nonverbal learningthemselves: (1) motoric (lack of
disabilities as "problem" children.coordination, severe balance problems
We are all aware of the important roleand/or difficulties with fine
language plays in human learning. Thegraphomotor skills), (2)
competence of an individual, in ourvisual-spatial-organizational (lack of
present-day society, is most oftenimage, poor visual recall, faulty
judged by their verbal proficiencies. Aspatial perceptions, and/or difficulties
person who speaks eloquently and has awith spatial relations), and (3) social
well-developed vocabulary tends to be(lack of ability to comprehend nonverbal
accorded more credibility than ancommunication, difficulties adjusting to
individual who makes constanttransitions and novel situations, and/or
grammatical errors and demonstrates asignificant deficits in social judgment
limited vocabulary. A student who hasand social interaction).
innate difficulties reading, spelling,Early consultation with a school
and/or expressing herself stands out inpsychologist or family physician
most classroom situations. And likewise,typically only serves to dismiss or
a student who is a top reader, achievesminimize a teacher's or parent's worries
excellent spelling scores, and expressesabout this child. More often than not,
herself articulately usually does notparents are assured that everything is
prompt her teacher to consider afine; perhaps their child is "just a
learning disorder. But, this is oftenperfectionist" or "immature" or "bored
exactly the presentation a child withwith the way things are normally done"
nonverbal learning disabilities (NLD)or "a bit clumsy." Rarely are a parent's
syndrome manifests in the earlyor teacher's concerns given any credence
elementary grades.until the child reaches a point in
Nonverbal learning disorders (alsoschool where he is no longer able to
called "right-hemisphere learningfunction given the limitations of his
disorders") often go unrecognized anddisability and/or, in some cases, the
unaided by teachers and otherchild suffers a "nervous breakdown" (or
professionals for a large part of aworse).
child's schooling. Overall, there hasThe child with nonverbal learning
been an inadequate awareness of thedisorders commonly appears awkward and
underlying causes for the difficultiesis, in fact, inadequately coordinated in
these students encounter in school.both fine and gross motor skills. She
There are currently few resourcesmay have had extreme difficulty learning
available for the child with NLDto ride a bike or to kick a soccer ball.
syndrome through schools or privateFine motor skills, such as cutting with
agencies. It is still difficult to findscissors or tying shoe laces, seem to be
a professional who understands nonverbalimpossible for this child to master. She
learning disabilities. These children"talks her way through" even simple
are often labeled "behavior problems" ormotor activities. A young child with NLD
"emotionally disturbed" because of theiris less likely to explore her
frequent inappropriate and unexpectedenvironment motorically because she
conduct, but NLD is known to have acannot rely upon her kinesthetic
neurological rather than a deliberateprocessing and spatial perceptions. This
and/or an emotional origin.child learns little from experience or
The NLD syndrome reveals itself inrepetition and is unable to generalize
impaired abilities to organize theinformation.
visual-spatial field, adapt to new orIn the early years, such a child may
novel situations, and/or accurately readappear "confused" much of the time (he
nonverbal signals and cues. It appearsis confused) despite a high intelligence
to be the reverse syndrome of dyslexia.and high scores on receptive and
Although academic progress is made, suchexpressive language measures. Closer
a student will have difficultyobservation will reveal a social
"producing" in situations where speedineptness brought about by
and adaptability are required. Whereasmisinterpretations of body language and
language-based learning disorders haveor tone of voice. This child is unable
been shown to be genetic in origin,to "look and learn." He does not
heredity has not, as yet, been linked toperceive subtle cues in his environment
NLD. It is known that nonverbal learningsuch as: when something has gone far
disabilities involve the performanceenough; the idea of personal "space";
processes (generally thought ofthe facial expressions of others; or
neurologically as originating in thewhen another person is registering
right cerebral hemisphere of the brain,pleasure (or displeasure) in a nonverbal
which specializes in nonverbalmode.
processing).These are all social "skills" that are
Brain scans of individuals with NLDnormally grasped intuitively through
often confirm mild abnormalities of theobservation, not directly taught. If a
right cerebral hemisphere. Developmentalchild is constantly admonished with the
histories have revealed that a number ofwords, "I shouldn't have to tell you
the children suffering from nonverbalthis!," this should alert everyone that
learning disorders who have come tosomething is awry because you do have to
clinical attention have at some timetell them (everything). The child's
early in their development: (1)verbal processing may be proficient, but
sustained a moderate to severe headit can be impossible for her to receive
injury, (2) received repeated radiationand comprehend nonverbal information.
treatments on or near their heads over aSuch a child will cope by relying upon
prolonged period of time, (3) congenitallanguage as her principal means of
absence of the corpus callosum, (4) beensocial relating, information gathering,
treated for hydrocephalus, or (5)and relief from anxiety. As a result,
actually had brain tissue removed fromshe is constantly being told, "You talk
their right hemisphere.too much!"
All of these neurological insultsThe child with NLD often develops an
involve significant destruction of whiteexceptional memory for rote material; a
matter (long myelinated fibers in thecoping skill he has had to hone in order
brain) connections in the rightto survive. Since the nonverbal
hemisphere, which are important forprocessing area of his brain is not
intermodal integration. Hence, currentgiving him the needed automatic
evidence and theories suggest that earlyfeedback, he relies solely upon his
damage (disease, disorder, ormemory of past experiences, each of
dysfunction) of the right cerebralwhich he has labeled verbally, to guide
hemisphere and/or diffuse white matterhim in future situations. This, of
disease, which leaves the leftcourse, is less effective and less
hemisphere (unimodal) system to functionreliable than being able to sense and
on its own, is the contributing cause ofinterpret another person's social cues
the NLD syndrome (definitely not(because of the vast array of
dysfunctional home lives). Clinically,differences in human nature).
this learning disorder classificationCumbersome monologues are another trait
resembles an adult patient with a severeof a child with nonverbal learning
head injury to the right cerebraldisabilities. Normal conversational
hemisphere, both symptomatically and"give and take" seems to elude her.
behaviorally.Teachers complain of a child who "talks
Nonverbal learning disorders appear muchincessantly" and parents resolve, "She
less frequently than language-basedjust doesn't seem to know when to be
learning disorders. Whereas it isquiet!" Owing to visual-spatial
approximated that about 10% of thedisturbances, it is difficult for this
general population could be found tochild to change from one activity to
have identifiable learning disabilities,another and/or to move from one place to
it is thought that only 1 to 10% ofanother. A child with NLD uses all of
those individuals would be found to haveher concentration and attention to
NLD (or between 1.0 to 0.1% of themerely get through a room. Imagine the
general population). Unlikefrustration produced when attempting to
language-based learning disabilities,function in a complicated and/or new
the NLD syndrome affects females associal situation. Owing to her inability
often as males (approximately 1:1 sexto "handle" such informational
ratio) and incidence of left-handednessprocessing demands, she will
is uncommon.instinctively avoid any kind of novelty.
Even though NLD is, by definition, aThe importance of identifying and
"low incidence disability," there areservicing children with nonverbal
indications that, as school assessmentlearning disorders is especially acute.
intervention procedures improve, aOverestimates of the child's abilities
higher proportion of children will beand unrealistic demands made by parents
identified with the NLD syndrome. Theand teachers can lead to ongoing
low rate of occurrence (as low as 1 outemotional problems. A favorable
of 1,000), is no excuse for the lack ofprognosis seems to depend upon early
identification and services victims ofidentification and accommodation. The
this devastating impairment currentlychild with NLD is particularly inclined
receive. The symptoms are distinct andtoward seriously debilitating forms of
display themselves early in a child'sinternalizing psychopathology, such as
development.depression, withdrawal, anxiety, and in
The discovery of the NLD syndrome begansome cases, suicide.
in the early 1970s, with researchDr. Byron P. Rourke of the University of
involving groups of children withWindsor and his associates have found
learning disabilities identified bythat nonverbal learning disabilities
discrepancies between their verbal and"predispose those afflicted to
performance IQs. It is unfortunate thatadolescent and adult depression and
25 years later, even professionals insuicide risk." The child with NLD is
the field of education are largelyregularly punished and picked on for
uninformed about and/or unfamiliar withcircumstances he cannot help, without
nonverbal learning disorders as theseever really understanding why, and he is
disabilities can be much morein turn often left with little hope that
devastating to a child thanhis situation will ever improve. After
language-based learning disorders in theamassing years of embarrassing and
long run.misconceived unintentional social
Since diminished access to and/orblunders, it is not too difficult to
disordered functioning of thecomprehend how a person with nonverbal
right-hemisphere systems impedes alllearning disorders could come to the
understanding and adaptive learning, itconclusion that his environment is not
is fair to say (as Helmer R. Myklebuststructured to accommodate him.



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