TYPES OF READING DIFFICULTIES

Reading difficulties can appear in many different forms and each child may need a different
approach to how they are supported in improving their reading skills. It is therefore important to
know about the different types of reading difficulties and the errors a child makes so that you can
identify which specific aspect of reading they are finding difficult. The correct intervention plan
can then be put in place. The different types of Dyslexia/ reading difficulties include:
1.Dysphonesia: (Auditory) Children in this category have difficulty in reading (decoding) words
and spelling (encoding) words. It is also known as Auditory Dyslexia, Phonological Dyslexia,
or Dysphonetic dyslexia. Learners with difficulty often are able to memorise sight words but
cannot sound out new ones or figure out what they are. Often in the earlier grades, their reading
difficulty is not always picked up because many of the words can be learnt by sight. Their
spelling is however generally very weak. Errors in spelling show a lack of phonetic knowledge
while errors in reading include substitutions based on small clues and are also semantic.
2.Dyseidesia: (Visual) (Also known as Surface Dyslexia or Visual Dyslexia). Children with this
type of RD have difficulty in recognising sight words and spend a great deal of time decoding
word by word as they read. This affects their reading speed significantly. Children with the
dyseidetic type of dyslexia are able to sound out individual letters phonetically but have trouble
identifying patterns of letters in groups. Their spelling tends to be phonetic even when incorrect
(laf for laugh). Children in this group have deficits in vision and memory of letters and word
shapes, making it difficult for them to develop a sight vocabulary. However, they have the ability
to acquire adequate phonetic skills.
3.Dysnemkinesia: (Motor) Reversal problems in writing and printing. This literally means “poor
memory of motor movements and this type involves number and letter reversals. It involves the
frontal lobe, left hemisphere for right handed and right hemisphere for left handed. These
children are identified quite easily as they tend to reverse b/d p/q and words such as no (on) and
saw (was)
4.Dysphoneidesia: A combination of Dysphoneisa and Dyseidesia; this is also called Mixed
Dyslexia. This is a combination of phonological and visual Dyslexia. These students have severe
deficits in reading as well as visual motor integration and working memory.
5.Dysnemkineidesia: A combination of motor difficulties (writing) and sight word recogntion.
6.Dysnemkinphonesia: A combination of phonetic and motor dyslexia
7.Dysnemkinphoneidesia: A combination of phonetic awareness, motor difficulties and sight
word recognition.

Overview
The majority of students who are referred for academic concerns and/or have been identified as
having a specific learning disability have difficulties in the area of reading. Among the
population of students with learning disabilities, an estimated 80%have reading disabilities
(Lerner, 1993). Students with poor reading skills are becoming more apparent to educators and
parents due to the results found on criterion-referenced, high stakes mandatory testing that most
schools nationwide have incorporated across grade levels.
The National Assessment of Educational Progress (NAEP; 1997) reported that 40% of fourth
graders, 30% of eighth graders, and 25% of twelfth graders were reading below grade level. The
percentages are even higher and the gaps even wider between grade levels in schools
predominately made up of free or reduced lunch eligible student populations (Snow, Burns, &
Griffin, 1998). Therefore, it is imperative that school psychologists work with a team of
professionals to help students with reading problems by designing interventions from data-based
decision-making activities. While data based decision-making practices will be touched upon
briefly to establish their important link to targeting interventions, another chapter in this volume
more fully addresses diagnostic and assessment issues in the identification of students with
reading problems.
This chapter addresses intervention needs of students who have been formally diagnosed with
reading disabilities. It also addresses students who may not meet formal criteria for a learning
disability in the area of reading but who struggle with identifying and comprehending written
language. Moreover, this chapter is congruent with the consultation/problem-solving orientation
toward the practice of school psychology and discusses data-based intervention planning without
placing emphasis on formal classification.
Problems in reading can affect performance across several academic content areas, occupational
endeavors, and other functional skills that are used in everyday life activities. The task of the
school psychologist is to work with teachers and parents to define those problems through data-
based decision-making methods, to target interventions to address the problems, and to help
implement and evaluate those interventions. Specifically, this chapter will describe briefly the
characteristics associated with reading problems, delineate a problem-solving/data-based
decision-making process to develop effective interventions, and finally focus on a variety of
interventions that can be used to address different types of reading problems.
Basic considerations
Characteristics of students with reading problems
Two types of students with reading problems that school psychologists and educators are likely
to encounter are students with IQ-reading achievement discrepancies and students with a
combination of low ability and low reading achievement. Students who have IQ-reading
achievement discrepancies tend to have average to high average IQ and listening comprehension
scores (Aaron & Joshi, 1992). Children with developmental dyslexia are included in this group
of poor readers. Dyslexia is often associated with some neurological impairment that results in
poor word recognition skills including phonological processing. Slow rate of reading, erratic oral
reading, misuse of function words and suffixes, and reading comprehension difficulties on timed
reading tasks are among the symptoms commonly associated with dyslexia (Aaron & Joshi,
1992).
Low ability readers make up the largest number of poor readers. They tend to have lower than
average IQ and have below grade level listening comprehension, word recognition, and reading
comprehension performance. Although we tend to classify children with severe reading problems
as low ability readers or IQ-achievement discrepant readers, current research indicates that there
are no significant differences between these two groups of readers on how they develop reading
precursor skills (Wristers, Francis, Foorman, Fletcher, & Swank, 2000).
Earlier research conducted by Stanovich and Siegal (1994) also suggested that IQ did not predict
reading difficulties among low ability (garden variety readers) and IQ-discrepant readers.
Instead, they found that phonological core variables were better predictors of reading skills.
Therefore, differential diagnoses based on IQ scores do not yield different growth patterns in
reading development. For this reason, the remainder of this section will describe poor readers
according to specific cognitive processes and behaviors they exhibit rather than according to
diagnostic categories.
Poor readers with word recognition difficulties generally over rely on textual cues such as
pictures and other words to identify words in a passage that are unknown to them (Kim & Goetz,
1994). Overusing textual cues to identify unknown words reduces the likelihood of transforming
unknown words into sight words (Pressley, 1998). Many errors are made when children use
semantic contextual approaches rather than sounding out words. Children need opportunities to
sound out words even if this means they have to struggle (Adams & Henry, 1997). This may be
easier said than done as many children do not know how to begin to sound out words. Some poor
readers have limited letter-level knowledge or an understanding of the alphabetic principle.
Typically, these types of readers are limited to being able to sound out only the beginning letter
of a word.
The inability to sound out words can be attributed to phonological processing difficulties. Weak
phonological processing accounts for the largest population of students classified as having
dyslexia or individuals with severe word recognition difficulties (Pressley, 1998). Phonological
awareness is a crucial component to becoming literate. This has been verified through studies
that examined long-term effects of phonological awareness training in preschool and
kindergarten on subsequent reading achievement performance of first, second, and third graders
(Ball & Blachman, 1991; Byrne & Fielding-Barnsley, 1993).
Phonemic awareness is knowing that spoken language is made up of discrete, operable sounds.
Rhyme production, sound blending, sound deletion, sound substitution, and sound segmenting
are among the many ways individuals can operate on spoken words. Developmentally, children
begin with rhyme activities and then progress to segmenting sounds in words. Among phonemic
awareness exercises, phonemic segmentation is the best predictor of word identification for
primary grade children (Nation & Hulme, 1997). An example of a phonemic segmentation
exercise would be to pronounce a word such as "cat" and ask a child to say each sound as three
separable sounds in the word such as /c/ /a/ /t/.
Some children develop phonemic awareness through literacy experiences at home before
entering school while others have limited exposure to print and role models who engage in
reading and writing. Some children, regardless of their environmental conditions, struggle with
grasping phonemic awareness. Thus, children who lack phonological skills and have a limited
vocabulary will have difficulty phonologically "recoding" letters back into their constituent
sounds when they encounter print (McCormick, 1999).
When most children initially encounter a printed word, they go through a process of sequentially
decoding the word by attempting to make letter-sound conversions. Phonological recoding
occurs as children check to see if the word they made matches a word that has been stored in
their memories (Daneman, 1991). At advanced stages of this process, children learn to decode
words hierarchically. Hierarchical decoding involves using letters in words to cue the sounds of
other letters. For example, using the "e" at the end of the word "came" to say the "a" as a long
vowel sound.
Related to phonological recoding is orthographic processing. Orthographic processing refers to
recognizing and remembering letters which includes noting sequences of letters in words and
being able to distinguish among spelling patterns of words. Although smaller in population
compared to those with phonological deficits, some children with reading and spelling problems
have difficulty processing words orthographically (Stanovich & West, 1989).
Children need to become automatic at recognizing words to free up their cognitive energies to
gain meaning from text. Poor readers not only struggle with recognizing words in text but also
have difficulty suppressing irrelevant information in text which places limitations on the use of
their short term capacity for comprehending printed material (Pressley, 1998). These students
have particular difficulty grasping an understanding of texts that contain words with multiple
meanings (McCormick, 1999).
Beyond the word reading level, poor readers have difficulty making inferences about the content
presented in text. Poor readers do not connect ideas well and may not grasp the conceptual nature
of the material. Problems with making inferences are partly due to poor readers' lack of prior
knowledge about the content. On the other hand, good readers read more and gain more
knowledge each time they read material.
Good readers also have a repertoire of comprehension strategies to help them construct meaning
from text. Poor readers know very few, if any, strategies that aid in the construction of meaning
from text and strategies for monitoring understanding of text (Pressley, 1998).
Collaborative team model
Regardless of their diagnostic label, poor readers get poorer without the benefit of effective
instruction. This notion is what Stanovich (1986) coined the "Mathew Effects" in reading. In
order to prevent the retention of weak literacy skills, appropriate stake-holders such as school
psychologists, general education teachers, special education teachers, speech and language
specialists, reading specialists, administrators, and parents need to initially establish collective
efficacy about the relationship between instruction and performance. In fact, an increase in
reading achievement occurred in schools where beliefs about teaching and learning competencies
were shared collectively by stakeholders (Goddard, Hoy, & Woolfolk-Hoy, 2000).
Once collective beliefs have been established, collaborative problem solving among interested
stakeholders should occur within a data-based decision-making framework. In other words, the
process of linking assessment to intervention needs to be shared by the appropriate
multidisciplinary team members. Team members need to share the responsibility for determining
students' skill levels, identifying instructional environment variables, targeting appropriate
interventions, monitoring student progress as a function of interventions, and evaluating
outcomes. These responsibilities are carried out though data-based intervention methods.
Data-based intervention methods
Before describing interventions that help students with word identification and reading
comprehension skills, it is imperative to discuss the bases for why some interventions are
targeted for implementation over others. Decisions made without systematic data collection may
result in targeting inappropriate interventions that further exacerbate students' struggles with
reading.
When a student experiences difficulty with reading, professionals and other interested
stakeholders (i.e., family members) should work in a collaborative fashion by collecting data to
define the problem in observable terms. Data can be gathered through various methods according
to the nature and severity of the reading problem. For instance, school psychologists may be
responsible for conducting systematic observations of students engaged in oral reading and
comprehension exercises. This is a good way to begin gathering data.
Following observations, school psychologists may conduct interviews with students and teachers
to uncover information that was not detected by observation. Teacher and student interviews can
be helpful in gaining information about perceived expectations of competence in literacy and to
ascertain efficacious behaviors toward meeting learning goals. Examples of teacher and student
interviews can be found in Shapiro's (1996) Academic Skills Problems Workbook. Systematic
observations coupled with interviews may be sufficient depending on students' needs or may
further guide team members in choosing other appropriate reading assessments that are sensitive
to specific difficulties as well as provide baseline measures of performance. Types of reading
assessments may include informal reading inventories, curriculum-based measures, miscue
analysis inventories, criterion-referenced tests, and standardized diagnostic reading achievement
tests.
Practitioners are cautioned about the use of test scores derived from these assessments because
they may not be as helpful for targeting interventions in contrast to the strategies students use or
fail to use while attempting items involving identifying and understanding print. This is
especially the case for students who are older and can identify words accurately but not
automatically (Snow, Burns, & Griffin, 1998) and who may take a long time deriving correct
answers to comprehension questions about text.
Once interventions are targeted and implemented from assessment information, treatment
integrity needs to be assessed. This means that interventions need to be applied consistently as
designed. For a comprehensive discussion about this important aspect of implementing
interventions, please see Telzrow's chapter on intervention integrity in this volume. Progress
monitoring of student performance over time is another critical component that needs to occur to
assess whether or not interventions are effective for meeting students' literacy needs.
Curriculum-based measures and other informal measures (e.g., teacher-made probes and
informal reading inventories) that indicate specified criterion levels of performance can serve as
appropriate assessments for progress monitoring of student performance. School psychologists
may support teachers by helping them monitor student progress over time in a systematic
fashion. Students should also be encouraged to engage in progress monitoring activities. Graphic
representations of data may provide a visual description of whether interventions have been
appropriately targeted and applied. The following case study illustrates the use of various
assessments that aided in targeting an intervention and conducting systematic progress
monitoring.
Case study of Rick
Rick was a third-grade youngster with an attention-deficit hyperactivity disorder and learning
disability in reading and written expression. His special education teacher consulted with the
school psychologist about intervention suggestions for Rick. The school psychologist conducted
systematic observations of Rick during oral reading and spelling activities. Observations
revealed difficulty with making letter-sound correspondences while attempting to identify basic
high frequency words with consonant-vowel-consonant patterns. A teacher and a student
interview was conducted, and it was determined that Rick was provided with a buddy to read
stories and to assist with classroom assignments. Rick reported that he would feel anxious about
completing reading assignments if he did not have his buddy's assistance. Without assistance,
Rick was asked to read and spell a list of 100 words with consonant-vowel-consonant patterns. It
was determined from this assessment that Rick could only read 5 out of the 100 words on the list.
Interestingly, he was able to spell 90% of the words on the list.
The school psychologist assisted the special education teacher in developing procedures
including integrity checks during baseline, intervention, and maintenance sessions. Baseline
word identification and spelling probes were developed and consisted of 10 words that were
randomly selected from a list of 100 words. The 10-item probe was given over three sessions. It
was determined that Rick's mean identification score was 5.0, and his mean spelling score was
8.6. Word boxes, an intervention described in detail in the intervention section of this chapter,
was implemented to help Rick make letter-sound correspondences while attempting to identify
words.
Word identification and spelling probes were administered daily at the completion of
intervention. They contained sets of words with consonant-vowel-consonant patterns taken from
the list of 100 words. Rick obtained a mean score of 8.6 on word identification probes and 9.8 on
spelling probes across instructional sessions. Maintenance probes were also administered, and
Rick maintained a high level of performance on probes. Figure 1 depicts a graphic representation
of Rick's word identification and spelling performance overtime.
Figure 1. Continuous progress monitoring of Rick's word identification and spelling
performance

Best practices
This section provides a description of evidenced-based instructional interventions for students
who have difficulty with word identification and reading comprehension. Since many
educational professionals are likely to be aware of some of the traditional approaches to literacy
instruction that have been used over many years, many of the approaches presented in this
section will be those that are considered contemporary approaches for meeting the needs of
diverse learners. Of course, the interventions described are not exhaustive of all approaches for
the amelioration of reading difficulties. For interventions, it should be realized that "one size
does not fit all." It may be desirable to modify or target other interventions based on sufficient
data obtained about the unique needs of individual students.
General components of effective instruction
Whether word identification or comprehension interventions are implemented, general
psychological components of teaching and learning that apply to how children acquire literacy
should be incorporated in lessons. Scaffolding, shaping, connecting to prior knowledge,
constructing meaning, motivating students, and providing opportunities to learn have been
considered among the key components of best literacy instructional practices (Gambrell,
Morrow, Neuman, & Pressley, 1999). School psychologists can work collaboratively with
educators by helping them incorporate the following critical components during instruction.
Scaffolding
Several instructional approaches to word identification and reading comprehension employ
scaffolding. Scaffolding, a term coined by Wood, Bruner, and Ross (1976), means that necessary
support needs to be given to a child and gradually faded once the child approximates
independent functioning while completing tasks. The concept of scaffolding is rooted in
Vygotsky's (1978) notions about how the mind develops through interactions between teachers
and students and how children may be able to achieve more anyone thinking about implementing
any of these than what was initially expected given the proper cultural tools. Examples of
scaffolding include teacher facilitation and feedback as well as appropriate instructional
materials that serve as supportive structures to make tasks solvable (Carnine, Silbert, &
Kame'enui, 1990). Instructors who embrace scaffolding procedures often are those who view
themselves and the materials they design or select as mediators of learners' development.
Shaping
A behavioral concept that is similar to scaffolding is shaping. Shaping, a term described by
Skinner (1957), means to elicit reinforcers for successive approximations toward completing an
objective. Delivering reinforcers for efforts made toward achieving a goal can be considered as
ways of providing support to students. This cannot be stressed enough when working with
children with reading difficulties.
Many children with severe reading problems will become extremely frustrated in the process of
becoming literate because they will not experience success immediately. Reinforcers may not
have been a systematic part of students' instructional histories. In other words, contingencies for
reading behavior may have been inconsistent or delivered haphazardly rather than in successive
approximations to desired reading behavior. These are the children who grow up and find
reading not enjoyable and may not experience reading as a reinforcer (e.g., gaining information
and pleasure). These individuals may later find themselves in limited employment and social
situations. Therefore, it is crucial that educators and parents shape reading behaviors through
praise and rewards contingent upon efforts made at achieving reading skills.
Connecting to prior knowledge
Effective instruction includes being aware of what students know. Assessing student's prior
understandings and experiences will help teachers facilitate links between what students know
and what they need to learn. How quickly one grasps information presented in text depends
largely on one's prior knowledge of the content (Gambrell et. al., 1999). Students with learning
problems often have limited prior knowledge and experiences on which to "hook" new
information. It is especially imperative that teachers provide opportunities for students to gain
background knowledge through discussions and activities before students are presented with text
that is foreign to them.
Constructing Meaning
While specific literacy skills are important to teach, educators must keep in mind that the
purpose of reading is to construct meaning from text. Capturing the plot of a story, following
instructions for putting things together, and learning about current events are among some of the
purposes for reading. Several scholars claim that children acquire decoding, spelling, grammar,
and comprehension skills more easily if the context from which they are presented is personally
meaningful (Gambrell et al., 1999). Higher-order reasoning and new meanings about text can
result from children who were provided with meaning-based literacy activities at school and
home.
Motivating students
Motivating students to read is a real challenge particularly for the upper elementary and
secondary school teachers. Studies have shown that kindergartners and first graders are more
likely to expend efforts toward reading even if they fail (Nicholls, 1990) while older students,
especially those with learning difficulties, are less willing to put forth effort if they do not
experience success (Jacobson, Lowery, & Ducette, 1986). Young children are more likely to
attribute their failures to insufficient effort while older students who struggle with reading often
attribute their failures to factors such as task difficulty and unfounded teacher perceptions (e.g.,
student feels teacher does not like him or thinks he is incapable).
Attribution retraining (i.e., helping students realize their efforts lead to desired outcomes)
coupled with strategy instruction has been found to be effective for helping low achieving
students improve on their use of reading strategies (Carr & Borkowski, 1989). Literacy activities
should be authentic, integrated with other content areas, interesting, and occur within a social
context so that students are motivated to participate in them (Pressely, 1998). This includes
providing students with opportunities to choose from a range of high quality literature and to
exchange dialogue about reading material (Palmer, Codling, & Gambrell, 1994).
Providing opportunities to learn
Within the time allotted for literacy activities, students need opportunities to make frequent
responses during oral and silent reading as well as writing lessons. Students also need plenty of
opportunities to practice new skills that are learned. This instructional component cannot be
emphasized enough while students are acquiring literacy skills. Children with learning
disabilities and mental retardation need more opportunities to practice than their peers
(McCormick, 1999). Over-learning leads to transferring skills to other tasks more easily.
Word level interventions
Many students who experience difficulty identifying words are not aware that spoken words are
made up of discrete sound units (Adams, 1990). Phonemic awareness exercises also help
children operate on sounds of spoken language through phonemic blending, segmentation,
deletion, and substitution activities. Phonemic blending exercises involve blending individual
sounds or clusters of sounds together to form a whole word such as blending the sounds /c-a-t/ to
form the word /cat/ and blending /fl-at/ to form the word /flat/. Segmentation exercise involves
saying each individual sound in a word such as saying /t-a-p/ for the word /tap/. An example of a
phonemic deletion would be removing the /f/ from the word /fin/ and saying the remaining
sounds /in/, and substitution consists of adding a different sound (/b/) to the remaining sounds to
make a new word (/bin/). Phonemic analysis exercises can involve identifying the position of
sounds in words such as identifying the /a/ as the middle sound in the word /tap/.
The purpose of implementing interventions that target word level problems is to help children
eventually read words by sight or with automaticity. Some children have difficulty reading words
automatically because they do not possess strategies in making letter-sound associations. Word
level interventions consist of phonics instructional approaches. Phonics incorporates methods by
which children learn letter-sound associations. Stahl, Duffy-Hester, and Stahl (1998) stated that
good phonics instruction consists of developing the alphabetic principle, developing phonemic
awareness, providing familiarity with forming letters, and providing sufficient practice in reading
words. They also indicated that good phonics instruction should not be rule-based and does not
dominate literacy instruction programs. Many of the rule-based approaches used workbook
exercises that required children to memorize and recall rules. Clymer's (1996) review of
commonly used words in children's reading materials revealed that rules were rarely applicable
to most words encountered in texts.
Phonic approaches
There are a variety of approaches to teaching phonics. Rule-based approaches are considered to
be analytic approaches to teaching phonics (Cunningham, 1999). Children are taught some words
and asked to analyze them by breaking the words down into their component parts followed by
making phonic generalizations about the words. As alluded to previously, many basal reading
programs that include accompanied workbooks are reflective of an analytic approach to teaching
phonics (Stahl, Duffy-Hester, & Stahl, 1998). For example, students may read a list of words on
a worksheet and mark whether the vowel in each word makes a "long" or a "short" sound.
Synthetic approaches to teaching phonics, on the other hand, involve explicit teaching of letter-
sound associations. During practice lessons, students pronounce sounds in isolation and then
blend them to make words (McCormick, 1999). An example of an empirically supported
synthetic phonics program is Direct Instruction (Adams & Englemann, 1996). This approach
infuses behavior analysis principles of teaching children to systematically progress from one
phonic skill to the next. Initially, individual sounds are taught and then children are asked to
blend sounds to form words. Cueing, feedback, and opportunities to make many responses are
provided during every lesson.
Drawing from decades of her own research, Cunningham (1995) advocated teaching phonics
through primarily an anologic approach. In an anologic approach, children are taught to become
word pattern detectors and use words or parts of words they know to figure out unknown words.
For instance, if a child can read and spell the word "sit" then the student will also be able to read
and spell the words "fit," "kit," "bit," "hit" and other words that belong to this family of words.
Cunningham's Four Blocks program follows predominately an anologic approach to teaching
phonics (Cunningham, 1999). The Four Blocks program is a combination of four major reading
approaches that emphasize multilevel instruction. This program includes guided reading, self-
selected reading, writing, and word study approaches. The word study approaches best illustrate
the kinds of activities that would represent teaching phonics anologically. Doing the word wall,
making words, and guessing the covered word are among some of the activities included in the
word study portion of the program.
Doing the word wall consists of putting words up around the classroom where children can
easily see them. Displayed words should be carefully selected and correspond to those that
children commonly need in their writing. Only approximately five new words need to be added
to the wall per week. Words that typically cause confusion can be written in a variety of colors
so they stand out among those written in black. Children are asked to write and say the words on
the word wall and complete a variety of review activities so words are read and spelled
automatically.
Making Words activity consists of providing students with six to eight different letters on letter
cards. The teacher says words with two, three, four, and more letters that can be formed with the
letter cards. Children are then asked to use all of their letters to make a big word that is related to
something they are reading. For instance, the teacher may give the students cards with a letter
printed on each. The letters may be, s, a, p, l, r, e, t. The students are instructed to use the letters
to form two-letter words and then three-letter words and so forth. At the completion of the
lesson, the students are asked to use all of the letters and make a big word such as "stapler" (see
Cunningham & Hall, 1994, for a thorough discussion of this activity).
Guessing the covered word consists of writing four to six sentences on the board and covering up
one word in each sentence with a sticky note. The first sentence is read, and the students guess
the covered word as the teacher writes down all the guesses. The teacher explains to the children
that the covered word could be lots of different words when the letters are not shown. All of the
letters are uncovered up to the first vowel. Guesses that do not begin with the beginning letters
are erased, and the students are encouraged to continue guessing with the remaining words
written on the board or make new guesses. Eventually, the whole word is uncovered as students'
guesses approximate or match the covered word.
In the Four Blocks program, children are taught to rely on word study strategies to identify
unknown words while reading texts (Cunningham, 1999). The words blocks activities can also
be considered ways in which children study about words. In fact, these types and other similar
approaches have been classified as word study phonic approaches and considered to be
contemporary because they employ multisensory methods of helping children understand
phonological and orthographic features of words (Stahl, Duffy-Hester, & Stahl, 1998). Other
types of contemporary word study approaches include word sorts and word boxes.
Word sorts are an anologic phonic approach for helping children categorize words according to
shared phonological, spelling, and meaning components. They can come in the form of closed
sorts where the teacher establishes the categories or open sorts in which children induce the
categories based on an examination of subsets of given words (Zutell, 1998). Words to be sorted
are usually placed on index cards, and the established categories provide a structure for detecting
common spelling patterns and discriminating among word elements (Barnes, 1989).
Bear, Invernizzi, Templeton, and Johnston (1996) provide a comprehensive guide to creating
various types of word sort lessons and other word study phonic activities. For instance, phonemic
awareness sorts can be accomplished by having the children place tokens below given respective
word categories as the teacher articulates words. Children can also spell words below respective
categories as the teacher orally presents words. Howard Street (Morris, Shaw, & Perney, 1990)
and Early Steps (Santa & Hoien, 1999), two effective tutoring programs for low achievers,
incorporate word sort techniques rather extensively.
Word boxes, a synthetic phonic approach, helps children segment sounds of spoken language.
This approach has been effective for helping children with learning disabilities identify and spell
words (Joseph, 1998/1999). Typically, word boxes have been used within the comprehensive
Reading Recovery program (Clay, 1993). A word box consists of a drawn rectangle that has been
divided into sections (boxes) according to individual phonemes in a word. Initially, children
place tokens in respective sections as each sound in a word is articulated slowly (see Figure 2).
Eventually, children place letters (either magnetic or tile) in respective sections as each sound in
a word is articulated. During advanced phases, children are asked to write letters in the
respective divided sections of the box.
Joseph (2000) compared beginning first-grade children who were either assigned word boxes
lessons, word sorts lessons, or traditional phonics lessons and found both word boxes and word
sorts to be effective on children's phonemic segmentation, phonemic blending, word
identification, nonsense word naming, and spelling in contrast to the traditional group's
performance. There were no significant differences between the word boxes group and the word
sort group. Controlled comparative research is still very young, and until more data are obtained,
it is best practice to be flexible and choose from a variety of empirically based phonic
approaches that facilitate the study of phonological and orthographic components of words.
Sight Word Recognition
Figure 2. Phonemic segmentation phase of word boxes instruction. The word, "rose," has three
sounds and, therefore, three connected boxes along with the same number of tokens are
presented.
A reciprocal relationship exists between developing sight word recognition and word
identification skills for reading new words. Once students are able to read a bank of words
fluently, they can easily identify new words by analogy especially if letter sequences contained
in words are similar. And, once children break sound to letter codes, they are able to read words
more easily by sight or automatically especially if children engage in repeated readings of words
(Samuels, 1988). Repeated exposures to words in multiple contexts are also important for storing
words in memory and recalling them easily (Pressley, 1998).
Higher-order interventions
Higher order interventions include reading comprehension and concept attainment activities.
Learning strategies instruction approaches were found to be effective for helping children with
learning problems attain concepts and improve on their reading comprehension performance
(Pressley & Woloshyn, 1995). Learning strategies instruction approaches that consist of self-
questioning, constructing mental representations to integrate information from text,and
identifying text consistencies were among the most effective comprehension strategies (Haller,
Child, & Walberg, 1988).
Examples of these approaches include semantic mapping, PQ4R (Preview, Question, Read,
Reflect, Recite, and Review), and reciprocal teaching. Semantic mapping typically involves
developing word webs that reflect students' understanding of concepts and constructing a
diagram connecting events of a story or connecting facts taken from content area textbooks
(Novak & Musonda, 1991). Students who struggle with grasping conceptual relationships may
find diagrams to be helpful visual aids. Semantic maps can be either process-oriented or product-
oriented (McCormick, 1999). Process-oriented maps usually are completed before students read
assigned material to help them establish some background knowledge. This type of mapping
requires teacher facilitation of student responses. For example, a teacher may write a concept
(e.g., satire) in a drawn box and ask the class to give examples of when they experience it. As the
class responds, the teacher writes their comments below the concept.
The teacher may then ask the class how it feels when they witness the concept and write their
responses, drawing connecting lines to the other comments, and so forth. Product-oriented maps,
on the other hand, are produced by students as an outcome activity after they have read material.
Students generally work independently or with other peers and construct a map connecting ideas
presented in text. An illustration of a semantic map summarizing some aspects of North
Carolina's beaches can be seen in Figure 3.
The PQ4R method of comprehending reading material is an extension of SQ3R (Survey,
Question, Read, Recite, and Review) (Thomas & Robinson, 1972). This method involves
previewing the reading material, questioning the reading, reading to answer the questions,
reflecting upon the reading, reciting the reading, and reviewing the material. Previewing the
material means surveying the chapter titles, main topics, and subheadings of the text. Students
can turn the headings and subheadings into questions. Questions that were developed can be
answered by reading the text. Reflections about the content can occur as the material is being
read if the students pause to form connections and create images.
Reciting is retelling what was read from memory. This form of retelling helps students monitor
the information they are obtaining from the reading. If some information is not being retained,
then students may need to read sections of the text again. Last, review the material by answering
questions and referring back to the text for clarification of mistaken responses to questions. This
method appears to be most appropriate for older students because it encompasses the application
of higher-level metacognitive processes. Although PQ4R is not a new method, it continues to be
considered as an effective technique for helping students organize and retain information from
texts (Anderson, 1995).
Reciprocal teaching is a reading comprehension approach that has helped delayed readers catch
up and even exceed typically developing readers (Palinscar & Brown, 1984). This approach
places heavy emphasis on teacher-student interactions in a rather cognitive apprenticeship
fashion. After students and teacher read from common text, they confer with each other about the
reading material. Initially, the teacher leads the discussion by modeling strategies of predicting,
question generating, summarizing, and clarifying text. The students are then asked to lead the
discussions and apply the strategies that were demonstrated by the teacher. Guided practice is
provided until students can use the strategies effectively. The goal of these reciprocal teaching
interactions is to construct meaning from texts.
Figure 3. Semantic map of North Carolina's beaches

Summary
The most frequent type of referral concerning students with academic problems is in the area of
reading. Students with reading problems present characteristics that lend themselves to various
instructional challenges. Some challenges of intervention design for the amelioration of reading
problems lie at the word level, others lie at higher order reading skills, and some lie with both.
The best way to target appropriate interventions for children with reading problems is to conduct
assessments that lead to appropriate data-based decision-making and problem-solving activities.
Assessments that provide information directly linked to intervention design should be used with
children who have been referred for having reading difficulties.
School psychologists play a vital role in meeting the needs of students with reading problems. By
working collaboratively with teachers, parents, and other interested stakeholders to develop
effective instructional interventions, school psychologists can be seen as part of the solution
rather than the problem. In order for reading interventions to be effective, fundamental
components of teaching and learning such as scaffolding, shaping, connecting to prior
knowledge, motivating, and providing opportunities to practice skills should be implemented.
Whether students are learning word level skills or higher order skills, mediations such as teacher
facilitation and feedback are crucial to helping struggling readers become fluent. Teacher
mediation and other cognitive tools can be seen through, for example, word study phonics,
semantic mapping, and reciprocal teaching approaches.
In the past, school psychologists have often played a strong role in the diagnosis of children with
reading problems. As our nation progresses into the twenty-first century where accountability of
instructional and learning outcomes are at the forefront of objectives in most school systems,
school psychologists need to move toward a proactive role of designing instructional
interventions from data-based decision-making practices.
It is now time for best practices in school psychology to become the rule rather than the
exception.