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Diagnosing adults with dyslexia: Psychologists' experiences and practices
Dyslexia ( IF 2.066 ) Pub Date : 2021-07-15 , DOI: 10.1002/dys.1689
Andrea Sadusky 1 , Andrea E Reupert 1 , Nerelie C Freeman 1 , Emily P Berger 1
Affiliation  

Previous research has investigated how psychologists identify dyslexia in school-aged children. However, it is presently unclear how psychologists diagnose dyslexia in adults. This study aimed to explore psychologists' understandings and experiences in how they assess adults for dyslexia. Nine psychologists in Australia were recruited from professional associations and interviewed using a semi-structured schedule. After member checks, transcripts were analysed using reflexive thematic analysis. The results suggested that participants' assessment practices with adults were similar to those used with children. However, participants were not confident in assessing adults due to a lack of an empirical base and training, and appropriately normed tools. Moreover, participants relied on their clinical judgment to help overcome barriers unique to the assessment of adults including obtaining an accurate developmental history and determining the relevancy of academic intervention for a formal diagnosis. Participants recommended (better) training and accessible research about how to efficaciously diagnose adults with dyslexia. The robustness of current diagnostic tools for equitably identifying adults with dyslexia was questioned by some participants. There is a need for national guidelines in Australia to support psychologists in identifying adults with dyslexia. International research and guidelines have an important role to play in informing this process.

中文翻译:

诊断患有阅读障碍的成年人:心理学家的经验和实践

先前的研究调查了心理学家如何识别学龄儿童的阅读障碍。然而,目前尚不清楚心理学家如何诊断成人阅读障碍。本研究旨在探讨心理学家对如何评估成人阅读障碍的理解和经验。澳大利亚的九名心理学家是从专业协会招募的,并使用半结构化的时间表进行采访。在成员检查后,使用反身主题分析对成绩单进行分析。结果表明,参与者对成人的评估实践与对儿童的评估实践相似。然而,由于缺乏经验基础和培训以及适当规范的工具,参与者对评估成年人没有信心。而且,参与者依靠他们的临床判断来帮助克服评估成人所特有的障碍,包括获得准确的发育史和确定学术干预与正式诊断的相关性。参与者推荐了(更好的)培训和可访问的研究,以了解如何有效地诊断患有阅读障碍的成年人。一些参与者质疑当前用于公平识别患有阅读障碍的成年人的诊断工具的稳健性。澳大利亚需要国家指导方针来支持心理学家识别患有阅读障碍的成年人。国际研究和指南在为这一过程提供信息方面发挥着重要作用。参与者推荐了(更好的)培训和可访问的研究,以了解如何有效地诊断患有阅读障碍的成年人。一些参与者质疑当前用于公平识别患有阅读障碍的成年人的诊断工具的稳健性。澳大利亚需要国家指导方针来支持心理学家识别患有阅读障碍的成年人。国际研究和指南在为这一过程提供信息方面发挥着重要作用。参与者推荐了(更好的)培训和可访问的研究,以了解如何有效地诊断患有阅读障碍的成年人。一些参与者质疑当前用于公平识别患有阅读障碍的成年人的诊断工具的稳健性。澳大利亚需要国家指导方针来支持心理学家识别患有阅读障碍的成年人。国际研究和指南在为这一过程提供信息方面发挥着重要作用。
更新日期:2021-07-15
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