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ARTICLES:
Slavica K. Katusic, Robert C. Colligan, Amy L. Weaver, and William J. Barbaresi
The Forgotten Learning Disability: Epidemiology of Written-Language Disorder in a Population-Based Birth Cohort (1976–1982), Rochester, Minnesota
Pediatrics 2009; 123: 1306-1313 [Abstract] [Full text] [PDF]
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[Read eLetters] Calling Something a Disorder Does Not Make It So
Dr. David M. Grant   (14 May 2009)

Calling Something a Disorder Does Not Make It So 14 May 2009
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Dr. David M. Grant,
Assistant Professor
University of Northern Iowa

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Re: Calling Something a Disorder Does Not Make It So

david.grant{at}uni.edu Dr. David M. Grant

As someone who earned a doctorate in Composition and Rhetoric, an English doctorate often also called Writing Studies, I am shocked that this kind of research passes in the medical field and in such a prestigious journal as Pediatrics. While I am in no way adverse to clinical investigations of learning difficulties and inquiries into psychobiological factors attributing to poor school performance, I am disillusioned by this study's uncritical attitude toward the entire corpus of research on writing that has emerged over the past forty or more years.

It appears the study confuses fine motor functions, such as handwriting, with higher-level cognitive tasks such as syntax and paragraphing. Moreover, as research has repeatedly shown, the kinds of tasks writers are expected to perform greatly influences their outcomes so that a student who is able to write a narrative quite well may struggle and actually regress in writing ability when it comes to an analytical essay. Yet such variables appear unaccounted by Dr. Katusic and her team.

Most disconcerting is the treatment of writing itself as a measurable quantity. This confuses what is a completely qualitative measure for something quantifiable. The quality of writing is a judgment based in social norms and expectations, norms which not only vary in an ethnically and socioeconomic diverse community such as Rochester, Minnesota but which also vary within otherwise homogenous communities and regions (to which, I ask investigators to at least acknowledge Shirley Brice Heath's seminal study, _Ways With Words_). Conflating WLD with a "basic level" designation by the National Center for Educational Statistics is simply bad science.

Rhetoric-Composition and Writing Studies have used psychological testing for decades (see the work by Linda Flower and John Hayes). If clinical researchers wish to investigate problems in school-based writing as either a matter of psychology or epidemiology, it seems incumbent upon them to consult all the literature, not only those that fit their own purposes.

Conflict of Interest:

None declared