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International Journal of Speech-Language Pathology

ISSN: 1754-9507 (Print) 1754-9515 (Online) Journal homepage: http://www.tandfonline.com/loi/iasl20

Exploring the impact of living with dyslexia: The


perspectives of children and their parents

Suze Leitão, Peta Dzidic, Mary Claessen, Joanne Gordon, Kate Howard,
Mandy Nayton & Mark E. Boyes

To cite this article: Suze Leitão, Peta Dzidic, Mary Claessen, Joanne Gordon, Kate Howard,
Mandy Nayton & Mark E. Boyes (2017): Exploring the impact of living with dyslexia: The
perspectives of children and their parents, International Journal of Speech-Language Pathology,
DOI: 10.1080/17549507.2017.1309068

To link to this article: http://dx.doi.org/10.1080/17549507.2017.1309068

Published online: 10 Apr 2017.

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Download by: [Hacettepe University] Date: 13 April 2017, At: 05:08


International Journal of Speech-Language Pathology, 2017; Early Online: 1–13

Exploring the impact of living with dyslexia: The perspectives of


children and their parents

SUZE LEITÃO1, PETA DZIDIC1, MARY CLAESSEN1, JOANNE GORDON1,


KATE HOWARD1, MANDY NAYTON1,2 & MARK E. BOYES1
1
School of Psychology and Speech Pathology, Curtin University, Perth, WA, Australia and 2The Dyslexia-SPELD
Foundation, Perth, WA, Australia

ABSTRACT
Purpose: A small but growing body of literature indicates that children with dyslexia are at elevated risk of internalising and
externalising mental health problems. However, little research addresses why this might be the case, particularly from the
point of view of the children or their parents. This study therefore aimed to explore the lived experiences of children with
dyslexia, and their parents.
Method: Drawing on a phenomenological approach, 13 children with dyslexia and 21 parents were interviewed. The semi-
structured interviews were analysed thematically.
Result: Dyslexia was seen to impact at the individual, family and community level. Children’s accounts of their experiences
were ecologically situated at both the micro and mesosystem levels of Bronfenbrenner’s ecological model, while parent’s
accounts extended to include the exosystem. Both also reflected on ‘‘difference’’, a theme related to cultural and attitudinal
views at the level of the macrosystem.
Conclusion: Presentation of the themes contrasts the experiences of children and parents, illustrating that the experience of
dyslexia is indicative of broader challenges associated with societal values and attitudes that privilege perceived ability and
shame difference. This study provides information that could be used to inform and educate families and teachers about the
impact of living with dyslexia.

Keywords: Dyslexia; mental health; children; parents; qualitative research

Introduction impact of dyslexia (Boyes et al., 2016). Children and


adults with dyslexia have stated they often felt
Children and young people with dyslexia may
‘‘. . .deeply humiliated when asked to read. They
experience persistent difficulties with accurate and/
reported being ridiculed and bullied because of their
or fluent word recognition, decoding and spelling,
reading difficulties’’. (Rose, 2009, p. 10).
despite adequate cognitive abilities and classroom
instruction (Dyslexia – SPELD Foundation [DSF],
Dyslexia and mental health outcomes
2014; Hulme & Snowling, 2014). While the diag-
nosis of dyslexia is considered controversial by many, There is a broad literature on the links between
the research shows that approximately 7% of chil- learning difficulties and mental health outcomes,
dren and young people have significant and severe conceptualised as both internalising and externalis-
reading difficulties for reasons beyond poor teaching ing problems (Mugnaini, Lassi, La Malfa, &
(Elliott & Grigorenko, 2014; Haft, Myers, & Hoeft, Albertini, 2009). In contrast, there is less research
2016). Research has focussed predominantly on specifically examining possible relationships between
identifying risk and protective factors for dyslexia reading and mental health, and we are only recently
and developing evidence-based reading interven- beginning to understand how reading difficulties
tions (Carroll, Mundy, & Cunningham, 2014; may affect children’s mental health (McArthur,
Hulme & Snowling, 2014). However, few studies Castles, Kohnen, & Banales, 2016). This smaller
have investigated the impact of dyslexia from the body of work (which considers internalising and
view of a young person and their parent/carer. This externalising problems in children with a diagnosis
is despite the mounting evidence of the psychosocial of dyslexia or significant reading difficulties) is the

Correspondence: Suze Leitão, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, Western
Australia. E-mail: S.Leitao@Curtin.edu.au.
ISSN 1754-9507 print/ISSN 1754-9515 online ß 2017 The Speech Pathology Association of Australia Limited
Published by Informa UK Limited, trading as Taylor & Francis Group
DOI: 10.1080/17549507.2017.1309068
2 S. Leitão et al.

focus of the literature review, providing the back- possible social and emotional consequences of living
ground to this qualitative study. Increased stress and with dyslexia. Interviews were conducted with 22
anxiety, depression, decreased self-esteem (i.e. a mothers and their children aged 8–14 years.
global sense of well-being), bullying and poorer peer Identification of dyslexia was generally a gradual
relations have all been identified in this population process, often driven by the mother and leading
(Dahle & Knivsberg, 2014; Ingesson, 2007; overall to a sense of relief (mothers) and positive
Maughan & Carroll, 2006). In fact, a recent review reaction (children). Riddick found the majority of
concluded that dyslexia and reading difficulties are a mothers reported their child to have experienced
risk factor for increased internalising, anxious and periods of distress related to their dyslexia and were
depressive symptoms (Mugnaini et al., 2009). concerned about their children’s self-esteem. Both
Reading difficulties have also been associated with children and their mothers identified individual
externalising symptoms such as behavioural prob- teachers as having a strong and positive influence
lems and anger (Eissa, 2010; Maughan & Carroll, on their self-esteem and ability to cope with their
2006; Snowling et al., 2007). difficulties. The need for greater teacher training
Dahle and Knivsberg (2014) compared the about dyslexia across the education system was
prevalence of emotional and behavioural problems identified.
in 26 children with dyslexia and 26 typically A young person’s ability to deal with difficulties
developing (TD) peers, aged 9–110 years. The can be attributed to individual factors, including age,
children with dyslexia displayed more internalising parents, peers and coping styles (World Health
(withdrawal, anxiety and depression) and externalis- Organization, 2002). Although it can be considered
ing (aggression, hyperactivity and delinquent) that a diagnosis of dyslexia increases the risk of
behaviours than their TD peers. Teachers reported negative socio-emotional consequences (Haft et al.,
more incidences of externalising behaviours, while 2016), and research has identified reduced self-
parents reported higher internalising behaviours, esteem and well-being in many children with dys-
indicating that children with dyslexia may use overt lexia, Ingesson (2007) reported individual factors
behaviours as an avoidance or coping strategy when played an essential role in determining its impact
faced with difficult tasks in public environments across a person’s lifespan. Interviews with 75 teen-
(Dahle & Knivsberg, 2014). agers were conducted to determine how they experi-
Terras, Thompson and Minnis (2009) investi- enced school, including educational achievement,
gated self-esteem, self-concept and psychosocial well-being, self-esteem and peer relations. Low well-
adjustment in 68 children with dyslexia, aged 7– being and self-esteem levels were identified at ages 7–
16, using parent and child questionnaires and 10 years, but by age 14–16, levels of ‘‘good’’ to ‘‘very
interviews. While self-esteem is considered a global good’’ were reported for well-being, with self-esteem
sense of well-being, self-concept typically refers to also improving with age (Ingesson, 2007). Ingesson
one’s perceptions of self in a particular domain (2007) hypothesised that the participants’ coping
(McArthur et al., 2016). Lower self-concept in ability and increased confidence were due to an early
regards to the domain of educational competence diagnosis, acting as a protective factor by giving the
was identified in participants with dyslexia com- child more time to understand their dyslexia.
pared to TD peers, with emotional, behavioural and Interestingly, Riddick (2010) identified a diagnosis
social difficulties more common in the participants of dyslexia to be helpful at a personal level, but less so
with dyslexia. Negative attitudes or minimal under- at the public level, ‘‘I find it helpful, but I’d rather
standing of dyslexia by a participant and their others didn’t know’’ (Riddick, 2010, p. 84).
parents were found to contribute to lower self- Protective factors in a young person’s environ-
esteem (Terras et al., 2009). ment may include the ‘‘physical, social and attitu-
In one of the few studies to directly interview dinal environment in which people live and conduct
children with dyslexia, Eissa (2010) explored the their lives’’ (World Health Organization, 2002, p.
impact of dyslexia on 35 adolescents with, and 21 10), including the attitude of parents and peers.
without, dyslexia, on school success, well-being, self- Terras et al.’s (2009) study of 68 children with
esteem (a more global measure of the sense of well- dyslexia, aged 7–16, concluded that parents who
being), and peer relations. Adolescents with dyslexia displayed positive attitudes perceived their children
had significantly higher internalising and externalis- to be less hyperactive, with fewer peer and emotional
ing behaviours than their TD peers, and stated that conduct problems, and more pro-social. Such posi-
dyslexia had negatively impacted their self-esteem tive emotional support was identified as a protective
and peer relationships, resulting in them ‘‘feeling factor (Terras et al., 2009). Given the influence of
different’’ (Eissa, 2010). parental criticism and support, the lack of research
Riddick (1995, 2010) reports on a programme of considering parental perspectives (Norwich,
research which sought to understand the process by Griffiths, & Burden, 2005) is surprising.
which children were identified as having dyslexia, Eissa (2010) suggests having friends at school is
the individual perspectives of children and their a protective factor, with participants reporting
mothers of living with dyslexia, and explore the good friends made school more tolerable. Coffield,
Living with dyslexia 3

Figure 1. Examples of content pertinent to levels of the ecological model as proposed by Bronfenbrenner (1979).

Riddick, Barmby, and O’Neill (2008) highlight the in one circle lessened by protective factors in another
importance of dyslexia-friendly schools, including (Bronfenbrenner, 1979). We have adopted eco-
additional classroom assistance and dyslexia educa- logical theory in this research to frame our inter-
tion for teachers, as a protective factor for students pretation of participant data to allow us to capture
with special education needs, to improve students’ the complexity of themes that may arise.
attitudes to learning, confidence and self-esteem.
Rationale for the current study
Adopting ecological systems theory
A recent senate inquiry was conducted into the
Every child’s lived experience is unique and influ-
prevalence of speech, language and communication
enced by their personal attributes and interactions disorders in Australia. A high prevalence of com-
with their environment where the individual both munication impairment was identified in adults with
shapes and is shaped by their context. The ecological mental health diagnoses, and a high percentage of
systems theory proposed by Bronfenbrenner (1979) individuals requiring mental health services were
(Figure 1) acknowledges the significance of a child’s considered to have undiagnosed language and com-
biology, their environments, interactions within munication deficits. The inquiry highlighted the
these environments, and community, culture and need to investigate factors that contribute to an
political factors that influence their lived experi- individual’s mental health when they have commu-
ences. This model places the child in the inner circle nication difficulties in both the oral and written
of several, interacting layers of influence, considering language domains (Speech Pathology Australia,
both objective properties of their environment and 2014). While there is mounting evidence of the
how the child perceives them. The layer closest to psycho-social impacts of dyslexia, to date there has
the child captures relationships with family, school been little research that has provided children with
and peers and the environment in which they exist dyslexia and their parents an opportunity to express
(the personal and family levels). The outer layers their opinions and beliefs about their lived experi-
capture the contextual environment, including ences. This is particularly so for qualitative research
school and community influences, followed by that provides rich experiential accounts from
cultural factors, policy and political influences. The participants.
impact of interactions between layers and the young The study presented here forms part of a larger
person can be considered, with negative influences programme of research aiming to identify factors
4 S. Leitão et al.

deemed important in either contributing to poor were selected from a cohort of parents who are
mental health or in promoting resilience in this members of DSF. The final parent sample consisted
population (Boyes et al., 2016). The current study of 21 parents (19 mothers, 2 fathers). On comple-
also extends Riddick’s earlier UK based work, which tion of their interview, parents were given the
dates from the 1990s, by exploring the experiences opportunity to give verbal consent for their child to
of parents (including some fathers) and their chil- be invited to participate in an interview to share their
dren in the current Australian context. In keeping experiences of dyslexia. The child sample consisted
with qualitative designs, a phenomenological of 13 participants, seven females and six males.
approach was adopted as it allowed exploration of Participants were aged between 10 and 16 years,
the ‘‘meaning for several individuals of their lived were monolingual English speakers and had a
experiences’’ (Creswell, 2013, p. 76), and thus diagnosis of dyslexia from DSF WA (see Appendix
allowed children with dyslexia and their parents a for diagnostic criteria). Median length of time post-
voice. Phenomenological research methodology is diagnosis was 30 months, with all participants being
characterised by identifying a phenomenon to study, at least 12 months post-diagnosis.
collecting data from several individuals who have
experienced the phenomenon, and analysing col- Procedure
lected data by reducing information into important
Ethical approval was granted from Curtin University
statements and combining these into themes
Human Research Ethics Committee. Following their
(Creswell, 2013).
participation, parents who expressed an interest in
This study therefore aimed to identify whether
their child participating in this study were contacted
the factors that have been noted in the research
via email to arrange a suitable interview location and
literature, that may protect or place children with
time for their child to meet with the interviewer. On
dyslexia at increased risk of mental health problems,
arrival, participants and their parents were provided
would emerge from the perspectives of the partici-
with consent forms, which were explained to both to
pants themselves. Specifically, we aimed to explore
obtain informed consent.
the lived experiences of children with dyslexia, and
For both parent and child interviews, participants
parents of the children with dyslexia.
were informed of their right to withdraw from the
interview and study at any time, with information
Method remaining confidential. Interviews followed an inter-
view protocol and separate semi-structured inter-
Research design
view guides were developed for the child and parent
A qualitative research design was employed, invol- samples. The process of constructing the semi
ving face-to-face (in person or via Skype) semi- structured interview guide was iterative, and induct-
structured interviews. The interview protocol ive. Open-ended questions allowed participants to
allowed questions to be re-ordered, deleted or reflect on their personal experiences, and ensured
added depending on participants’ responses, and emerging themes were derived from participants’
the language and wording to be altered to suit reflections. This allowed for age and context appro-
participants. This approach allows greater flexibility priate questioning to be facilitated by the researcher
in data collection, affording participants greater during the interviews. An example question
power in the interview process. This is particularly posed to parents was: How would you describe your
important in research that engages vulnerable popu- child/adolescent’s reading difficulties?, and for children
lations, in this instance, one of the participant was: Tell me about your reading difficulties, when did
groups being children with dyslexia. A phenomeno- you first notice you were having trouble? With consent,
logical approach uses criterion sampling to recruit interviews were digitally audio-recorded and tran-
participants who have experienced the phenomenon scribed verbatim. Interviews with children were
of interest (Creswell, 2013), in this case the lived completed within 45 min and parents 45–60 min.
experience of dyslexia from the perspectives of
children and their parents. Data analysis
Thematic analysis was used to identify patterns
Participants
across the transcripts and explore the lived experi-
Inclusion criteria for this study were that the adult ences of the participants. The phases and processes
sample were the parents of children aged 10–17 with of thematic analysis, outlined by Braun and Clarke
a minimum of one year since diagnosis of dyslexia, (2006), guided the analysis. The researcher who
and were current members of a dyslexia organisation facilitated the interview was responsible for tran-
in Western Australia. Child participants were the scription. This also served to assist the researcher in
children of the adult participants. Potential partici- data familiarisation; the first step in Braun and
pants were notified of the study through electronic Clarke’s (2006) approach to conducting a thematic
mail to all members of the Dyslexia – SPELD analysis. As thematic analysis focuses on what is
Foundation’s (DSF) database. As such, participants said, as opposed to how it is said, the transcript was
Living with dyslexia 5

according to play script transcription (Forrester, Result


2010; a script-like transcription void of utterance
The thematic analysis garnered rich findings regard-
and speech notions). This step also involves reading
ing how children with dyslexia and parents of
and re-reading all transcripts.
children with dyslexia describe their lived experi-
The second step of thematic analysis entails
ences. The themes of each analysis are presented
coding transcripts according to descriptive codes
according to each of the layers of Bronfenbrenner’s
(summary coding of what participants uttered),
(1979) ecological model. Presenting themes accord-
followed by the third step of identifying analytical
ing to the layers of the model allows not only for the
codes (more in-depth coding pertaining to the recognition of themes per sample, but also for
nuances of participants’ comments); the phase ecological comparisons to be made between sample
which marks the beginning of theme identification. groups.
After the initial coding and preliminary identifica-
tion of themes, a review process occurs (the fourth Microsystem
step), which entails re-reading transcripts to ensure
the interpretation of the overall nature of the lived At the microsystemic level, the themes ‘‘pre- and
experiences was captured, and includes identifying post-dyslexia diagnosis’’ and ‘‘impact on mental
transcript extracts to illustrate and justify prospective health’’ emerged for the children; for parents a
themes. Reviewing themes and sub-themes against single theme ‘‘my child’s mental health’’ emerged.
the data set for consistency and integrity, allows for
themes combined or discarded. Once themes were Child’s experience. Pre- and post-dyslexia
refined, the fifth step is to name and define theme diagnosis. In this theme, children’s feelings pre-
and themes, and confirm the relevant extracts are and post-dyslexia diagnosis and reactions to diagno-
appropriate justification and illustration of the sis are described. Prior to a diagnosis of dyslexia,
theme. While this process is presented in step children consistently reported negative self-percep-
form, it is important to note the process is usually tions centring on lack of academic skills and frequent
highly iterative, intensive and reflective. The same comparison to their peers. Participants considered
process of analysis was conducted for both the child themselves as ‘‘lazy’’, ‘‘dumb’’ and ‘‘different’’ to
and the parent data. While each data set was coded their peers as they were unable to grasp topics as
and analysed separately, the themes have been quickly and were unable to ‘‘figure anything out’’.
interpreted and presented collectively in this paper. One participant described his feelings towards his
academic performance: ‘‘So the other kids, they
would get maybe something pretty easily one or two
Quality lessons when it would take me about the whole topic
to get it’’.
To maximise the credibility of the findings, reflexive Feelings of frustration are shared by other par-
journals were used. Reflexive journaling supports the ticipants who were able to answer verbal questions
integrity of the data through critical reflection of the but unable to read written questions, and were
position of the researcher and explicitly states the overwhelmed by homework tasks. These difficulties
researcher’s contribution to the interpretive process and frustrations demonstrate the negative experi-
by documenting their personal experiences and ences participants reported before their dyslexia
beliefs that may influence analysis and interpretation diagnosis and prior to developing an understanding
of data (Liamputtong, 2013). A sample of coded as to why they were experiencing these difficulties
interview transcripts were exchanged within the and feelings.
research team; the peer researcher then coded the Following a diagnosis of dyslexia, participants
transcripts (to appraise coding consistency) and reported mixed reactions. Some participants
discussed the meaning of themes (to appraise con- reflected feelings of relief, ‘‘I realised I wasn’t
sistency in the interpretation of codes), and made actually dumb’’, and were positive about the under-
any modifications at this stage of the data analysis. standing and support they would now receive, ‘‘I just
This assisted in ensuring credibility in the thematic thought that it was actually a good thing ‘cause now
analysis. An interview protocol was also adopted; people know I have it. . .I might need a little more
this detailed the interview process and preamble text time’’. Although most participants’ experiences
to be stated to participants. For example, the improved post-diagnosis, the realisation that dyslexia
protocol detailed the process of ensuring informed may be a lifelong difficulty, as reflected by one
consent, the semi-structured interview guide, final participant, ‘‘I was also upset that its um I’m gonna
messaging to the participant at completion of the be stuck with it forever’’, and feelings of being
interview, through to post-interview practices (e.g. different still emerged, ‘‘It was a bad thing because
journaling and transcription). Adopting protocols like I was being treated differently to everyone else,
assists in maintaining consistency in the procedure. didn’t want to stick out too much’’. These negative
The multiple data sets (of children and parents) post-diagnosis experiences reflect the desire for
enabled data triangulation. children to want to ‘‘fit in’’ and comparisons
6 S. Leitão et al.

pre- and post-diagnosis illustrate how the individ- In addition to the negative emotions and behav-
uals’ opinion of themselves can change. iours reported by participants, many also reported
For the majority of participants however, there feelings of happiness and pride, centring on aca-
was a level of acceptance and acknowledgement demic achievement and self-accomplishment.
surrounding their diagnosis. Comments, including Participants were proud of themselves when they
‘‘ok I’ve got dyslexia, just means I’m gonna have to were able to spell difficult words and achieve grades
try harder’’, and ‘‘um well just knowing that I’m comparable to their peers who do not have dyslexia.
dyslexic, so now we can actually help a lot more’’, As one participant reported, ‘‘I learnt to read,
indicate an acceptance and determination to I learnt to spell, I learnt to catch up with kids in
improve their situation. Such participants also my class’’, and be awarded merit certificates,
appeared to acknowledge dyslexia will have an reflected by another participant, ‘‘I got smarter and
impact on their learning, but through perseverance then I won like lots of awards for best student and
they are able to see improvements, for example most improved. . . I felt really happy, like I could do
stating, ‘‘I can start helping myself, which I have anything’’.
been starting to do, I’ve asked for tutors and I’ve The responses from participants reflect the
been asking for help in class’’. The positive attitude thoughts and behaviours that may contribute to
and determination displayed by participants, in feelings of self-doubt and lack of confidence, or
addition to finding alternative ways of learning, has lower self-esteem and depression, while also illus-
contributed to growth in skills, evidenced by one trating the capacity for such negative feelings and
participants comment, ‘‘even though I have dyslexia, cognitions to be challenged with support, encour-
I can still get a B in English, but I just have to work a agement, and self-belief.
bit harder than everybody else, but I can still get it’’.

Impact on mental health. This theme includes behav- Parents experience. My child’s mental health. Parents
iours and mental health concerns children experi- identified both challenges and opportunities in
enced. Internalising behaviours were more supporting their child’s mental health. Specifically,
commonly reported than externalising behaviours, parents identified behavioural and emotional pat-
with only a few participants reporting instances of terns in their child such as a lack of confidence,
anger, emotional outbursts, or disruptive behaviour. experiences of bullying, an unwillingness to try new
Internalising behaviours expressed included feelings things, an established pattern of failure and an
of sadness, frustration, disappointment, annoyance inability to find an area of personal strength. For
and stress, with the majority of these feelings example, one participant expressed their concerns
occurring within the school environment, when for their son, stating:
comparing themselves to peers and reflecting on
their inability to perform academic tasks. Feelings of I am concerned about his mental health, now. . .
Because. . .he really applies himself and. . . I worry,
frustration surfaced when ‘‘homework gets too
because I don’t know how much steam he’s got left,
much’’, and they were unable to ‘‘figure things
because everywhere he looks, he fails. (I)t’s a learned
out’’. Sadness and annoyance were expressed as a behaviour now, he just expects to fail.
result of other’s actions towards them. For example,
participants reported feeling sad when they were This child’s continual extensive effort was
bullied or ranked by teachers with the ‘‘really rewarded with low grades. Another parent explained
annoying (kids) in the back of the class who sat the impact of lack of success to their child’s esteem
and played games and not learn’’. Annoyance and and willingness to try new things.
sadness also occurred when participants realised
they were unable to perform tasks their peers could, (I)t took so long to get reading happening, she was
really aware from a young age that she was way behind
including writing letters and not being able to
her peers. . .(I)t’s given her really low self-esteem. She’s
remember information they may need in their not confident, she really lacks confidence. (I)t’s really
future. hard to get her to try new things, if she doesn’t know
Externalising behaviours, though reported less, that she can do them.
illustrate how internalising behaviours, when experi-
enced often, may lead to externalisation. For Another parent reflected on their child’s effort to
example, participants who reported anger related it find something she was good at.
to a build-up of frustration or an inability to cope
The biggest challenge. . . she was severely depressed at
with their situation, ‘‘I was just angry all the time. . .I
that point. Like, she would cry every night, she would
couldn’t really cope with school at the time. . .little lack confidence in anything that she did. (H)er whole
things kind of tipped me over the edge’’. This quote world centred around trying to find something that she
illustrates how difficulty understanding their experi- was good at. . . So she’d put a lot of focus and effort on
ences and coping with their emotions, may have that and when she couldn’t find something that made it
impacted their mental health. even worse.
Living with dyslexia 7

Parents also identified a number of mechanisms didn’t believe in dyslexia, so they sort of treated me
of strengthening their children’s mental health, more hard.
including the positive explanatory power of diagno- Similar experiences were described by other
sis for building self-worth, and identification and use participants whose teachers did not have the know-
of children’s areas of strength. For example, for ledge or understanding to assist them, explaining
some parents, identification of the dyslexia was a that teachers were ‘‘not understanding, and expect-
mechanism to support the child’s self-esteem: ing me to do the work when everyone else could and
at the same speed’’ while another recounted, ‘‘they
(H)aving that assessment which showed that he’s
seem to kind of keep it in mind, but they don’t seem
intelligent, as well as having dyslexia and dys-
graphia. . .proving on paper that he’s intelligent went a
to change too much’’ indicating that although
long way in getting him to accept the fact that he wasn’t teachers were aware of his dyslexia, little was done
the dumbest kid, and that he has a learning difficulty, to support his development.
which he’ll have to work with, but he’s as intelligent as As with educators, interactions with peers can be
anyone else. positive and negative, and significantly influence
participants’ lived experience. Participants who dis-
At times, parents used the diagnosis to help
cussed interactions with peers reported mainly
contradict their child’s self-view of being ‘‘dumb’’
positive and encouraging interactions, for example,
and instead build a more positive self-image of a
‘‘Some kids that I sit next to, just help me out a lot,
person as intelligent as their peers.
like when I’m spelling something, they won’t go like
‘oh you should know how to spell that or something’
Mesosystem
they will always just spell it’’.
At the mesosystem, children described the role of Non-judgmental assistance provides an environ-
their school environment in shaping their experience ment where participants felt comfortable about their
of dyslexia and role of support networks. Parents dyslexia and in seeking assistance. Another partici-
similarly identified the school environment and pant suggested that the stigma surrounding the
support networks, but made explicit the character- diagnosis is diminishing, reflecting, ‘‘I don’t think
istics of people in their child’s environment per- anyone really cares if you’ve got dyslexia or not,
ceived to act as barriers or facilitators to their child’s cause every second person seems to have it these
overall wellbeing. days’’. This statement suggests an increasing
acceptance and normalisation of dyslexia in the
community.
Child’s experience. Influence of the school Three of the child participants described episodes
environment. As children participating were of of bullying. Bullying experiences were associated
school age, interactions within the school environ- with their diagnosis and impacted their self-esteem.
ment entailed engagement with educators and peers. Bullying had a profound impact on one participant
Participants reflected on how the attitudes and who described the experience, as ‘‘. . . the hardest
personality of staff shaped their experience of living part of my life I reckon so far . . . so he was bullying
with dyslexia. Positive experiences with educators
me at the time when I was finding out I was dyslexic
are captured within the following statements, ‘‘my
or not’’. This participant describes how he was able
teachers have been really supportive’’, ‘‘since she’s
to use his experience to support others being bullied,
known that I have dyslexia, she’s let me do things a
‘‘cause when people have been bullied and they feel
bit differently, which helps me a bit and it’s become
like they’re really stupid and stuff I’ve been there so
more easier and I’ve learnt more’’ and ‘‘they knew I
I can talk to them’’.
had it in me. . .they told me that so I just went for it’’.
Here, it appears that participants, who had positive
Support networks. The support networks theme
experiences with educators, did so because the staff
details the significant people who have helped
had knowledge and understanding of dyslexia, were
shape participants’ experiences and supported
encouraging, and had positive personality traits and
them emotionally and academically and extended
flexible teaching styles.
beyond the immediate education context. Support
Comparatively, a lack of knowledge or belief
networks emerged from both the home and school
about dyslexia, and an inability to provide adequate
environment, and consist of parents, tutors and
support were common amongst the participants who
friends.
reported negative experiences with educators. This
All children attributed academic or emotional
is captured in one participant’s reflection of school.
growth to support provided by their parents,
I would have been much happier if all my teachers from including help with homework, motivation, encour-
my first school weren’t so mean and discouraging, and agement and self-belief, as well as seeking a diagno-
then I got a bad teacher. . . more of a mean sis and in funding treatment. The emotional care
teacher. . .she started to highlight how I kept failing was captured in statements such as ‘‘she [Mum]
everything. . . teachers always being mean to me, they supports me in whatever ways she can’’, and
8 S. Leitão et al.

‘‘knowing that um they just believed that I could do Another parent discussed difficulty with teachers
it’’. accepting the diagnosis, stating
Parents were reported to display protective
qualities by shielding their children from negative Their Special Ed teacher. . . refuted the diagnosis from
attitudes and inability to provide adequate support the child psych. . . she refuted the diagnosis of the XX,
from educators. For example, parents transferred basically just said, ‘No, look, this is – I don’t agree with
their children to schools that had dyslexia specific this. He’s not dyslexic.’ He was actually sent out of
Special Ed, back into the classroom.
programmes or were better equipped to provide
support classes and additional staff. Such refusals to accept the diagnosis were
Experiences with tutors were mixed, though the perceived by parents as preventing their child the
majority reported positive experiences. Participants opportunity to access support services and at times
with positive outcomes on academic performance rejection of their child.
described their tutors as caring and encouraging, In other instances, parents identified the charac-
able to make learning fun and understood their teristics of individuals who provided their child with
difficulties. One participant commented, ‘‘with my support. Parents identified facilitating individuals as
tutor, it’s helped a lot and I’ve learnt all these ways to those who communicated clearly with parents,
solve problems and now I’m actually quite good’’, exhibited patience with their child and provided
while other participants described their tutors as, support to their child. One parent described an
‘‘nice and she understands me’’, ‘‘they are encoura- assistant principal: ‘‘He was very supportive. (H)e
ging’’, and ‘‘she came out as friendly, so you felt safe assisted in negotiating and he pretty much advocated
around her’’, suggesting that in addition to the on our behalf. . .That was exactly what we needed
academic guidance, participants also felt safe and and, as a result, was a success story. . .(W)e always
comfortable. The few participants who had negative said thank you to him. . .’’
experiences with tutors reported unsuccessful The assistant principal facilitated the child’s
tutoring styles and unhelpful learning strategies. access to education support, resulting in ‘‘a success
One participant was unable to connect with their story’’.
tutors’ way of teaching, ‘‘I’ve had a lot of tutors
but they don’t always help much, like they help but Provision of support in the school setting. Many parents
just their kind of way of teaching is a bit harder also reflected on the extra support available to their
for me’’. children, particularly through tutoring (privately and
In addition to the support children received at at school) and professionals such as speech patholo-
school from their peers, friendships established in gists. Parents identified issues of access, standing out
the home environment also played an important role from peers, and costs to time and money as
in improving children’s experiences and mental challenges surrounding extra support. This parent
health. Common characteristics emerged when par- describes the cost of tutoring to both time and
ticipants described their friends: ‘‘caring’’, ‘‘willing money: ‘‘It was very intensive, like, one to one
to help’’, ‘‘nice’’, ‘‘understanding’’ and ‘‘helpful’’ tutoring, so it’s expensive, very time-consuming’’.
and ‘‘encourage me’’. Many participants also noted Another parent described her daughter’s experi-
how their friends treated them ‘‘normally’’ and have ences of going to tutoring during school hours,
no problem with their diagnosis or difficulties. The stating, ‘‘She was missing subjects that she loved and
support found in these friendships also contributes she felt. . .that everyone was noticing that she was
to positive mental health outcomes, as participants getting taken out and it was a bit more of a
report feeling ‘‘happier’’ around friends, and leading spectacle’’. The tutoring prevented classroom
to positive academic outcomes, with one participant engagement and made this child feel different.
stating, ‘‘[the] happier I am the better I am getting’’. Despite such impacts, parents also identified a
variety of successes resulting from extra support,
Parent’s experience. People as ‘‘inhibitors’’ or including improved literacy and confidence, and
‘‘facilitators’’. Parents identified the characteristics benefits from informal counselling. For example,
in people who served as barriers and facilitators to one parent reflected; ‘‘So, as much as it’s been great
from an educational point of view, it’s been brilliant
their child’s development. Inhibiting characteristics
too for [child’s name]. Just having someone to chat
included not working with the child, and rejecting
to that understands.’’ Improvements to literacy
the diagnosis, for example, ‘‘(H)is teacher . . . is not
standards were also noted:
interested in helping children with any problems’’.
He said to us, ‘‘Oh, there’s always a place in the
She’s been going to tutoring, a [XX] tutor, for the last
world for someone like G., he’ll be fine’’. Pretty two and a half years. (W)hen she first went there she
much saying, ‘‘I’m not going to do anything with was assessed as being like a, um, reading and writing
him’’. It was apparent that a lack of interest in the level of an eight year old. And now she’s at the class
child, combined with low expectations of the child, level. . .. She’s, fifteen. So she’s really jumped ahead a
resulted in a failure to provide the support required. lot with that.
Living with dyslexia 9

The school environment. Parents identified the school understanding of the systemic nature of their child’s
environment as often being a challenging setting social context and have the experiential knowledge
whereby the school failed to meet the needs of their to be able to comment on broader governance and
child. Participants reflected that this resulted from political structures that can shape factors that are
lack of flexibility in teaching approach, lack of not a part of their child’s immediate experience. At
support and variability of teaching staff, for example, this level, the themes parents raised explicitly related
a participant stated, ‘‘Obviously being dyslexic you to teacher training and influences of governance
learn differently, and yet school only has one way systems.
that teaches everybody’’. Variability of teaching
performance was also mentioned: ‘‘But when he’s Parent’s experience. Lack of teacher training. Parents
got, um, just a regular teacher that just doesn’t get it, raised challenges beyond school that impacted the
everything just falls apart, you know? So he’s lucky child in particular the lack of teacher training or
he’s had a couple of good teachers’’. This parent awareness, for example, ‘‘I think it’s just because it’s
contrasts ‘‘regular’’ teachers with ‘‘good’’ teachers, all too hard. They’re not trained in the area and it’s
and is grateful for the ‘‘luck’’ that the child has had a had such a flow-on effect. (B)ecause a lot of the time
couple of good teachers. his teachers will say to me, ‘I don’t know, I don’t
Comparatively, parents identified successes at know how to teach him’’’. Another parent explains
school as facilitated by a child-centred focus, accept- broader concerns, claiming teachers are not taught
ance of diagnosis, and support tailored to the child. how to teach reading:
For example, ‘‘(R)eally took the notion of independ-
ent learning, or child-focussed learning to that – (T)here seems to be a real short-fall in the amount of
almost to that extreme level. . . (T)hese kids were not phonics that teachers are taught at uni(versity) before
they graduate. (T)hey don’t seem to understand really
just numbers. . .’’. This parent links success at school
the nitty-gritty of reading, how to teach someone to
with focussing on the child as an individual with read. And I guess a lot of it, probably, most kids will
individual needs. Schools were identified as facil- learn, experientially and they’ll grasp it quickly. . .the
itating success when the school was proactive in third of the class that really struggle and that actually
meeting the needs of the child. Another participant need explicit teaching, I think teachers really need to
stated, know how to tackle those kids and how to give –
support them.
(T)hey were very clear that once she’d been seen by
These examples illustrate parents’ concerns that
[clinical service] that if she was diagnosed although
they didn’t have extra funding, they would do their best teachers do not have fundamental teaching skills, or
to implement whatever recommendations that were the ability to cater for diverse learning needs in the
given to the best of their abilities with the, sort of, classroom.
within the restrictions that they would have within the
school, sort of thing. But yeah, they were just, basically, Lack of government recognition. Parents also raised
trying to do as much as they could, and they did. They concerns regarding the government’s lack of recog-
were fantastic. nition of dyslexia. Parents argued an association
This quote outlines what the parent valued between teacher training and insufficient govern-
mental financial support. For example,
from the school, including an attitude to try to
do whatever it takes to support their child, and
The government needs to provide teachers with
an openness to a diagnosis of dyslexia. Successes training on kids with dyslexia and learning difficulties
at school occurred when the school put the and the government needs to perhaps provide. . .,
child’s interests first and took on I think it has to be recognised as a disability before
recommendations. they provide funding to families to help with tutoring.

Exosystem Another parent outlines the difficulty of accessing


funding to support her child:
At the exosystem level of analysis, there is a
noticeable absence of themes emergent in the stories (I)ronically, you don’t get extra funding for a diagnosis
of the children who participated. The absence of of dyslexia but hey, you get it for depression and
themes pertinent to this level can only be speculated, anxiety. So you’ve got to get so bad that you do end up
but is likely a reflection of the way children view their with significant mental health problems before you can
world. Specifically, perhaps children’s reflections of actually get extra funding, well the school can get extra
funding.
their experience are bound by their immediate
intrapersonal experience (as illustrated at the micro- Parents’ experiences at the exosystem illustrate a
system level), and their most immediate and per- systemic understanding of the broader cultural
sonal relationships that occur in interpersonal context their child is embedded. It also illustrates
settings (as illustrated at the mesosystem level). the additional considerations parents of children
Parents however, perhaps convey a deeper level with dyslexia may face. Parents appear to contend
10 S. Leitão et al.

with challenges regarding the provision of funda- found themselves performing additional roles of
mental education outcomes; this is made more tutor, advocate, fighter and counsellor for their
complex with parents’ recognition of the systemic child.
issues that present as barriers to provisions of quality Parents commonly reflected on the necessity to
education (such as funding). These sorts of issues, engage additional support services outside of school
although felt by children and captured in other layers hours to ensure their child was meeting basic social
of the analysis, are not however conceptualised by and educational milestones. To access such services
children as being a systemic issue, rather, they are was identified as a complex and often uncertain
something that they contend with on a day to day process, a participant reflected
basis.
. . .my experience is that it’s been a very disjointed, um,
provision of services and connection, and everyone’s
Macrosystem brilliant in their own way, but that lack of cohesive
connection and this is what you do with a child who’s
Analysis at the macrosystem level presented complex got dyslexia or learning difficulties, there’s no one-stop
meta-narratives about the lived experience of dys- shop that can support the parents. If the parents are
lexia within Australian culture. For the children who supported, then the child does not have to be like a
participated, their stories reflected their navigation guinea pig. Because it got to the point where [child’s
of being perceived and feeling ‘‘different’’ within a name] was just exhausted from interventions.
broader cultural context that values and privileges Furthermore, engaging with additional support
perceived ability and shames perceived inability. For services and systems was recognised by one partici-
parents, their stories reflected the tension associated pant as something that could be shaped by a family’s
with parenting a child that is constructed as being level of privilege.
‘‘different’’ and a ‘‘problem’’; parents who partici-
pated reflected on their role as being more than a . . .you know, we’re in a fortunate position where we
‘typical parent’ and having to adopt roles such as can, you know, afford to give him all the support he,
tutor, fighter, counsellor and advocate for their you know, needs. But, you know, there must be
child. hundreds of parents out there who can’t afford it.
And it must be, it’s just terrible, because it’s not, there’s
Child’s experience. Dealing with being no financial support for them.
‘‘different’’. Children mentioned their experiences Homework presented as a particular challenge for
with feeling different after a diagnosis, with one parents, where the level of support required was
participant reporting: beyond that expected, for example,

in a way it was a good thing because like, I don’t know . . . the teachers will say, ‘It’s only 15 minutes of
I just, it made me feel better, cause like I was different homework a night’. Well, I get home from work and
but I was being treated nicely still, um but in the same then it’s an hour and a half sometimes, to do 15 min-
way it was a bad thing because like I was being treated utes of homework. And then there’s for no benefit,
differently to everyone else, didn’t want to stick out too because he doesn’t really remember any of it.
much.
The role of a parent of a child with dyslexia is
This desire to fit in was highlighted by many multifaceted, but appears driven by the necessity of
participants, as was the impact of both being and ensuring the fundamental education and social
feeling different, ‘‘cause like I feel special, cause I’m needs of their children are met. Parents’ experiences
equal er um, you know, different to everyone else but illustrated their endeavours at creating a context
in a bad way cause like struggle, like I have more where their child has the best chance; their efforts
stress. . ..’’ Participants identified themselves as dif- were not geared towards their children excelling
ferent and reported ‘‘wanting to be like with every- academically or socially, but rather to establish a
one else’’ and the frustration they often felt in the level playing field. Fundamentally, parents per-
classroom. formed the role where they endeavoured to provide
support for their child so that they were ‘less
Parent’s experience. Establishing a level playing field for different’. A parent reflected on the different way
their child. The metanarrative that emerged from their child was treated at school. ‘‘Um, it got so bad
participants’ interviews similarly appeared to reflect it got to the point that I had a formal meeting and
their dealings of the experience of being ‘‘different’’; said that I would formally write it, um, if the
serving as an extension of their child’s immediate principal didn’t do something about it, because the
experience. Specifically, it appeared that parents comment of, ‘Oh it doesn’t, don’t, you know – you
identified themselves as being a ‘‘different’’ sort of really don’t need to worry too much about [child’s
parent, whose role extended beyond the traditional name]’, that was a comment to my husband, um,
roles of parenting. At times there was a sense when he said, ‘Look, he’s struggling with this’. And
that parents just wanted to be a parent, but he said, ‘Oh well, he’ll always struggle, you know,
Living with dyslexia 11

there’s always a place in the world for someone like instances, the diagnosis served as something that
[child’s name]. Don’t worry about it’’’. Parents made them different from their peers. This aware-
identified social implications associated with being ness of the impact of the diagnosis was also noted by
labelled and treated as different within the school Riddick (2010) who reflected on the important
environment, one parent reflected distinction between the private and public aspects
and hence, the impact of the label.
I felt that he was excluded by some parents because he In keeping with the findings of Terras et al. (2009)
was labelled as this naughty child. Um, and because I and Haft et al. (2016) parents and children reflected
was constantly at the school, sort of, you know, railing. on the important influence of peers and educators,
I mean, you know, it got to the point where your and how attitudes of others shape their lived experi-
capacity, uh, constructive dialogue is sort of just, is
ence. Like the mothers in Riddick’s (2010) study,
exhausted.
parents were concerned about their children’s
The majority of parents argued that exclusion, mental health, positive results beyond improved
labelling and being viewed as different contributed literacy were reported following tuition, and the
to their child’s unwillingness to engage in activities variability of teachers was noted. The protective
and with others, for example, ‘‘She’s not confident, nature of high-quality relationships with peers,
she really lacks confidence. She’s really – it’s really parents and teachers has recently been shown to
hard to get her to try new things, if she doesn’t know contribute to lowering both internalising and exter-
that she can do them well, really hard.’’ nalising issues in adolescents with learning and
reading difficulties (Al-Yagon, 2016).
Internalising behaviours and emotions were
Discussion
reported by the children more frequently than
A number of themes emerged from our analysis of externalising, with the majority occurring in educa-
the interviews with children with dyslexia and their tional contexts. Both children and parents reflected
parents. In keeping with the issues identified in the on the influence of educators and the school
literature, the perspectives of our participants environment (at the micro- and mesosystem
identified the impact of dyslexia at the individual, levels), conveying factors that were both enabling
family and community level (Haft et al., 2016). and disabling to the children’s lived experience.
Children’s accounts of their experiences of dyslexia Parents, but not children, also identified broader
were ecologically situated at both the micro and socio-cultural barriers to their child’s learning
mesosystems, while parent’s accounts extended to experience, with particular critique of the perceived
include the exosystem (Bronfenbrenner, 1979). We failings in teacher training and criticisms of the
can speculate that this difference in experience is Government failing to acknowledge dyslexia as a
perhaps a consequence of the participants’ age and condition requiring financial and social assistance.
their experiential knowledge and understanding of These exosystem level factors contributed to the
social contexts and systems. Both groups also context in which parents and children dealt with the
reflected on ‘‘difference’’, a theme related to cultural diagnosis of dyslexia.
and attitudinal views at the level of the macrosystem. At a broader level, participant accounts appear to
This discussion is structured according to eco- reflect the negative experience of being perceived as
logical level; specifically we consider the findings different, specifically the dominant narrative appears
from micro and meso levels of analysis and report on to be one that privileges perceived ability and shames
implications, followed by the outer levels (exo and difference. This sense of difference was represented
macro). This reflects patterns in how participants in the participants’ experiences of educational
shared their lived experience; the inner layers of settings in particular and in the responses of educa-
Bronfenbrenner’s model were more personal. The tors to their diagnosis, as reported by Eissa (2010)
issues situated at the outer levels are arguably more who also interviewed participants.
complex in that they reflect broader societal and The findings of this qualitative study, that chil-
cultural factors that appear to create at times dren with dyslexia and their parents discussed their
amorphous and overwhelming challenges for par- lived experiences of mental health issues (in par-
ticipants. These are challenges that are somewhat ticular internalising behaviours), are consistent with
out of participants’ control, but greatly shape their those reported in the research which generally drew
lived experience. on parent/teacher reports. Interestingly, many
Mental health impacts at the level of the micro- themes raised in this study contained both positive
system were evident in the stories of both children and negative experiences, with implications for
and parents, with children’s experiences in particular consideration of risk and protective factors. This
conveying a difference in their experiences pre- and appears to reflect a highly contextual experience of
post-diagnosis. For some participants, the diagnosis living with, and parenting a child with dyslexia. It is
was affirming, serving as an explanation of their clear challenges and successes occur at both the
difficulties; for others, the diagnosis was burden- micro and mesosystems, and are typically mirrors of
some, as it was perceived as a lifelong issue. In both each other. That is, findings suggest people and
12 S. Leitão et al.

schools not focussed on the child are barriers, bias the results, as the challenges and successes
whereas child-centred people and schools facilitate presented here may not represent the broader lived
success. Similarly, while extra support improves experiences of parents of children with dyslexia in
literacy outcomes, this can come at a cost to time, the wider community. Future research should con-
money and negative attention from peers. sider involving young people who have and have not
While early diagnosis has been associated with received a diagnosis of dyslexia, and who are yet to
increased coping ability and confidence, time from receive support. The findings from this study will be
diagnosis did not emerge as a clear theme in these used to inform quantitative studies investigating the
open-ended interviews. This suggests the need to significance of the individual factors identified here
further explore the relationship between mental for a larger group of people. Such research is the
health outcomes and the pathway to diagnosis. necessary next step to inform direction of services
Future research will build on these preliminary and funds.
findings and collect more detailed participant pro-
files to explore such questions. Further, we need to
understand factors that may influence the emer- Conclusion
gence of participants’ self-esteem (Burden, 2008).
This study provides information that could be used
The findings of research regarding the relationship
to inform and educate families, clinicians and
between reading difficulties and self-esteem are
teachers about the impact of living with dyslexia.
mixed (Terras et al., 2009). In the data reported
Identifying these challenges is the first step to
here, protective factors emerged in participants’
removing them. Some challenges can be addressed
identification of family and peer support, and in
at the individual level, working directly with the
particular the influence of the school environment.
child and their parents. Others can be addressed at
Children and parents identified the positive influ-
the school level, such as providing more information
ence of educators who both understood and believed
and support to teachers so that they can better
in dyslexia, in contrast to those who did not. The
support the children with dyslexia in their class.
next stages of the programme of research thus
Support from peers and education staff may have
involve a longitudinal study and exploring the lived
positive outcomes and reduce negative self-percep-
experiences of educators who work with children
tions and mental health difficulties, highlighting the
with dyslexia.
importance that those within the school environ-
The literature investigating risk and protective
ment are educated about dyslexia, its individual
factors in children and young people with dyslexia
nature, and how they can support and assist children
has mainly focussed on factors at the microsystem
with dyslexia. There is the need for schools to
level, such as attitudes of parents, peers and
become dyslexia friendly, including more teacher
teachers. Whilst these themes emerged in both sets
aides, dyslexia specific support classes aimed at
of data, parents in particular also focussed on
individual difficulties of group members, education
broader factors at the exo- and macrolevels, raising
of staff on dyslexia, and encouragement in areas
challenges at the school system and beyond. These
such as social activities, sport or free choice classes
broader themes, however, were not mirrored suc-
where children can be given the opportunity to feel
cesses and challenges, and were generally presented
successful at school.
as negatives. This research has thus highlighted the
However, while supportive classrooms, aware
imperative to recognise the impact of Government
teachers, and proactive schools will benefit the
policy and teacher training spheres beyond the
children and their families, there is a still greater
child’s setting, which powerfully influence their day
challenge at the broader societal level of government
to day experiences and were identified by parents as
recognition and cultural values regarding ability and
challenges. The sobering implication is that while
perceptions of difference. Without government rec-
some children experience success at the micro and
ognition, schools must try to support these children
mesosystems, all children with dyslexia will be
without extra funding. Without government recog-
impacted by the challenges identified at the exosys-
nition, parents continue to struggle to pay for the
tem, such as variability of teachers and financial
extra tutoring required. Additionally without critical
struggles to meet tuition fees. These challenges
conversation and recognition about children’s per-
cannot be resolved by excellent levels of support and
ceptions of themselves as a young person with
child-centred intervention from individual teachers
dyslexia and parent’s perceptions of parenting a
and schools. Once the child changes class or school,
child with dyslexia, interventions have the propensity
the challenges may again be present.
to lack critical context and are perhaps incomplete.
Education and health professionals working with
Limitations and further research
these families, as well as support organisations, need
This was an explorative qualitative study. The data to therefore advocate for greater recognition of
were taken from a self-selected sample of partici- dyslexia and funding for assistance at the govern-
pants who are linked to an organisation. This may ment level. Society and community have a
Living with dyslexia 13

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it means to feel ‘‘different’’ as a child or a parent. psychology: A practical guide. London: Sage.
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Appendix
Dyslexia diagnostic criteria used by Dyslexia SPELD Foundation Western Australia (DSMV).

1. Average or above IQ
2. Minimum of two reading or spelling scores below the 25th percentile
3. One or more areas of phonological processing falling below 1 SD
4. Identified lack of response to intervention targeted at areas of weakness for a minimum six months targeted intervention period
5. At least one measure of reading skills, measured by timed and untimed single word reading tests, timed nonword reading tests, accuracy
and rate on reading comprehension and passage reading, to fall below 1SD

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