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A Taxometric Investigation of
Developmental Dyslexia Subtypes
Beth A. O’Brien
1,
*, Maryanne Wolf
2
and Maureen W. Lovett
3
1
University of Cincinnati, Cincinnati, OH, USA
2
Tufts University, Medford, MA, USA
3
Toronto University, Toronto, Ontario, Canada
Long-standing issues with the conceptualization, identification and subtyping of developmental
dyslexia persist. This study takes an alternative approach to examine the heterogeneity of
developmental dyslexia using taxometric classification techniques. These methods were used
with a large sample of 671 children ages 6–8 who were diagnosed with severe reading disorders.
Latent characteristics of the sample are assessed in regard to posited subtypes with phono-
logical deficits and naming speed deficits, thus extending prior work by addressing whether
these deficits embody separate classes of individuals. Findings support separate taxa of
dyslexia with and without phonological deficits. Different latent structure for naming speed
deficits was found depending on the definitional criterion used to define dyslexia. Non-
phonologically based forms of dyslexia showed particular difficulty with naming speed and
reading fluency. Copyright © 2012 John Wiley & Sons, Ltd.
Practitioner Points:
• Support for separate subtypes of dyslexia, with and without phonological deficits (PDs),
indicates a need for different approaches to intervention.
• A discrepancy-based criterion identifies more non-PD cases that may be missed with a
response-to-intervention diagnosis.
• Sound symbol correspondence and decoding measures may best distinguish cases of
dyslexia with and without PDs.
Keywords: developmental dyslexia; subtypes; double deficit hypothesis; taxometric analysis
Developmental dyslexia has been the focus of a century of research across multiple fields
(e.g., Orton, 1928; Geschwind & Behan, 1982; Shaywitz et al., 1992; Fletcher, 2009). Along
this course, dispute regarding dyslexia’s aetiology, definition, identification and even its ex-
istence has persisted. But one historical trend in any conceptualization of dyslexia is the
recurrent view that the ‘syndrome’ is composed of separate syndromes, usually referred
to as subtypes. Within this perspective, delineating subtypes is key to establishing both
the aetiology and diagnosis of developmental dyslexia.
Research efforts in the past few decades have led to great gains in reconceptualizing
developmental dyslexia as a neurodevelopmental syndrome (Pennington, 2009), and this
process has contributed to improved approaches to remediation. The most recently
conceived defining characteristics are more inclusionary than in the past, including specific
difficulties in word reading linked to phonological processing (Lyon, Shaywitz, & Shaywitz,
2003). Although it is widely held that dyslexia is a heterogeneous disorder, the prevailing
*Correspondence to: Beth A. O’Brien, School of Education, CECH, University of Cincinnati, 2150 Edwards One,
PO Box 210105, Cincinnati, OH 45221-0105, USA. E-mail: obrienba@uc.edu
Copyright © 2012 John Wiley & Sons, Ltd. DYSLEXIA 18: 16–39 (2012)
DYSLEXIA
Published online 8 January 2012 in Wiley Online Library
(wileyonlinelibrary.com). DOI: 10.1002/dys.1431