Case Study Analysis
CASE STUDY 1: David
David had just turned 10 years old and completed the fourth grade when his parents brought him to the Reading Center in June. During the parent interview, his parents reported that David’s reading problems had persisted through his school history. His parents said his physical development was normal except for an operation he had when he was an infant to correct a “cross-eyed” condition. Since David had begun school, his vision had been checked every year with the Snellen chart and appeared to be normal.
David’s parents reported that he was a very happy, likeable boy. He enjoyed sports, such as running and swimming, but did not like sports like baseball which required motor skills such as catching balls. Before starting school, David had been enthusiastic about reading, but he had developed an aversion to it as he experienced failure. Now he avoided reading. When he was required to read a book, he selected easy ones with large print. When David’s cumulative school records were examined, they confirmed that he had experienced continuing problems in reading.
However, he was more successful in other academic areas. In an interview with his fourth grade teacher, she described him as having a bad attitude toward reading and said he attempted to avoid it. She also said that at the end of the year, David was reading with the lowest group in the last half of a second grade reader, while the remainder of the class was on grade level. She said David had particular problems with oral reading, and he frequently lost place in the text.
In an interview with David, he said he did not want to be at the Reading Center. When asked about reading, David seemed to understand that the purpose of reading is to gather information. He said he read outside of school, and that he only read things when they were assigned. He was quite reluctant to participate in the diagnosis, particularly in reading orally to the reading teacher, a great deal of time was spent convincing him to cooperate and to read the passages presented.
Tests administered and the results are presented below:
Informal Reading Inventory
Word Recognition List
Independent Level Primer
Instructional Level Grade 1
Oral Passage Reading
Independent Level Primer
Instructional Level Grade 1
Silent Passage Reading
Independent Level Grade 1
Instructional Level Grade 2
Listening Level Grade 5
David maintained adequate oral reading and comprehension scores from the preprimer through the second grade levels. His words recognition broke down at the third grade level.
Consequently, he was unable to comprehend at that level. An analysis of his miscues at all levels of the IRI showed that he rarely tried to sound unknown words. However, he supplied words in the text that make sense contextually.
David’s mother reported that David had always passed the hearing screening test that was administered at his school. However, he had been referred to an ophthalmologist after his last vision screening test. The ophthalmologist told David’s parents that his near point vision, far point vision, and color perception were all in the normal range, but that he had problems with depth perception and binocular vision at both the far point and near point ranges.
David was reluctant to participate throughout the diagnosis, especially when asked to read longer text.
Questions for Case Study 1: David
Question 1 Considering both environmental and individual factors, which of these might be related to David’s reading problem? Substantiate your answer by citing evidence.
Question 2 Does David have a reading disability? Substantiate your answer.
Question 3 What seems to be David’s major area of reading disability? Substantiate your answer.
Question 4 At what grade level do you think instruction should begin? Why?
Sample Solution
Both environmental and individual factors could be related to David's reading problem.
Environmental factors:
- David's parents reported that he had a vision problem when he was an infant, which could have affected his early development of visual processing skills.
- David's parents also reported that he had problems with depth perception and binocular vision, which could be affecting his ability to read accurately and fluently.
- David's fourth grade teacher reported that he had a bad attitude toward reading and attempted to avoid it. This could be due to his previous experiences with failure in reading, or it could be a sign of a deeper problem such as dyslexia.
Full Answer Section
Individual factors:- David's scores on the Informal Reading Inventory (IRI) showed that he was reading below grade level in all areas of reading. This suggests that he has a general difficulty with reading, rather than a specific problem with one area of reading, such as word recognition or comprehension.
- David's reluctance to read and his difficulty with oral reading suggest that he may have a problem with automaticity, which is the ability to read quickly and effortlessly.
- David's difficulty with oral reading and his tendency to make context-based substitutions suggest that he may have a problem with phonological awareness, which is the ability to hear and manipulate the individual sounds in words.
- He has a significant discrepancy between his reading achievement and his intelligence.
- His reading difficulties are not due to environmental factors such as lack of instruction or inadequate exposure to reading materials.
- His reading difficulties have persisted despite appropriate instruction.
- His word recognition scores on the IRI were two grade levels below his other reading scores.
- He had difficulty with oral reading, which is often a sign of a word recognition problem.
- He rarely tried to sound out unknown words, but instead supplied words in the text that made sense contextually. This suggests that he is relying on contextual clues to read, rather than using his knowledge of phonics and word structure.
- Word recognition: David could be taught phonics and word structure skills. He could also be taught to use context clues to decode unfamiliar words.
- Oral passage reading: David could be given practice reading passages aloud. He could also be taught strategies for improving his fluency, such as phrasing and chunking.
- Silent passage reading: David could be given practice reading passages silently. He could also be taught strategies for improving his comprehension, such as making predictions, asking questions, and summarizing.