There is no indication of difficulties with SDM’s receptive or expressive language at this time. She continues to have excellent command of her vocabulary and demonstrated very good verbal fluency. She is adequately able to process the content of conversations and participate, however, she sometimes has challenges finding to words to bring across her point. Of importance to note however, is significant impairment in her written expression. SDM showed no challenges with her fine motor skills (ability to hold and use writing materials), grammar, punctuation or spelling abilities. She did, however, have severe restrictions in her ability to organize her thoughts in written form. She spoke to challenges with arranging her thoughts in a way that flowed or made sense. This challenge has persisted despite adequate understanding of information and reduced time constraints. Her reported writing challenges were consistent with observations of her performance in the WIAT-III Essay Composition subtest. Although she was able to formulate sentences with cue words or when required to merge sentences together, while maintaining the original meaning, her writing speed was still somewhat impaired. Her writing challenges were most evident however, when she was required to engage in more complex writing. Specifically, she struggles with recalling relevant information (which is consistent with reports of disrupted verbal memory), structuring her thoughts and transferring them to written form. It is important to note, that although she was able to jot down points relevant to her essay, she was still unable to format the information into proper sentences and paragraph within the allotted time. As such, her essay lacked important elements such as transitions, elaborations, examples and a conclusion. It is likely that the LDDI did not pick up on her challenges with written expression for a number of reasonings. Firstly, the questions in the LDDI focused on aspect of dysgraphia (Disorder of Written Expression) related to visual-spatial difficulties, such as poor shape and letter discrimination, fine motor difficulties, such as awkward handwriting, and spelling and grammar usage issues. SDM’s dysgraphia however, presents with challenges in organizing written information, and language processing issues. This causes challenges with getting her thoughts down on paper in an appropriate time, and challenges with effectively conveying her ideas (which is consistent with LDDI reports of slow writing and limited written output). Secondly, SDM is relatively new to the school and as such, it is possible that her teachers are not completely aware of her specific writing challenges. While she is able to produce good quality work with extensions and other time accommodations, her teacher might be unaware of the specific difficulties she faces in achieving the completed product. SDM presents as a 17-year-old girl with an Extremely High General Ability Index (GAI) and significant challenges with memory and processing speed that are impacting on her ability to function adequately in an academic setting. Based on background information and her previous assessment, there is progressive decline in her memory and her processing speed. Her previous assessment showed that her cognitive ability was in the Upper Extreme which is consistent with her WISC- V GAI score. SDM’s results on cognitive and memory tests shows impairments that span multiple cognitive domains namely processing speed, memory and executive functioning. Although her overall cognitive performance is very strong, when we look at her FSIQ which was in the Above Average range, the impact of her processing speed on her performance becomes very evident. The challenges with processing speed observed in testing is consistent with observations in her previous assessment. It is possible however, that as her course/class and workload increases in difficulty, her processing speed might become more impaired and she will require more time and effort in order to grasp new information, retrieve and apply it. Processing speed is a good indicator of how quickly a person will excel at a newly learnt skill. For SDM, she has an excellent ability to learn new information, however she has significant challenges in how quickly and accurately she is able to complete her work. In addition, she displayed perfectionist tendencies which could further slowdown how quickly she accomplishes her tasks. What aspects of cognitive psychology are evident in the case? What can be understood about the relation between brain structures and mental processes and the development of cognition from the case?
There is no indication of difficulties with SDM’s receptive or expressive language at this time. She continues to have excellent command of her vocabulary and demonstrated very good verbal fluency. She is adequately able to process the content of conversations and participate, however, she sometimes has challenges finding to words to bring across her point. Of importance to note however, is significant impairment in her written expression. SDM showed no challenges with her fine motor skills (ability to hold and use writing materials), grammar, punctuation or spelling abilities. She did, however, have severe restrictions in her ability to organize her thoughts in written form. She spoke to challenges with arranging her thoughts in a way that flowed or made sense. This challenge has persisted despite adequate understanding of information and reduced time constraints.
Her reported writing challenges were consistent with observations of her performance in the WIAT-III Essay Composition subtest. Although she was able to formulate sentences with cue words or when required to merge sentences together, while maintaining the original meaning, her writing speed was still somewhat impaired. Her writing challenges were most evident however, when she was required to engage in more complex writing. Specifically, she struggles with recalling relevant information (which is consistent with reports of disrupted verbal memory), structuring her thoughts and transferring them to written form. It is important to note, that although she was able to jot down points relevant to her essay, she was still unable to format the information into proper sentences and paragraph within the allotted time. As such, her essay lacked important elements such as transitions, elaborations, examples and a conclusion.
It is likely that the LDDI did not pick up on her challenges with written expression for a number of reasonings. Firstly, the questions in the LDDI focused on aspect of dysgraphia (Disorder of Written Expression) related to visual-spatial difficulties, such as poor shape and letter discrimination, fine motor difficulties, such as awkward handwriting, and spelling and grammar usage issues. SDM’s dysgraphia however, presents with challenges in organizing written information, and language processing issues. This causes challenges with getting her thoughts down on paper in an appropriate time, and challenges with effectively conveying her ideas (which is consistent with LDDI reports of slow writing and limited written output). Secondly, SDM is relatively new to the school and as such, it is possible that her teachers are not completely aware of her specific writing challenges. While she is able to produce good quality work with extensions and other time accommodations, her teacher might be unaware of the specific difficulties she faces in achieving the completed product.
SDM presents as a 17-year-old girl with an Extremely High General Ability Index (GAI) and significant challenges with memory and processing speed that are impacting on her ability to function adequately in an academic setting. Based on background information and her previous assessment, there is progressive decline in her memory and her processing speed. Her previous assessment showed that her cognitive ability was in the Upper Extreme which is consistent with her WISC- V GAI score. SDM’s results on cognitive and memory tests shows impairments that span multiple cognitive domains namely processing speed, memory and executive functioning.
Although her overall cognitive performance is very strong, when we look at her FSIQ which was in the Above Average range, the impact of her processing speed on her performance becomes very evident. The challenges with processing speed observed in testing is consistent with observations in her previous assessment. It is possible however, that as her course/class and workload increases in difficulty, her processing speed might become more impaired and she will require more time and effort in order to grasp new information, retrieve and apply it. Processing speed is a good indicator of how quickly a person will excel at a newly learnt skill. For SDM, she has an excellent ability to learn new information, however she has significant challenges in how quickly and accurately she is able to complete her work. In addition, she displayed perfectionist tendencies which could further slowdown how quickly she accomplishes her tasks.
- What aspects of cognitive psychology are evident in the case?
- What can be understood about the relation between brain structures and mental processes and the development of cognition from the case?
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