Showing posts with label poor working memory. Show all posts
Showing posts with label poor working memory. Show all posts

Monday, November 7, 2016

Working Memory: The RAM of the Brain

Photo courtesy of http://examinedexistence.com
So what the heck is working memory?  I think of it as the RAM of our human computer, our brain. James has a relative weakness in his working memory. His score on the WISC -V was a standard score of 85; however, a score of just 79 is considered borderline. So this is quite a low score, overall, for James who is my highest cognitively-abled child. Margaret got a standard score of 62. This puts her in the severely impaired.  Joseph has a standard score of 79.  If you knew him you might find this surprising since he is SO slow due to his processing speed. Over time though, I have noticed that both Margaret and Joseph are both quite impaired.  I know now it is in different way.  Margaret has major working memory problems but is much faster at processing information.  Joseph on the other hand is SUPER slow in processing speed BUT he mas better working memory and long term memory.  Over time, I think, this will serve him better.

So what exactly is working memory? 

The computer, so useful a metaphor in cognitive psychology, offers an intuitively appealing model for thinking about the nature and structure of working memory.

Simplifying the workings of a computer, there are two means by which information is stored, the hard disk and random-access memory (RAM). The hard disk is the means by which information is stored permanently in a stable and reliable form; all software programs, data files, and the operating system of the computer are stored on the hard disk. To use this stored information you must retrieve it from the hard disk and load it into RAM. Now for the analogy: the information stored in the hard disk is like long-term memory, RAM corresponds to working memory.

How well does this metaphor fit with actual human working memory structure and function? The evidence is not all in, but cognitive and neuroscience approaches to the study of working memory have in many ways revolutionized the types of questions that can be asked and provided new insights into how working memory works.

Working
memory is the mind’s ability to keep information for a short span of time, as you utilize such facts for the tasks and activities you need to do. It makes use of two lobes: the frontal lobe, which is responsible for planning, reasoning, emotions, problem-solving, movement and speech; and the parietal lobe, which governs the perception of stimuli such as pain, pressure, touch and temperature.

Since working memory is naturally brief, it makes use of attention and memory, but only for a short span of time. It is considered the foundation of the mind’s executive function, a group of mental processes that allows an individual to solve problems, plan ahead, pay attention and organize activities.

There are two types of working memory used by all individuals. They are:

1. Visual-Spatial Working Memory

Defined as the brain’s ability to use an ‘imaginary sketchpad,’ it enables a person to visualize something – and keep it in his mind’s eye. Individuals can use this type of working memory to remember images, sequences and patterns. It is also useful for computing mathematical equations in the mind.

The visuo-spatial sketch pad (inner eye) deals with visual and spatial information. Visual information refers to what things look like. It is likely that the visuo-spatial sketch pad plays an important role in helping us keep track of where we are in relation to other objects as we move through our environment (Baddeley, 1997).

As we move around, our position in relation to objects is constantly changing and it is important that we can update this information. For example, being aware of where we are in relation to desks, chairs and tables when we are walking around a classroom means that we don't bump into things too often!

The sketch pad also displays and manipulates visual and spatial information held in long-term memory. For example, the spatial layout of your house is held in Long Term Memory (LTM). Try answering this question: How many windows are there in the front of your house? You probably find yourself picturing the front of your house and counting the windows. An image has been retrieved from LTM and pictured on the sketch pad.

Evidence suggests that working memory uses two different systems for dealing with visual and verbal information. A visual processing task and a verbal processing task can be performed at the same time. It is more difficult to perform two visual tasks at the same time because they interfere with each other and performance is reduced. The same applies to performing two verbal tasks at the same time. This supports the view that the phonological (verbal) loop and the sketch pad (visual) are separate systems within working memory.

2. Auditory/Verbal Working Memory

This area of working memory makes use of the mind’s phonological or sound system. A good example is repeatedly dictating a phone number while dialing it. While it cannot be retained while doing a certain a task, it is touted by many as a common learning disadvantage in most activities like tasks that make use of verbal working memory include comprehension and language activities.



The phonological loop is the part of working memory that deals with spoken and written material. It consists of two parts. The phonological store (linked to speech perception) acts as an inner ear and holds information in speech-based form (i.e. spoken words) for 1-2 seconds. Spoken words enter the store directly. Written words must first be converted into an articulatory (spoken) code before they can enter the phonological store.

The articulatory control process (linked to speech production) acts like an inner voice rehearsing information from the phonological store. It circulates information round and round like a tape loop. This is how we remember a telephone number we have just heard. As long as we keep repeating it, we can retain the information in working memory.

The articulatory control process also converts written material into an articulatory code and transfers it to the phonological store.

How is your working memory?

Have you ever wondered if you have a good working memory?  If so, take this test to find out!

IS (5 x 3) + 4 = 17? BOOK
IS (6 x 2) - 3  =  8?  HOUSE
IS (4 x 4) - 4  = 12? JACKET
IS (3 x 7) + 6 = 27? CAT
IS (4 x 8) - 2  = 31? PEN
IS (9 x 2) + 6 = 24? Water

To take this test yourself, cut out a window in a blank sheet of paper so that it exposes only one line at a time. For each line, determine whether the arithmetic is correct or not: say, out loud, “yes” or “no.” Then look at the word that follows the problem and memorize it. Move through each line quickly. After you have finished all the lines, try to recall the words in order. The number you get correct is an estimate of your working memory capacity. Very few people have a working memory as high as 6; the average is around 2 or 3.


Working Memory and the Brain

A good example of an everyday activity that uses working memory is mental arithmetic. Imagine, for example, attempting to multiply two numbers (e.g., 43, 27) spoken to you by another person, without being able to use a pen and paper or a calculator. First of all, you would need to hold the two numbers in working memory. The next step would be to use learned multiplication rules to calculate the products of successive pairs of numbers, adding to working memory the new products as you proceed. Finally, you would need to add the products held in working memory, resulting in the correct solution. To do this successfully, it is necessary to store the two numbers, and then systematically apply multiplication rules, storing the intermediate products that are generated as we proceed through the stages of the calculation. Without working memory, we would not be able to carry out this kind of complex mental activity in which we have to both keep in mind some information while processing other materials. Carrying out such mental activities is a process that requires effort and prone to errors. A minor distraction such as an unrelated thought springing to mind or an interruption by someone else is likely to result in complete loss of the stored information, and so in a failed calculation attempt. As no amount of effort will allow us to remember lost information, the only course of action is to start the calculation again. Our abilities to carry out such calculations are limited by the amount of information we have to store and process. Multiplying larger numbers (e.g., 142 and 891) “in our heads” is for most of us out of the question, even though it does not require greater mathematical knowledge than the earlier example. The reason we cannot do this is that the storage demands of the activity exceed the capacity of working memory.

In an experimental setting, an individual’s working memory capacity is reliably assessed by tasks in which the individual is required to process and store increasing amounts of information until the point at which recall errors are made. An example of such a task is reading span, in which the participant makes judgments about the semantic properties of sentences while remembering the last word of each sentence in sequence. Tasks of short-term memory, in contrast, place menial demands on processing and are often described as storage-only tasks. Verbal short-term memory is traditionally assessed using tasks that require the participant to recall a sequence of verbal information, such as digit span and word span. Visuo-spatial short-term memory tasks usually involved the retention of either spatial or visual information. For example, in the Visual Patterns Test, the participant is presented with a matrix of black and white squares and has to recall which squares were filled in. The Corsi blocks task is an example of a spatial memory task, and participants have to recall the sequence of blocks that are tapped. Individual differences in the capacity of working memory appear to have important consequences for children’s ability to acquire knowledge and new skills.

Working Memory, Reading, and the Dyslexia Connection

Children may be described as dyslexic if their reading, writing and spelling skills are significantly worse than those of their typically developing peers. Dyslexia is now understood as a problem with Verbal Working Memory, where the Phonological Loop (verbal short term memory) does not function as it should, and the verbal portion of the Central Executive, responsible for concentration, attention, planning and other executive functions, is also affected.

Some symptoms of dyslexia arise as a direct result of poor Verbal Working Memory, such as poor reading, spelling, verbal comprehension, difficulty learning sequences and problems with organisation. Children with learning difficulties may also suffer from a lack of confidence and poor self-esteem.

A full diagnostic assessment is required to discover your child's pattern of strengths and weaknesses.  This can be done by request a full psycho-educational testing from the school.  If you homeschool you can request testing from your local school district under the Child Find guidelines, you can request a referral from your child's pediatrician to a pediatric psychologist, or you can request a referral and evaluation from a neuropsychologist.

What is Reading Comprehension?
Comprehension describes the interactive process between the reader and the text. Children with similar decoding and word recognition skills may vary in their understanding of material because their comprehension skills are at different levels. Listening and reading comprehension depend on language and cognition. Listening comprehension also depends on well-developed auditory skills. Prerequisite skills are:
  • vocabulary
  • grammatical skills
  • pragmatic skills
  • meta-linguistic awareness
  • shared understanding (social; cultural)
  • attention; sequencing
  • monitoring
  • working memory
When Working Memory skills are poor, children will struggle to retain information they read or hear for long enough to integrate it with existing understanding. This is particularly important when listening to, or reading, sentences with embedded clauses. Center-embedded clauses can be really difficult because this structure creates three sections to be analysed, overloading children with poor Working Memory. As we hear or read new information, we continually recode the material into chunks, discarding irrelevant detail and retaining the gist. Working Memory is crucial for this level of processing and enables us to manage longer texts. Working Memory is crucial for generating inferences because the reader needs to keep in mind a representation of the relevant section of text, while conducting searches for information, either in long term memory or other places in the text, before checking that the inference makes sense. Working Memory is also crucial for monitoring that incoming information makes sense. Children need to notice words they don't understand as well as contradictions and anomalies. Strategies to clarify information they don't fully understand may involve looking back to check that a word has been read correctly, or formulating and asking clarifying questions, all of which place demands on Working Memory.

Working Memory and Math (Dyscalculia)

It was found that the children in the dyscalculia and maths anxiety groups showed different types of working memory impairment. The dyscalculia group, when compared to the typically developing group, performed worse on the visual-spatial working memory task. This agreed with previous research which showed a link between developmental dyscalculia and poor visual-spatial working memory ability3. The maths anxiety group, on the other hand, were more impaired in verbal working memory than the dyscalculia group. The maths anxiety group was also impaired in visual-spatial tasks but only when a higher working memory load was used (i.e. there were a large number of objects to be memorized). This finding supports the idea that anxiety may use up working memory resources which leads to poor maths performance4.

Working Memory and General Academic Performance 

Let’s say a child, Margaret, is presented with a mental math calculation such as, “find the sum of 2, 5, and 10”. She must remember all of numbers that need to be added, hold that information in mind while adding the numbers and ignoring distractions in her environment, and then produce the sum of 17. Children with poor working memory like Margaret might miss the middle number and produce a sum of 12. For reading comprehension of a passage, Margaret would need to read each sentence and hold them in mind while also making sense of their meaning. She would need to simultaneously process and store the information in the passage over a short time period. Common failures of working memory during academic tasks are reflected in skipping letters or words, blending together different words or sentences, and losing track of sentences or numbers (Holmes et al., 2010). All these working memory related failures result in Margaret being unable to correctly calculate a math problem or make sense of a reading passage.

It is estimated that 80% of children with poor working memory struggle with math, reading, or both (Gathercole & Alloway, 2008). Further, low achievers are three times more likely and students with special educational needs are six times more likely to have low working memory compared to typical learners (Holmes et al., 2010). What this tells us is that the majority of students that perform poorly in school or that require additional support have working memory deficits. It is these kids who become overloaded during regular classroom activities, such as those involving multi-step instructions, and miss important learning opportunities (Gathercole & Alloway, 2008). It is these children with low working memory that we find staring out the window with their minds wandering (Kane et al., 2007) when tasks get too tough and working memory gets overloaded.

Working Memory Training...Real or Hype?
Working memory training information is ALL over the place on the internet.  There are a TON of programs on how to increase working memory.  Sadly, there is nothing that can really help with poor working memory. There has been research showing memory training is more helpful in reading versus math.  There has been no research showing memory training helps overall cognitive ability.  You can do programs training working memory but the effects have been shown to be short term and with the high cost of the programs it just is not worth pursuing.
www.hydrocephalusscotland.org.uk

Sign of Working Memory Deficits

If your child exhibits 3 or more of these behaviors in this checklist there may be some cause for concern:
  • A need to re-read text
  • Test anxiety, especially on multiple choice tests
  • A need for more time and repetition
  • Inconsistent performance
  • Lack of focus and attention deficit disorders
  • Is easily distracted when working on or doing something that is not highly interesting.
  • Has trouble waiting his/her turn, for example in a conversation or when waiting in line to get help.
  • Struggles with reading comprehension and has to read through texts repeatedly to understand.
  • Struggles with problem solving that require holding information in mind, for example mental math calculations.
  • Is inconsistent in remembering math facts.
  • Struggles with completing tasks, especially multiple step tasks.
  • Has difficulty remembering long instruction given in several steps, for example following recipes, directions or school/work assignments.
  • Struggles to understand the context in a story or a conversation.
  • Has difficulties when planning and organizing something that needs to be done in separate steps.
  • Has difficulty staying focused during cognitive demanding tasks but attends well when cognitively demands are minimal.
  • Has difficulty integrating new information with prior knowledge.
  • When called on, forgets what he/she was planning to say.
  • Has difficulty taking notes and listening at the same time.

Several of these working memory-specific symptoms are associated with multiple learning diagnoses, and indication of how critical working memory is to many learning abilities.

Learning Efficiency
Academic success is dependent on a number of skills working at a high level, many of which involve working memory: for instance, being able to retain information in class, reading with comprehension, and attention stamina.

Attention Deficits
Poor working memory skills impacts attention because if students cannot hold information as it is coming at them, it is harder to engage. These children tend to be more easily distracted and are often diagnosed as having inattentive ADD.

Reading and Dyslexia
Several of the symptoms above impact reading — both in learning to decode, and in reading efficiency for comprehension. Most of the time in reading though, the true difficulty is phonological awareness. An inability to retain text while reading more often not due to inefficient and exhausting decoding, not working memory problems.

Testing for Working Memory

One of the most common tests used to determine working memory capacity is the WISC V (Wechsler Intelligence Scale for Children®-Fifth Edition).  This test has a whole subsection for Working Memory. 

Another test that may be used is the WAIS IV (Wechsler Adult Intelligence Scale®- Fourth Edition).  This test also has a subsection for Working Memory testing.

Both tests are highly recognized and work well in measuring Working Memory. 

Working Memory Accommodations and Modifications

MONITOR THE STUDENT 
Ask the student to verbalize their steps in completing tasks they often struggle to complete. This can provide important information about where the breakdown is occurring and what supports are likely to work best. 
• Evaluate the working memory demands of learning activities. A student with working memory difficulties will need more support as tasks get longer, become more complex, have unfamiliar content or demand more mental processing. 
https://meltdownstomastery

REDUCE THE MEMORY LOAD 
• Break tasks into smaller chunks. One task at a time is best, if possible. 
• Reduce the amount of material the student is expected to complete. 
• Keep new information or instructions brief and to the point, and repeat in concise fashion for the student, as needed. 
• Provide written directions for reference. 
• Simplify the amount of mental processing required by providing several oral “clues” for a problem and writing key words for each clue on the board or interactive whiteboard. This way the student does not have to hold all of the information in mind at once. 
• Increase the meaningfulness of the material by providing examples students can relate to. 
• Provide information in multiple ways: speak it, show it, and create opportunities to physically work with it or model it. 
• Develop routines, such as specific procedures for turning in completed assignments. Once a routine is practiced repeatedly, it becomes automatic and reduces the working memory demand.

REPEAT AND REVIEW 
• Be prepared to repeat information. 
• Use visual reminders of the steps needed to complete a task. 
• Provide opportunities to repeat the task. 
• Encourage practice to increase the amount of information encoded into memory. 
• Teach students to practice in short sessions, repeatedly throughout the day. Spaced practice is more effective than massed practice. Have students practice new skills or information in short sessions over the course of the day rather than in one long session. For example, give the student a set of key facts to review for a few minutes two or three times during the school day, and encourage them to review again at home both at night and in the morning. 

USE ADVANCE ORGANIZERS 
• Use advance organizers and teach students how to use them. For example, KWL (What I Know, What I Want to Know, What I Learned) is a graphic organizer that helps students focus on what is to be learned. This tool activates prior knowledge, helps generate questions to explore and then assists students to connect what they learn to what they already know. 

TEACH STEP-BY-STEP STRATEGIES 
• Teach one strategy at a time in brief, focused sessions. 
• Teach students when, where, why and how to use the strategy
• Review and activate prior knowledge. 
• Be overt and explicit. 
• Model and think aloud. 
• Have skilled students model steps.
• Encourage use and practice. 
• Evaluate and recognize effort and success. 
• Encourage self-monitoring. 
• Promote transfer to other situations, times, activities and groups.

ENCOURAGE THE USE OF MEMORY AIDS 
• Use visual posters, e.g. of multiplication tables. 
• Create posters of commonly used words. 
• Provide instructions in written form – could be a handout, whiteboard, or simply a sticky note. 
• Provide a key word outline to refer to while you are teaching. 
• Encourage the use of checklists for multi-step tasks (e.g., steps for editing written work, timelines for assignments). 
• Encourage students to make lists of reminders regularly. 
• Use graphic organizers to teach new concepts and information. When the student can picture how the ideas are interrelated, they can be stored and retrieved more easily. 
• Consider educational technology that reduces the demand on working memory, such as calculators, word processors, spell-check devices, grammar-check devices, and voice dictation and text readers. 
• Use rhymes, songs, movements and patterns, such as ’30 days hath September’ rhyme for remembering the number of days in each calendar month. Music and physical routines linked to fact learning can help students memorize faster and act as a cue for retrieving specific information. 

PAUSE, PARAPHRASE, SUMMARIZE AND ALLOW TIME 
• Stop at least two times per lesson and request a quick summary from students – “what have we learned so far?” – followed by quick notes on the board. Research overwhelmingly indicates that at least 40% of total learning time needs to be spent reviewing new material. 
• Request students to paraphrase, or have another student paraphrase verbally delivered directions. Research has repeatedly shown that youth are more likely to “hear” and “remember” if they hear their own voice or a peer’s voice. 
• Allow time for rehearsal and processing. 
• Allow extra time for the student to retrieve information. These students benefit from advance warning that they will be asked a question. 
• Avoid open-ended questions. 

GET PHYSICAL 
• Active participation with the material such as repeatedly hearing it, seeing it and moving it, holds the information in working memory so it can move to long-term memory. Let the students move around, use hands-on material and put information on file cards so they can be manipulated. 
• Wherever possible, use games such as Jeopardy® and Scrabble®, drama and art to reinforce concepts. 

COLOR CODE 
• Physical coding, such as consistent colors for different subject areas, can act as triggers to help students remember information. o Try coding when teaching new concepts: when teaching sentence structure nouns are always red, verbs are always green etc. o Spelling – highlight difficult parts of new words. 
• Vocabulary – teach new words in categories or families and color code the categories. o Encourage the use of colored pens or highlighters (remember, yellow is the LEAST effective). 

MAKE OVERT LINKS 
• Try to get the students to link new information to prior knowledge – encourage drawing, writing and verbal reflection. The use metaphors, analogies, imagery or induced imagery (where the image is generated by the individual, rather than given to them) can help. 
• Start each lesson with a quick review of the previous lesson – always write down key words as the students recall information to model “trigger words”. 
• End each lesson with a summary of what was learned. 

KEY WORDS 
• Teach students to listen for key words. Post the words in the classroom and frequently use them as cues while you teach. 
• Often students with working memory difficulties also exhibit word and information retrieval difficulties. They frequently experience the “tip of the tongue” phenomenon, or may produce the wrong details within the correct concept. The student may need additional time to retrieve details when answering a question. Cues may be necessary to help them focus on the correct bit of information or word. 

TEST TAKING 
• Allow extra time, or reduce the number of questions. 
• Consider requiring recognition vs. recall. 
• Teach students to scan the test and plan their time allocation. 
• For essay tests, teach students to create an outline, write key words in point form and then expand on the key words and ideas. 
• Where possible, allow students to use reference sheets during tests (e.g., math formula, chronologies of events), or encourage students to create reference sheets at home, to rehearse the information frequently and then to rewrite the information at the beginning of the exam before attempting to answer the questions. 
• A student with difficulties sustaining working memory often needs frequent short breaks. Breaks typically only need to be one or two minutes in duration. Observing when the student’s ability to focus begins to wane will help determine the optimal time for a break. 
• Use technology such as word processors, speech-to-text, and text-to-speech programs to reduce working memory demand, and allow for additional time to complete tasks. 

REINFORCE LEARNING PREFERENCES 
• Encourage self-reflection for yourself and the student. What worked for me? What could I do next time? If this strategy worked for this task, could I use it anywhere else? 
• Many software programs and applications can provide rehearsal in an entertaining fashion and are often less demanding of working memory.

Wrap Up

I hope this article has been helpful.  Please click on the embedded links for source material.  I know this has helped me understand the importance of Working Memory and I hoped it helped you do the same.  Please leave any questions or comments below.

Wednesday, June 22, 2016

Lack of Effort or Slow Processing Speed?

Kids at the aquarium.  From Left to Right is
Joseph, James, and Margaret
Slow Processing Speed. What the heck is that and what does it mean for my child???  I know I was wondering that same thing when Margaret and Joseph tested as having profound processing speed problems. Margaret tested as profound (60) on the WISC-IV for memory processing speed and is a relative weakness for her.  Joseph tested in the 0.1 percentile in processing speed (standard score of 45; there is no lower score). Joseph's processing speed is  slower than his other neurocognitive abilities suggest which is not surprising since many of the processing speed tests depend on visual skills (Joseph is blind in one eye along with working memory). I think Margaret and Joseph developed their issues with processing speed due to their premature birth and very low birth weight.  James was blessed to have tested average (89) on processing speed.  With two kids having VERY impaired processing speeds I needed to find out what this means for me and for them.

What is the Impact of Slow Processing Speed? 

Don’t automatically presume that the child is being oppositional, ‘lazy’, unmotivated, etc. because he/she takes longer to initiate or complete a task, or to respond to a task demand. Keep in mind the possibility that his/her behavior is the result of slow processing speed. Processing speed is the pace at which you take in information, make sense of it and begin to respond. This information can be visual, such as letters and numbers. It can also be auditory, such as spoken language. It is important to be alert to the possible emotional impacts that a child can experience in the face of slowed processing speed, and to provide emotional support and encouragement, as well as practical interventions.

Slow processing speed can cause negative impact to three main areas of someone's life. These are
Image courtesy of ilslearning.com
academic, social, and self-esteem. Academically, slow processing speed can lead to the following types of problems: slowed execution of easy academic tasks; slowed acquisition of new material; becoming overwhelmed by more complex academic demands; the need for extra time in responding to even well-practiced and automatic tasks; and difficulty making correct conceptual decisions quickly.

Socially, slow processing speed can lead to difficulty keeping up with normal give-and-take conversations among peers or with adults, or appearing to be ‘not-with-it’ by others, with the potential of being made fun of or mislabeled as a result.

With respect to self-esteem, the fallout from the problems described above can have a negative impact on self-esteem, leaving a child vulnerable to feelings of incompetence, self-consciousness, and/or depression. Many children with slow processing speed wrongly end up feeling that they are stupid, because they are aware that it takes them longer to get things done, or to understand some concepts.

Examples of slow processing speed, when a child with slow processing speed sees the letters that make up the word “house,” she may not immediately know what they say. She has to figure out what strategy to use to understand the meaning of the group of letters in front of her. It’s not that she can’t read. It’s just that a process that’s quick and automatic for other kids her age takes longer and requires more effort for her.

Saying too many things at once can also pose a challenge. If you give multiple-step directions—“When you come downstairs, bring your notebook. And can you also bring down the dirty glasses, and put them in the dishwasher?”—a child with slow processing speed may not follow all of them. Having slow processing speed makes it hard to digest all that information quickly enough to finish the task.

Slow processing speed impacts learning at all stages. It can make it harder for young children to master the basics of reading, writing and counting. And it impacts older kids’ ability to perform tasks quickly and accurately.

Slow Processing Speed, 2e, and ADHD


There is a newsletter for twice exceptional children (Gifted/2e) that has a WONDERFUL article on slow processing speed written in May 2013. In the article Steven Butnik, Ph.D outlines the issues with slow processing speed. It is common for gifted students to have slow processing speed.  Slow processing speed itself is not a disability.

Children with the predominantly inattentive subtype of ADHD may have a sluggish cognitive tempo. They typically daydream, stare off, and appear spacey. They may be mentally foggy, underactive, slow moving, and lethargic. Their work is often slow and error prone. Their brain activity shows patterns of under arousal in the portion of the brain associated with focus and planning.

In addition, children with ADHD typically exhibit poor executive functions, brain-based behaviors that contribute to effective functioning. (see my blog post on executive functioning) Executive functioning is often impaired in ADHD individuals.

Some children take more time to complete tasks due to trouble with activation. A student may not begin a task due to problems organizing time or materials, or due to reluctance, uncertainty, lack of confidence, or anxiety. Other children may take more time to complete tasks because of problems maintaining focus. While time is passing, these students may be distracted or daydreaming, drawn to other, more interesting stimuli.

Effort includes processing speed as well as mental stamina. When effort is a problem, the child’s work pace is very slow and he may complain that his “brain is very tired.” When the problem is emotional, on the other hand, children find it hard to regulate their feelings. They might melt down when starting to work or encountering a frustrating task; or they may refuse to work, be argumentative, or have tantrums.

Problems in working memory can add to the time it takes a child to complete tasks. After reading a paragraph, a child with poor working memory may forget what she just read and need to read it again; or he may stop working on a class assignment because he forgot the directions. Finally, when action is a problem, the child has trouble sitting still, fidgets with objects, or may want to stand or walk around when working.

An additional issue that children with ADHD face is having a poor sense of time. For them, time seems to go more slowly during the tasks they feel are boring while moving more quickly for tasks they find interesting. When planning work tasks, a child with ADHD may underestimate how long the task will take; and when playing, the child may be unaware of how much time has passed. Taken together, poor executive functions and poor time sense can make homework take hours to complete and create major stress.  Trust me on the stress!  Even homeschooling I can have issues with poor time management and starting work. I can only image if I sent my children to public school!  You can see in the image below how processing speed effects the effort (number 3) needed for executive functioning along with working memory (number 5). It is easy to see how executive functioning is impacted.
Image courtesy of 2enewsletter.com


How to Test for Slow Processing Speed? 

So how do we test processing speed?  I highly recommend in seeing a neuropsychologist. If you cannot then I suggest seeing a developmental pediatrician or pediatric psychologist.  In the executive function blog post I explain why.  If you need to the school to preform the testing then I highly suggest you tell the school you want testing in executive functioning, memory (working, long-term, and short-term), sustained attention, and processing speed. At public schools you cannot specify they use specific tests, but if they ask, tell then you want the Wechsler Intelligence Scale for Children ® - Fourth Edition (WISC ® -IV).

Who can administer this test?

Tests with this qualification require a high level of expertise in test interpretation, and can be conducted by individuals with:

  • A doctorate degree in psychology, education, or closely related field with formal training in the ethical administration, scoring, and interpretation of clinical assessments related to the intended use of the assessment.
  • OR
  • Licensure or certification to practice in your state in a field related to the purchase of the test.
  • OR
  • Certification by or full active membership in a professional organization (such as APA, NASP, NAN, INS) that requires training and experience in the relevant area of assessment.

More Information and Training on Score Reading

On WISC-IV's on page, at the bottom of the page next to the product details tab, there are a couple of other great tabs you may want to research.  Under the Resource tab there are several technical reports.  A couple that caught my eye included Technical Report #6: Using the Cognitive Proficiency Index in Psychoeducational Assessment and Technical Report #5:WISC–IV and Children’s Memory Scale, and Technical Report #2: Psychometric Properties.  There are also some training on WISC-IV Interpretation & WISC-IV Integration along with a training on advanced topics of WISC-IV.  Don't forget to peek at the FAQ tab while you are there. There is also a Processing Speed Damian Case Study that has been produced.  I think it provides wonderful information if you are curious to see if your child has processing issues.


So how do we read the WISC-IV report?

This gets a bit more technical.  Please ask questions in the comment section and I will try to answer them as best as I can considering this is NOT my area of expertise (I am not a psychologist nor have I had training). 

Processing speed is an element of intelligence, as measured by many tests of cognitive ability, including the Wechsler Intelligence Scale for Children (4th Edition). Scores for both the Working Memory and Processing Speed subtests make up the WISC-IV’s Cognitive Proficiency Index. These abilities are separate from the WISC-IV’s General Abilities Index, a measure of core intelligence derived from an individual’s Verbal Comprehension and Perceptual Reasoning Indices (verbal and nonverbal abilities).

Each of these three subtests taps different abilities that contribute to the Processing Speed score. 
  • Coding, which requires children to draw symbols, is heavily influenced by grapho-motor demands. Children with poor handwriting or dysgraphia may struggle with this task. 
  • Symbol Search has less emphasis on motor output but requires rapid differentiation of abstract symbols. 
  • Cancellation, the supplemental Processing Speed subtest, makes use of concrete images rather than symbols.
According to Steven M. Butnik, Ph. D., LCP, the Processing Speed subtest assesses the abilities to focus attention and quickly scan, discriminate between, and sequentially order visual information. It requires persistence and planning ability, but is sensitive to motivation, difficulty working under a time pressure, and motor coordination. It is related to reading performance and development. It is related to Working Memory, in that increased processing speed can decrease the load placed on working memory, while decreased processing speed can impair the effectiveness of Working Memory.
The Working Memory subtest assesses the ability to hold new information in short-term memory, concentrate, and manipulate that information to produce some result or reasoning processes. It is important in higher-order thinking, learning, and achievement. It can tap concentration, planning ability, cognitive flexibility, and sequencing skill, but is sensitive to anxiety too. It is an important component of learning and achievement, and ability to self-monitor. 

Tests of educational achievements make use of processing speed on subtests that measure academic fluency. For example, the Woodcock-Johnson Tests of Achievement include three subtests of fluency:
  • Reading Fluency. For three minutes the student quickly reads simple sentences and answers yes or no to each.
  • Writing Fluency. Using three words and a picture, the student quickly writes simple sentences for seven minutes.
  • Math Fluency. The student rapidly performs simple calculations for three minutes.
Children who have trouble activating, are inattentive, or have sluggish cognitive tempo may struggle on all of these tasks. Children with slow motor output would have less trouble on Reading Fluency but would do more poorly on the Math and Writing Fluency tests. Working memory problems would likely have a greater impact on Math Fluency than on the other fluency tasks.

A subset of children with reading disorders display marked difficulties with verbal and visual processing speed and that may indicate a subtype of reading disorder. Individuals with impairments in both RAN (rapid automatic naming) and phonemic awareness had the most severe reading problems when matched on phonological skills. Individuals with worse RAN scores had poorer performance on timed word recognition and comprehension tests.


Other tests that measure Processing Speed and Working Memory

So there are other tests that measure processing speed and working memory. Other tests that may be used at the school include the Woodcock-Johnson Tests of AchievementWechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) and the Wechsler Preschool and Primary Scale of Intelligence™ - Fourth Edition (WPPSI™ - IV). The last test , the WPPSI, is for children ages 2.5 years to about 7.5 years old. Each of these tests have components that can measure processing speed.

The Woodcock Johnson IV can measure cognitive processing speed and working memory. 
Cognitive Processing Speed is the ability to quickly perform both simple and complex cognitive tasks, particularly when measured under pressure to sustain controlled attention and concentration. This cluster includes Letter-Pattern Matching (locating and circling two identical letter patterns in a row of 6 patterns) and Pair Cancellation (locating and marking a repeated pattern as quickly as possible). 

In the WJ-IV the short-term memory subset measures the ability to capture and hold information in immediate awareness and then use it or manipulate it to carry out a goal. This cluster includes Verbal Attention (answering specific sequence questions when provided with a series of animals and digits from an audio recording) and Numbers Reversed (holding a span of numbers in immediate awareness while performing a mental operation on it).

Image courtsy of CultofPedagogy

Processing Speed's Impact on Learning and Emotional Issues

Slow processing speed is not a learning disorder. To be considered to have a learning disorder, a student must have the following:
  • Average or better intelligence
  • Patterns of substantial processing differences
  • A significant difference between abilities and achievements.
However, research has shown that processing speed is linked to reading development and reading performance. Specifically, processing speed may be a factor in these situations:
  • Reading disorders such as dyslexia
  • A subset of reading disorders in which individuals display marked difficulties with verbal and visual processing speed
  • Grapho-motor problems (dysgraphia). Individuals with dysgraphia have serious trouble forming letters and numbers; their handwriting is slow and labored; they may have trouble with spacing between words; they mix upper- and lower-case letters; etc. Because neatness only comes with their taking much time, their written work can be very strained and painful.
So what does slow processing speed look like? Kids might have trouble with:
  • Finishing tests in the allotted time
  • Finishing homework in the expected time frame
  • Listening or taking notes when a teacher is speaking
  • Reading and taking notes
  • Solving simple math problems in their head
  • Completing multi-step math problems in the allotted time
  • Doing written projects that require details and complex thoughts
  • Keeping up with conversations
Image courtesy of sideshare.net

Parents and teachers may notice that a child:
  • Becomes overwhelmed by too much information at once
  • Needs more time to make decisions or give answers
  • Needs to read information more than once for comprehension
  • Misses nuances in conversation
  • Recognize simple visual patterns and in visual scanning tasks
  • Take tests that require simple decision making
  • Perform basic arithmetic calculations and in manipulating numbers, since these operations are not automatic for them
  • Perform reasoning tasks under time pressure
  • Make decisions that require understanding of the material presented
  • Read silently for comprehension
  • Copy words or sentences correctly or to formulate and write passages
  • Has trouble executing instructions if told to do more than one thing at once
Some key things to note:
  • Slow processing speed can affect the ability to make decisions quickly.
  • Trouble with processing speed can affect a child’s executive functioning skills.
  • Having your child evaluated can reveal problems with processing speed.

So what can I do to help my child learn?

INSTRUCTIONAL STRATEGIES:
The key instructional strategy for students with slow processing speed is to reduce the time pressure associated with a task. This can be done in three essential ways:

  • Give the student more time for their work
  • Allow longer response time for the student to respond orally to questions in class
  • Complete seatwork assignments in class
  • Allow suficient time to make decisions when offered a choice of activities
  • Allow extra time for tests, usually time and a half
  • Provide extra time for the student to complete in-class assignments
  • Develop keybording skills
  • During writing intensive exercises allow the use of a computer or other word processor
  • Reduce the amount of work the student is required to do.
  • Shorten the assignment so it can be accomplished within the time allotted
  • Focus on quality of productions, rather than quantity
  • Shorten drill and practice assignments that have a written component by requiring fewer repetitions of each concept
  • Provide copies of notes rather than requiring the student to copy from the board in a limited time
  • Allow student to answer orally for written tests and other assignments when possible
  • Provide direct and explicit instruction in strategic problem solving, reading fluency, and organizational strategies
    • I haven't read it but it looks interesting.
    • For example, teach him how to use graphic organizers to plan writing assignments or to enhance reading comprehension. Help him improve his visual imagery so as to support visual working memory, and show him how to use mnemonics such as acronyms, acrostics, and pegwords to learn new information.
Build the student’s efficiency in completing work through building automaticity.
  • Provide instruction to increase the student’s reading speed by training reading fluency, ability to recognize common letter sequences automatically that are used in print; and sight vocabulary
  • Provide timed activities to build speed and automaticity with basic skills, such as:
    reading a list of high-frequency words as fast as possible and calculating simple math facts as fast as possible
  • learning simple math calculations through flash cards, educational software exercises, and music
  • charting daily performance for speed and accuracy
Train the student in time management techniques to become aware of the time that tasks take.
  • Teach the student to use a stopwatch or to record his or her start and end times for assignments to monitor the time spent on each activity. Set a goal for the student to gradually reduce the time needed to do these tasks.
ASSESSMENT STRATEGIES:
Assessment strategies emphasize power tests that focus on the knowledge the student has, rather than on speed tests to complete a large number of questions within a limited time.
  • Emphasize accuracy rather than speed in evaluating the student in all subject areas
  • Replace timed tests with alternative assessment procedures
  • Allow extra time for tests and exams. Give the student supervised breaks during the test
  • Provide a reader or text-to-voice software to read test questions to the student to accommodate for slow reading fluency
  • Provide a scribe or voice-to-text software to record the student’s answers on tests to accommodate for slow writing fluency
  • Use test formats with reduced written output formats (e.g. multiple choice, True / False, fill in the blank) to accommodate for slow writing fluency

I hope you have found this blog post helpful.  I know it was for me in researching and writing it.  I learned a lot about myself and a lot about my children.  Please feel free to leave comments including any questions or concerns.  I will answer to the best of my ability.