A Resource for Teachers, Clinicians, Parents, and Students by the Brain Injury Association of New York State.
 
Problem: The student can read (decode) words, but does not seem to understand what he reads, especially with longer reading materials.
Please review the list of possible explanations to the problem. Click on a possibility to learn about relevant observations and experiments to further determine the source of the problem. There are 5 categories: General Medical, Cognitive/Self-Regulatory, Academic, Behavioral, Social-Emotional

Click on "MORE" after any of these possible explanations to view suggestions for exploring that possible explanation.


General Medical Possibilities:

Medical Possibility #1: Medication side effect: Some students may have a problem with difficult academic tasks as a side effect of medication. MORE...

Medical Possibility #2: Chronic pain. Some students may have a problem with difficult academic tasks as a result of being in chronic pain. MORE...

Medical Possibility #3: Fatigue, hunger, general nutrition: Some students may appear to have reading comprehension problems as a result of fatigue (e.g., insufficient sleep) or hunger. MORE...

Medical Possibility #4: Seizures: In rare cases, problems with difficult academic tasks may be a result of subclinical seizures that may or may not be diagnosed. If seizures have been diagnosed, staff should ask the physician if difficulty with academic tasks is a likely or possible consequence of the seizures and/or the seizure medication(s). If seizures have not been diagnosed, but are suspected, a seizure evaluation should be recommended. If seizures are diagnosed, the prescribed medication regimen should be followed along with environmental management of a possible lack of compliance with the medication regimen. (See Tutorial on Seizures.) MORE...

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Cognitive/Self-Regulatory Possibilities:

Cognitive/Self-Regulatory Possibility #1:Initiation impairment: Some students may have difficulty with reading comprehension as a result of initiation impairment. The student may not start the requested reading activity. Alternatively, staff or parents may start the student on the activity, but when it comes to initiating the use of reading comprehension strategies or the next phase of the activity, the student’s initiation impairment may block further work. (See Tutorial on Initiation Impairment). MORE...

Cognitive/Self-Regulatory Possibility #2:Weak orientation to task: Some students may appear to have difficulty with reading comprehension as a result of disorientation or uncertainty regarding what is required of them. (See Tutorials on Language Comprehension; Organization; Reading Comprehension.) MORE...

Cognitive/Self-Regulatory Possibility #3: Generally weak cognitive and academic functioning: Some students may have weak reading comprehension as a result of excessive demands placed on their memory, organizational ability, academic skill, or other cognitive ability. They may experience frequent failure in school. (See Tutorials on Cognition, Memory, Organization.) MORE...

Cognitive/Self-Regulatory Possibility #4: General slowness in information processing: Some students may have difficulty comprehending what they read as a result of general slowness in information processing. (See Tutorial on Slow Information Processing.) MORE...

Cognitive/Self-Regulatory Possibility #5: Organizational impairment: Some students may have difficulty with reading comprehension as a result of organizational impairment. (See Tutorials on Organization; Advance Organizers.) MORE...

Cognitive/Self-Regulatory Possibility #6: Attention deficit: Some students may have difficulty with reading comprehension as a result of an attention deficit. (See Tutorial on Attention.) MORE...

Cognitive/Self-Regulatory Possibility #7:Inhibition impairment: Some students may have reading comprehension problems as a result of inhibition impairment (i.e., impulse-control problems). (See Tutorials on Self-Regulation, Inhibition.) MORE...

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Academic Possibility:

Academic Possibility #1: Inadequate decoding fluency: Some students have difficulty comprehending what they read because their word decoding is slow and labored. (See Tutorial on Reading Comprehension.) MORE...

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Behavioral Possibilities:

Behavioral Possibility #1: Oppositionality: Some students appear to have difficulty with academic tasks as a result of oppositional behavior (See Tutorials on Oppositional Behavior; Behavior Management: Prevention Strategies). MORE...

Behavioral Possibility #2: Attention or sympathy seeking: Some students may do poorly on academic tasks as a means of obtaining adult and/or peer attention or sympathy. (See Tutorials on Attention Seeking; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management) MORE...

Behavioral Possibility #3: Manipulativeness: Some students may do poorly on academic tasks as a form of manipulation. (See Tutorials on Manipulation; Behavior Management: Prevention Strategies.)
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Behavioral Possibility #4: Task avoidance: Some students may do poorly on academic tasks as a way to avoid specific tasks. (See Tutorials on Task Avoidance; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management.)
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Social-Emotional Possibilities

Social-Emotional Possibility #1: Depression: Some students may do poorly on academic tasks because they are upset, depressed, and/or lack positive relationships with peers and/or adults. (See Tutorials on Depression; Peer Relationships.) MORE...

Social-Emotional Possibility #2: Anxiety: Some students do poorly on academic tasks as a result of anxiety. (See Tutorial on Anxiety.) MORE...

Social-Emotional Possibility #3: Frustration: Some students may do poorly on academic tasks as a result of feeling frustrated. (See Tutorial on Frustration.) MORE...

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