Thursday, May 7, 2009

What about Central Auditory Processing Deficits?

Hi There!
I am seeing quite a few learners with the diagnosis of CAPD- and they are all prescribed a lengthy program of individual sessions with a speech therapist or audiologist to work on auditory processing skills. I don't know much about it-and after 25 years of teaching kids with learning disabilities, I haven't run into it as a diagnosis that stands on it's own. There was some work being done on this in the early 80s- around the time that the vision therapy was making it's first rounds- but for the most part auditory processing has been seen, in my experience, as part of the bigger picture- dyslexia. I am wondering why now auditory processing seems to be "extracted" from language as a whole and focused on as a discrete skill set?
I would love some discussion around this- it's a fairly expensive treatment, and I have listened to a CD program that one of my learners was "prescribed", and it seemed like very basic Rosner auditory discrimination-type exercises. Does anyone out there know anything about this? Are there any SLPs or Audiologists out there who can comment?


Anonymous said...

Oh my. You are a bit behind the times with CAPD - now called APD.
I suggest you read Dr Terri Bellis' book, also Dr Sally Shaywitz has bits and pieces about APD in her books about dyslexia. Maxine Young, SLP/AuD in Philadelphia, PA runs a Yahoo group called AuditoryProcessing that has a tremendous amount of information about auditory processing. Also Dr Jay Lucker from Washington, DC runs another listserve called CAPD that has been around a long time.
I have 2 kids w APD and there is no doubt that it exists. Lucker says there are 17 different forms of APD so it can be complicated.

A confusing issue is neurological damage that leads to slow processing of auditory input, much like a person listening to a static-y cell phone where you can only understand every 3rd or 4th word. This leads to a lot of misunderstandings.

Kathy said...

Hi Anonymous-
Thanks for your post- I will indeed look up these sources. Can you share a little about your kids's experiences and how it has affected them? Did they seek treatment and was it successful?

Anne said...

My name is Anne and I have a child who has struggled with dyslexia and CAPD through-out her whole schooling life. I am yet to meet a teacher who has even heard of CAPD let alone understands what to do with a child who has it! In Australia Dyslexia is ignored scoffed at they basically pretend that it doesn't exist. We have received no funding and missed the opportunity for early intervention we did however get speech therapy which made a tremendous difference and the only thing that has so far. Be clear NOTHING the teachers have done assisted my daughter with literacy in any way shape or form. If you have kids with dyslexia you must look at successful scientifically research based programs not just the popular reading drill set of the moment. Below is a link to a lecture that I found most useful in understanding how to seek out treatment that works when I realized I had to give up on the school system.
I am about to take my daughter to Lindamood-bell school for an intensive 8*week literacy course that I am confident will achieve more in 8*weeks than what the school could have in the past 6*years. If you want to follow my daughters progress please feel free to do so at my blog.
My Blog

What is Dyslexia and how does this link to CAPD?

Anne said...

My daughter has auditory processing disorder and dyslexia the two usually go together. She has tried reading recovery, word attack, phonics but nothing sticks. The only thing that works for her is the Lindamood-Bell system.
My daughter (Jade) is about to undertake an 8*week course if you want to follow along her progress on our blog you can. At present she is in grade 6 and has the literacy of a kindergarten child nothing has worked and I am hoping that this program will.
My blog

Anne said...

sorry I thought I had done something wrong as I could not see my first post but I see you need to approve it first sorry!

Kathy said...

Hi Anne,
I agree with you that your daughter will likely do very well with the LiPs program. I have used it with dyslexic learners, and after years as a teacher for kids with Learning Disabilities,I can say that the LiPs and programs derived from it are the only ones I have had any success with.
I will check in on your blog to see how she does.

John Wills Lloyd, Ph.D. said...

Kathy, I agree that educators should be very cautious about CAPD (or APD, as Anon indicated). As far as I know (and I've looked!), no one has definitively demonstrated how to discriminate between individuals with and without CAPD. What is more, I know of no evidence indicating that one or more specific therapies modifies individuals' CAPD.