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Melvin D. Levine, M.D. Carl W. Swartz, Ph.D.

Introduction
The secondary school years represent a significant period of transition for adolescents (Levine, 1988). Students move from pupil-oriented elementary or lower schools to more content-driven secondary school settings. Students with disorders of learning and/or attention can find graduating with a high school diploma increasingly problematic. Often, students with learning disorders lack the requisite skills for success and therefore are not ready to meet academic expectations. Moreover, traditional classroom teaching techniques may not be suited to their particular learning strengths and content affinities or interests.

It is becoming readily apparent that within the adolescent age group, traditional criteria and definitions of learning disability fall far short of capturing the actual phenomena that lead to academic failure. Many of the learning and attentional problems of secondary school students simply do not conform to the subtests of an IQ test or the parameters tapped by traditional group achievement assessments. Consequently, many struggling adolescents "fall between the cracks" of diagnostic insight The reasons for their difficulty are misconstrued, and commonly they are deprived of needed services and accommodations.

In this chapter we are advocating a substantial broadening of the concept of learning disorder. Our paradigm shift entails the recognition and proper interpretation of clinical phenomena that are readily observable in the classroom. Some of these phenomena may reveal themselves on standardized tests, while others are simply observable within academic contexts. If a student's patterns of learning and working reveal the presence of one or more such phenomena, that adolescent should be thought to harbor a disorder that is impeding learning and/or academic productivity. The well established phenomenon in and of itself is a legitimate cause for concern and a clear indication for intervention.

Research results suggest many students with learning disorders lack the necessary skills to succeed in general education settings (Deshler, Schumaker, Alley, Warner, & Clark, 1982); perform below the 10th percentile on standardized measures of academic achievement (Warner, Schumaker, Alley, & Deshler, 1980); and lack many of the higher-order thinking skills required of self-directed learners (Schumaker, Deshler, & Ellis, 1986). Furthermore, increased requisites for students to receive a standard high school diploma may include mastering a second language, completing a mandatory mathematics course such as Algebra 1, and taking four years of language arts and sciences. Such educational reforms undertaken to produce literate and thoughtful citizens (e.g., GOALS 2000, Healthy People2000) may potentially "push our' students who realize early in their high school career that they cannot attain such standards tied to a "normal" diploma; and other types of diplomas (attendance) are not worth staying in school. The educational and professional options having a positive life-long impact on these developing adults may be few for students with disorders of learning and attention.

Results of the National Longitudinal Transition Study (NLTS) suggested one option being used by students with high prevalence/low severity learning disorders is dropping out (Wagner, 1991). Students with learning disabilities had the second highest dropout rate (32%) among exceptional children, included in a representative national survey. The figures reported in the NLTS are conservative estimates of the percentage of students with learning disorders who dropout because students with learning problems who do not meet federal and state guidelines for learning disabilities are not included. The Carnegie Council on Adolescent Development painted the following bleak economic future for our country and for students who drop-out compared with students who graduate with a high school diploma (cf Hamburg, 1992): (a) the rate of unemployment is double for students who dropout; (b) over their lifetime the United States loses almost $260 billion in lost earnings and taxes; and (c) a male high school dropout earns $260,000 less and contributes $78,000 less in taxes than males who graduate with a diploma; a female drop-out earns $200,000 less and contributes $60,000 less in taxes than females who graduate. Clearly, the percentage of students who dropout of school will have enormous implications for the overall well being of our economy and of our society as a whole.

Parents, adolescents, and educators are left grappling with significant educational issues given the multitude of academic, social, and behavioral problems that can be associated with learning and attentional disorders. What are the roles of parents, special and general educators, and the students themselves for managing the educational process in the secondary contributing to academic success or failure? What knowledge and skills should teachers have regarding these students so as to manage more effectively their education, thereby increasing the probability that students will experience success and remain in school? The magnitude of these issues is increased given the mismatch between the rate at which school districts are adopting and implementing inclusionary models when contrasted with the speed (and quality?) in which pre- and inservice teachers are being developed to successfully include all students in their classrooms.

The purpose of this chapter is to present a phenomenological perspective of learning disorders. A phenomenological perspective emphasizes improving classroom teachers' ability to recognize and describe behavior associated with cognitive, behavioral, and prevalence/low severity learning disorders. The purpose of such descriptions is to enhance classroom teachers' social development of students with high prevalence/low severity learning disorders The purpose of such descriptions is to enhance classroom teachers’ ability to manage the education of students with neurodevelopmental variations in the classroom (i.e., selection of accommodations, implementation of direct interventions, modification of classroom materials).

Recognition of Adolescents' Patterns of Neurodevelopmental Variation
As yet, no definition of learning disabilities has produced a consensus regarding what constitutes a learning disability (Levine, Hooper, Montgomery, Reed, Sandler, Swartz, & Watson, 1993). All definitions of learning disabilities remain relatively vague characterizations emphasizing what a learning disability is not rather than what a learning disability is (Levine, et al, 1993). Discrepancy formulas, for example, are often intended to exclude students with mental retardation or "slow learning" but fail to shed light on the specific forms of learning disability. This has lead to an over reliance on standardized tests of intelligence and achievement to determine eligibility for services without illuminating the wider array of learning disorders that thwart the academic progress of adolescents. From our perspective, well-educated classroom teachers can derive information about students' learning disorders by analyzing their error patterns and observing their behavior. Evidence gathered by classroom teachers, students, and parents can supplement information gleaned from tests of intelligence and achievement, thus, providing crucial information aiding in the process of recognizing students' learning strengths and points of cognitive breakdowns. Importantly, we believe that the information provided by a well-educated teacher(s) can significantly enhance the development and successful implementation of educational management plans that lead to success for adolescents who are not meeting classroom expectations and whose external defenses and face saving tactics mask serious underlying deficits in academic skills, in cognitive functions, and in the strategies needed to facilitate productivity in school.

In this chapter, we will describe the following four common phenomena of dysfunction that teachers and parents of adolescents need to be able to recognize and manage in adolescents: (a) reduced attentional strength; (b) insufficient memory capacity; (c) superficial comprehension; and (d) output problems. The purpose of this section is not to make readers expert "diagnosticians" but instead to provide examples of phenomena that often obstruct the quest for success as students traverse the bridge from early adolescence to early adulthood.

The Phenomena Associated with Reduced Attentional Strength
The heightened demands of secondary school curricula can place a strain on adolescents' capacity to attend to the varied sources of input from teachers, instructional materials, and peers. Secondary schools require students to sustain cognitive effort and to concentrate selectively for extended periods. Many adolescents may lack the attentional capacity to differentiate multiple levels of saliency in information and fend off the ever present threat of mental fatigue.

An adolescent's problem attending may be confined to certain contexts (such as highly verbal settings) or the difficulty can be pervasive and manifest itself globally as a deficit in one or more of the following domains: (a) academics/cognition; (b) behavioral control; and/or (c) social cognition (their ability to establish and maintain relationships with peers and adults [Levine, 1993]). Students with reduced attentional capacity in the academic/cognitive domain may feel tired, bored, or restless unless they are focusing on highly stimulating, romantically alluring subject matter or activities. These students are likely to show signs of insatiability or such an intense desire for highly pleasurable activities that they are unable to delay gratification and focus on less exciting stimuli (such as a lecture in social studies). Frequently, these students are prone to extremes of distractibility and an inability to be highly selective in their attention. They focus on irrelevant detail or distractions and seldom make good determinations of what is important or salient in a task, or a text. For example, in reading, they may have a poor sense of what is essential to remember and what is relatively unimportant. Adolescents may also reveal prominent cognitive impulsivity, a tendency to undertake tasks hastily and without sufficient planning. Consequently, many of them are observed to "do things the hard way."

Attentional problems in the academic-cognitive domain may or may not coexist with attentional problems in the behavioral domain. Adolescents with attentional behavior problems seem to be unable to allocate attentional resources to previewing the consequences of their behavior, monitoring their actions or gaining from positive or negative feedback. The dilemma for parents and teachers is to decide if the behavioral problems are the primary issues to be dealt with or if these behavioral problems are related to the student's frustrations over failure in the classroom. Finally, attention problems that manifest themselves in the domain of social cognition can reveal themselves as a student's inability to determine and to deploy appropriately the social skills needed to establish and maintain positive relationships with peers and adults. Adolescents may voice inappropriate comments, impinge on other people's "space," and appear to not have a sense of their negative impact on other people.

The attention deficits of adolescents may elude detection because their manifestations are highly inconsistent. Their difficulties tend to wax and wane. Consequently, during some hours, on some days, or even for weeks, an affected student may have no trouble concentrating, only to deteriorate at any time and for any interval for no apparent reason. Sometimes the test scores over a semester portray such performance inconsistency all too vividly.

Some adolescents with attention deficits show no evidence of other forms of learning disorders; however, the existence of attention deficits in isolation is actually unusual. Most of these students have trouble with other aspects of function, possibly including memory, higher order thinking skills, language, motor function or social development. Additionally, these students are susceptible to a range of emotional problems, including depression and other form of affective disorder.

It is important to recognize that adolescents with attention deficits are apt to harbor notable strengths. In particular, many of them are highly creative and entrepreneurial. Often they are experiential learners. That is, they are likely to learn most from active participation and direct experience ("on the job training") rather than through the usual formal modes of academic learning.

The Phenomena Associated with Limited Memory Capacity
The memory demands of secondary school exceed capabilities of many students with learning disorders. Secondary school curricula place a premium on students' cumulative recall of information (e.g., using information in May that was learned in October), ability to summarize information for oral and written presentations, differentiation of memory skills by content area and by teacher expectations, and expectation for metamemory sophistication, or what individual students know about memory and memory processes (Levine & Reed, 1992). Given the complexity of memory systems, there exist a range of memory dysfunctions that predispose to academic difficulty. We will describe what we believe to be four common adolescent disorders of memory.

Inadequate Entry into Short-Term Memory
There are students who endure discrete weaknesses of short-term memory. Some have difficulty "recoding" input by paraphrasing or abbreviating information in lectures and textbooks to allow complex messages to "fit" within the very limited capacity of short-term storage. Others have highly specific deficits with the registration of specific modalities of data into short-term memory. Thus, an adolescent may have problems entering visual-spatial information (e.g., from a map), sequential data (e.g., the steps in a math process) or verbal information (e.g., oral directions from the teacher). Still others fail to employ effective rehearsal strategies (visual imaging, sub-vocalization, and self-testing) to facilitate and strengthen entry of information into short-term memory. These students may have trouble studying for tests and acquiring new information or skills during class sessions.

Active Working Memory Dysfunction
Active working memory enables a student to "hold on to" different components or procedures within a task while working on that task. Students with dysfunctions of active working memory are likely to forget what they are doing while they are doing it. Active working memory is vital during extended periods of writing, while performing mathematics computations, and while reading. An affected adolescent may lose the essence of the beginning of a chapter while reading the subsequent sections. He or she may lose track of a process amid a mathematics problem. The student may forget an idea while trying to recall a specific spelling word or punctuation rule. Students with active working memory dysfunctions become understandably discouraged and anxious in school. They often have serious problems with test taking and seem more competent than their performance would indicate.

Slow and/or Imprecise Retrieval Memory
Much of the secondary school curriculum demands rapid and exact recall of facts and processes. When a student is called on in class, he or she generally has three seconds to retrieve a response approximating the answer the teacher requires. During tests, be it an essay test or a multiple choice/true false test, there is a steady need for the rapid recall of previously learned material. While writing, when time does not allow for substantive revision (e.g., timed exam), students must engage in simultaneous retrieval of content knowledge and rules governing written expressions (i.e., they must quickly recall spelling, punctuation, capitalization, vocabulary, facts, ideas and letter formations). Some students simply cannot meet this challenge and exhibit a chronic abhorrence of writing (Levine, Oberklaid, & Meltzer, 1981). Others are delayed in mathematics because of slow or imprecise recall of the facts or algorithms (i.e., procedures, such as how to reduce a fraction); especially when they must recall facts and maintain the flow of the algorithms nearly simultaneously (Levine, Lindsay, & Reed, 1992).

The ultimate attainment for retrieval memory is automatization, the capacity to recall facts or procedures instantaneously with virtually no expenditure of mental effort. Some secondary school students are simply poorly automated; nothing at all is automatically accessible from memory. If reading decoding is not automatic for a secondary school student, his comprehension suffers badly. When math facts or computational rules are not automatic, it is hard to succeed in algebra.

Poor Pattern Recognition
There are some students who have trouble recognizing the patterns that keep recurring within a subject area. They have trouble identifying themes or processes that keep reappearing over an academic year, or within a particular subject domain. To them, information and class work appears fragmented and lacking in cohesion. For example, in mathematics it may be hard for them to read a word problem and recognize a pattern within the language of the problem that should cue a particular process. In reading, these students fail to recognize a theme, image, or character trait that emerges repeatedly in various guises or contexts. Such weaknesses of pattern recognition memory ultimately take their toll on academic performance at the same time that they diminish significantly the likelihood that a student will find the content of school particularly interesting.

Embedded within the dysfunctions of memory is the ever-present role of attention. At any age, but possibly more so in adolescence, attention and memory can interact to potentiate more insidious forms of learning disorders. Are the learning problems manifested in class attributable only to attention deficits? To only memory deficits? Or are the attention deficits undermining a student's memory capacity or vice versa?

The Phenomena Associated with Superficial Understanding
Adolescents with learning disorders may proceed through secondary education in a state of mild to moderate, and sometimes even severe, confusion. These are students who have trouble grasping and building cognitive bridges between the facts, ideas, concepts, and procedures learned within and across content areas. Those who appear to gain only a surface level understanding of information may possess hidden language deficits, poor higher-order cognitive skills, including weak formation of concepts and an over reliance on top-down processing, or they may be passive in their approach to learning.

Adolescents with Poor Language Processing
The academic demands for verbal comprehension, verbal reasoning, and verbal expression explode in volume, density, complexity, and abstractness during students' transition from early adolescence to adolescence (Montgomery, 1992). Teenagers with language deficits can manifest gaps in a number of processes and abilities assumed to be in place by secondary school.

Adolescents with poor language processing may have difficulty following complex instructions and interpreting extended verbal explanations (i.e., lectures). They commonly harbor basic weaknesses in semantics, sentence processing, and/or the capacity to deal with large chunks of language discourse. These students may reveal delays in their reading comprehension, major difficulties in foreign language acquisition, problems as well in the verbal aspects of mathematics, including the deciphering of word problems and the mastery of technical vocabulary (Levine et al., 1992). They are prone to serious problems in courses that rely heavily on reading for content (such as history).

There are some adolescents who can process language adequately but at a slow pace; they have trouble "keeping up" with the rapid constant onslaught of verbal communication in the classroom. Additionally, many of these students have a weak metalinguistic sense, an incomplete understanding of how language works. They are apt to be confused over parts of speech, grammatical construction, and other formal features of language. In secondary schools there is a heightened need for students to be able to process abstract figurative language, to comprehend textbooks containing densely packed verbally encoded ideas, to use verbal reasoning skills, and to learn a foreign language (Levine & Reed, 1992). The critical role of language progression during adolescence is poorly appreciated. There exists a dearth of appropriate diagnostic tools and adolescent language development (both normal and dysfunctional). Moreover, research into the language disabilities of secondary school students has been sparse.

Adolescents with Incomplete Conceptualization
Concepts are broad ideas that categorize the phenomena that keep recurring in any subject area. Examples include: "balanced equation" in mathematics; "photosynthesis" in science; "right wing" in a social studies class; "conjugation" in foreign language, and sonata form" in a music class. Some students struggle in vain with the concepts in one or more secondary school subject areas. In particular, they are likely to have trouble with the ever-growing array of abstract concepts, those concepts that do not contain any direct sensory references. Such students are often described by their teachers as overly "concrete." Their conceptual understanding is incomplete or tenuous. They may over rely on prototypes, believing (or hoping) that if they can cite an example, they must understand the concept. A student might know that the United States is a democracy without really grasping the components of government that constitute the concept of "democracy." In mathematics, a student may over rely on rote memory, deploying a so-called "algorithmic approach" to problem solving. She or he may be able to solve equations without really knowing what equations are. Such tenuous grasping inevitably leads to academic deterioration.

Adolescents with Extreme Top-Down Precessing
Students who are extreme in their top-down processing are often very creative and imaginative. However, they have difficulty focusing on relevant details. They keep imposing or superimposing their own ideas, rich associations, and values over what they are hearing, observing, reading, or discussing. Adolescents who over rely on top-down processing are likely to have difficulty in highly convergent subject domains, those courses where there tends to be only one correct answer to a question or only a single acceptable interpretation of a situation. These adolescents often do poorly on multiple choice tests and can be very distressed when they receive their SAT scores.

Adolescents with Passive Learning Approaches
Some adolescents are conspicuously inactive in their approach to learning. Within the classroom their minds seem to be inert. They fail to associate new information with what they already know. They tend to be non-elaborative in their thinking and speaking in school. Very little intellectual content is of any interest to them. Their understanding is constricted, and they tend to equate learning with memorization. Some of these students with passive learning approaches may show attentional dysfunction as well; that is, they seem to have too little mental energy to partake actively in the learning process.

The Phenomena Associated with Reduced or Inefficient Output
The expectations of secondary school curriculum demand ever-increasing quantities of self-directed academic productivity. Adolescents must not only learn to learn, they must also work and learn to work! The demands of output include increasing amounts of a wide-range of writing genres, such as argumentative/persuasive essays, compare and contrast formats, original works of fiction and non-fiction, each emphasizing students' ability to analyze, synthesize, and evaluate differing perspectives about history, literature, and culture. These important higher-order cognitive functions can stress the still developing or yet-to-be developed systems, that comprise students' attentional strength, memory capacity, comprehension level, problem-solving facility, organizational function developmental output demands placed on adolescents.

Written Output Failure
There may be no more complex school-related activity than writing (Levine, 1987). The myriad of interdependent and recursive cognitive processes and sub-processes required to represent knowledge on paper (see Flower & Hayes, 1981; Hayes & Flower, 1986; Levine et al., 1993; Scardamalia & Bereiter, 1986) may make it the most cognitively expensive performance- based task; yet it is the single most commonly used activity to evaluate competence in secondary schools, if not at all grade levels. Presently, schools are adopting performance based assessment tests comprised of open- ended items that students respond to by "thinking on paper," where generating a product (correct answer) is not weighed as heavily as the process (procedures, thought processes) used to arrive at the product. Such forms of evaluation will no doubt discriminate against students with "output problems" by underestimating their competency. These adolescents often can partake of activities requiring high-order thinking skills, but they may need to express these skills through non-traditional means, such as producing a piece of art work that captures the essence of a poem instead of a written essay that reflects an interpretation of the poem.

Developmental written output failure can be associated with various underlying dysfunctions. Students whose writing is labored, slow, and poorly legible may have graphomotor dysfunction which manifests itself in various forms of fine motor incoordination during writing that make it difficult for their fingers to keep pace with the flow of their ideas (Levine, et al., 1981). The effort of transcribing thoughts to paper can functionally undermine thinking and the use of sophisticated language during the writing process (Levine et al., 1993). Written output failures are also exhibited by students with memory dysfunctions (see above), language difficulties (see below), and organizational problems (see below). In addition, the higher-order deficits, such as in problem-solving ability, social cognition, planning and revising strategies, can make it difficult for students to select topics and produce coherent and cohesive text (Hayes & Flower, 1986). Disorders of written output can have a profound psychological effect on an adolescent who is prone to become discouraged and anxious about performance in school - perhaps so anxious about school performance as to cease being productive at all.

Expressive Language Dysfunction
There are many students who have difficulty meeting the high expectations for expressive language fluency (of which written output is one form). Many language processing activities require the apportionment of capacity from different cognitive processes (Montgomery, 1992). Classroom teachers can recognize adolescents who may have expressive language dysfunction by observing students who have difficulty communicating their ideas during class discussions, on paper, or both. These adolescents are at-risk for academic and social problems (Montgomery, 1992). Montgomery (1992) stated that research results are mixed as to delineating causal mechanisms underlying language impairments in adolescents. Deficits in expressive language have been associated with difficulties in social conversational abilities, word retrieval during conversation and written expression, and the cohesiveness and coherence of narrative text. Affected students may live in constant apprehension over the prospect of being called upon in class!

Organizational Problems
Secondary schools require adolescents to be extremely efficient and effective organizers of time and materials; textbooks, homework, pencils, papers, pens must all arrive at 6-7 different classrooms at the appointed times to be used in classes led by teachers with different expectations for performance and behavior. Adolescents can have temporal-sequential deficits, or an inability to estimate, allocate, stage, and monitor progress towards completion of activities, that undermine efficient management of time. Many adolescents with temporal sequential deficits have trouble making use of stepwise approaches to task completion; they try to think of what to do as they are in the process of completing a task. Instead, students need to plan or preview what the final product may look like, generate multiple alternative strategies that could be used to complete the task, select one strategy, start the task, monitor progress and quality of the product, and modify the strategy or select another when it is no longer facilitating goal attainment. Adolescents can often benefit from an adult or a peer who will provide "expert scaffolding," or the provision of help, for the purpose of structuring the timing and sequencing of activities (see Palinscar & Brown, 1984). The goal should be to model these covert cognitive processes approached for the student to utilize him/herself during problem-solving tasks.

Other students will experience problems organizing materials for school. Notebooks, desks at home, lockers, assignment journals, and other "props" are simply difficult to manage. These students "lose" many possessions, have difficulty knowing and/or organizing materials to take home or bring back to school, and surround themselves with hopelessly disorganized work areas and lockers.

Summary
Some phenomena that impair learning and attention in adolescents have been presented in a compartmentalized, linear fashion. In reality these phenomena associated with negative school-related outcomes never operate in isolation. Importantly from a developmental perspective, all cognitive processes are highly interdependent and can influence each other's development and refinement. For example, an early adolescent may possess attentional strengths but weak memory capacity during middle school that over time functionally undermines existent attentional strength. This student's inability to continue to use developed attentional processes during middle school may result in weak attentional strength and reduced memory capacity in high school. In fact, by the time students reach secondary school age it may be very difficult, if not futile, to identify single dimensions of cognition that cause learning problems. That is, is a student's negative performance related only to deficits in attention, memory, language, or a combination of two, or a combination of three? Furthermore, a unitary explanation for learning and attention deficits implies a single treatment strategy.

Management
What are teachers, parents, and adolescents left to do regarding the management of the phenomena underlying underachievement given the complexity of these learning and attentional disorders and the limitations of standardized tests for illuminating subtle and sometimes hidden learning problems? First, the phenomenological approach to learning disorders requires teachers to be well educated in adolescent cognitive and social development. Teachers need to be keen developmentalists especially about the phenomena relating to areas such as attention, memory, language, higher-order cognition, and output. Second, well-educated teachers should apply this knowledge, using observational tools to record prospectively relevant dimensions of performance. Additionally, teachers should engage their knowledge in skillful analyses of students' error patterns. Teachers can gather their evidence, including reports from the parent(s) and the student, and draw inferences regarding the functional status of a struggling adolescent. Third, teacher(s), parents and students need to collaborate in a process of formulating, monitoring, and evaluating the effectiveness of educational management techniques that lead to academic achievement, social skill development, and enhanced self-concept. Optimal management must include "demystification" of the phenomena associated with negative school-related outcomes and may include use of accommodations that "by-pass" the problematic areas and/or direct cognitive interventions that instruct students about the covert processes underlying school related outcomes.

Demystification of the Phenomena
Educating students about their learning strengths, weaknesses, and affinities is based on the premise that students must begin to understand the mysterious processes underlying learning and the nature of their differences as a precondition of intervention. Students' inclusion in the process of management grows in importance as they grow older; it is futile to attempt to intervene in this age range if adolescents do not have a firm grasp on the nature of their cognitive assets and shortcomings (Levine, 1993).

The purpose of demystification is to educate students about their own unique patterns of ability using non-threatening, non-moralistic, and jargon-free vocabulary and examples. It is hoped that such teaching can relieve students of negative attributions for their success and failure in the classroom and fantasies ("I'm dumb!') about themselves commonly associated with low self-esteem, feelings of hopelessness, and loss of motivation in children and adolescents with learning and attentional disorders (Borkowski, Weyhing, & Carr, 1988; Sabatino, 1982; Swartz, Purdy, & Fullingim, 1983).

Accommodating to the Phenomena
One component of the educational management plan may be the formulation of "by-pass" techniques. The purpose of using by-pass techniques is to change the nature of tasks to minimize the negative impact of inadequately developed cognitive processes underlying school-related outcomes (i.e., long division, writing). Such techniques demand flexibility and compassion on the part of teachers. Generally, accommodations take the following forms: (a) rate adjustment, or modifying the speed in which information is taken in and the speed in which output is expected to be produced; (b) volume adjustment. or modifying the ideational density of information taken in or amount expected to be produced; (c) complexity adjustment, or modifying the number of steps to be remembered within a procedure, reducing the linguistic demands of instruction; and (d) devices, or the use of props (i.e., calculators, word processors). Instructional decisions regarding the use of accommodations, individually or in combination with others, are functions of the student's profile of neurodevelopmental strengths and weaknesses and the teacher's understanding of their interactions with components of specific tasks.

An adolescent who produces very little written output on paper, but who is very eloquent and sophisticated in her verbal output during discussions, may suceed by dictating her reports into a tape recorder and then transcribing them to paper. If this by-pass technique is not possible, the teacher can reduce the complexity of the writing task by encouraging the student to write the initial draft of her paper without regard to spelling, punctuation, and grammatical structure of the sentences and paragraphs. The teacher will then evaluate only the quality of the ideas contained in the initial draft; the teacher will evaluate other mechanical aspects of the essay in later drafts. This process may require the teacher to make adjustments in her expectations for when the student will turn in the final paper. But, the teacher will be evaluating an essay that more closely approximates this student's competence.

Interventions to Strengthen Weaknesses
Intervention research with children and adolescents with learning and attentional disorders has had a mixed history. Kavale (1990, 1993) laments the past shortcomings of intervention research because "little agreement has emerged about the value of an intervention much less insight in how and why it works" (p.6 [Kavale, 1990]). Teachers do not know which students will benefit from participation in intensive intervention programs. This problem is primarily due to researchers who provide inadequate descriptions of the samples of students they are studying and the lack of well-controlled experimental settings. The former limits generalizability of findings to individual students while the latter limits transferability of teaching strategies to classrooms.

Regardless of such a less than optimistic perspective on the effectiveness of direct interventions and intervention research, a growing empirical knowledge base suggests that students with learning and attentional disorders can benefit from direct instruction in the covert cognitive processes (such as strategy use) underlying many school-related outcomes (i.e., reading comprehension, narrative story writing). The purpose of direct interventions is to improve students' self- regulation of information processing, behavior, and personal relationships. For example, a student with developmental written output failure may possess relatively intact attention, memory, language skills, and higher-order cognition based on his teacher's classroom observations, analyses of error patterns, and student self-reports. The student's weakness may lie in his tenuous understanding of the writing process (planning, translating, reviewing) and/or how his unique neurodevelopmental profile of strengths and weaknesses interacts with writing tasks (e.g., interaction between active working memory and transcribing ideas at the same time he is trying to use rules of syntax).

The adolescent student may benefit from direct instruction in the writing process through a cognitive behavioral writing intervention. The purpose of the intervention is to improve the student's knowledge and skillful use of planning strategies (idea generation and organization), decisions about the time line for translating ideas into sentences and paragraphs (initially attending to meaning then attending to other text features such as punctuation, spelling and grammar), and reviewing strategies (evaluating the cohesiveness and coherence of the text, comprehensibility of the text, and revision strategies that improve the quality of the essay).

First, the teacher needs to demystify the student about his profile of strengths and weaknesses and then introduce the writing strategy. Second, the teacher should make covert thought processes underlying the writing process overt by verbalizing his thoughts and decisions during his modeling of how to write an essay. Initially, the student is likely to overtly verbalize his thoughts and decisions and over time subvocalize his writing strategies. Finally, the student should self-regulate the writing process with no overt behavior. Depending on the status of the student, this process may take weeks, months, or the whole school year.

Conservation of Adolescents
A byproduct of a phenomenological perspective for recognizing and managing adolescent underachievement has at the core of its philosophy the conservation of individual variation among students. It assumes that all adolescents want to succeed in high school and that they want to be successful adults. It is important to recognize that the abilities needed for success as an adult differ markedly from those functions that are requisites for accomplished performance in secondary school. Moreover, the adult world values and needs diverse kinds of minds. We must overcome the irrational drive to homogenize young people. Teachers, parents, clinicians and policy makers must strive to preserve developmental differences rather than to punish or discriminate against them by imposing needlessly rigid expectations during a critical period when maturing nervous systems are working overtime to define their individuality.

References
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