CHAPTER
1
What is dyscalculia? Itâs not just being bad at maths
We all know that maths is an important life skill, even though many people are happy to admit that they are âcrap at mathsâ. By contrast, most people are not be prepared to say that they are bad at grammar, speaking or reading. In fact, poor maths is a more of a handicap in the workplace than poor literacy (Bynner & Parsons, 1997). Men and women with poor numeracy, have poorer educational prospects, earn less, and are more likely to be unemployed, in trouble with the law, and be sick (Parsons & Bynner, 2005).
The importance of mathematics instruction has been stressed, quite rightly, in many official reports in the UK, the US and other nations. Napoleon famously said that mathematics is âintimately connected with the prosperity of the stateâ. In his foreword to the Cockcroft report on maths teaching in 1982, Sir Keith Joseph, Secretary of State for Education and Science, wrote, âFew subjects are as important to the future of the nation as mathematicsâ (Cockcroft, 1982). Since Cockcroft, in the UK alone there has been Professor Adrian Smithâs report on post-14 maths (Smith, 2004), and Sir Peter Williamsâs report on primary maths (Williams, 2008). Similarly, the US National Research Council (National Research Council. Committee on Early Childhood Mathematics, 2009) noted that: âThe new demands of international competition in the 21st century require a workforce that is competent in and comfortable with mathematics;â and to that end: âThe committee [of experts] was charged with examining existing research in order to develop appropriate mathematics learning objectives for preschool children; providing evidence-based insights related to curriculum, instruction, and teacher education for achieving these learning objectivesâ (p. 1). In 2011, the OECDâs report, The High Cost of Low Educational Performance, demonstrated that the standard of maths drives GDP growth: the standard in 1960 was a good predictor of economic growth up to 2000; and the improvement in educational standards from 1975 to 2000 was highly correlated with improvement in economic growth. In particular, the report looked at the potential effects of improving standards in maths. So, for example, they found that if the UK improved the standard of the 11% of children who failed to reach the PISA minimum level (which is not very high), to the minimum level, then the effect on GDP (Gross domestic product) growth would be about 0.44%. Not much you might think, but with an average rate of GDP growth of 1.5%, this would be a massive and cumulative increase of nearly one-third. The accountancy firm, KPMG, estimated the cost to the UK of poor maths in terms of lost direct and indirect taxes, unemployment benefits, justice costs, and additional educational costs, was ÂŁ2.4 billion per year (Gross et al., 2009).
One cause of poor mathematical ability is developmental dyscalculia,1 which is a handicap people are born with and which can persist into adulthood. In this way, it is comparable with dyslexia, which is also a condition someone is born with and persists into adulthood. I will deal with characteristics and causes of dyscalculia, as well as how to help in the following chapters. Unfortunately for dyscalculics, their teachers and their parents, dyscalculia does not have a high public profile. As the UK governmentâs chief scientific adviser wrote: âDevelopmental dyscalculia is currently the poor relation of dyslexia, with a much lower public profile. But the consequences of dyscalculia are at least as severe as those for dyslexiaâ (Beddington et al., Nature, 2008, summarizing Government Office of Science report: Mental Capital and Wellbeing).
Terminology
It is not surprising that many people have become confused about dyscalculia. Here are some terms that are widely used. I list their principal official users, and also some of the scientists associated with each term. The pioneer Ladislav Kosc was the first to use the term dyscalculia to refer to a specific developmental condition. He defined it as follows:
This is essentially the definition that I will use, modified in the light of subsequent research. It stresses its congenital and neurological basis, which many studies have neglected.
Kosc was careful to distinguish dyscalculia from just being bad at maths. He wrote:
Dyscalculia or developmental dyscalculia (Kosc, US Department of Education, and many scientific papers, this book)
Specific disorder of arithmetical skills (ICD 10, see below)
Mathematics disorder (DSM IV, see below)
Specific learning disorder with impairment in mathematics (DSM 5, see below)
Mathematics/mathematical learning difficulty, MLD (Mazzocco, Geary, and many scientific papers).
So what is dyscalculia? Different authorities use different terminologies, and different criteria, and these official definitions, however vague, incoherent and unfounded, are nevertheless important from a practical point of view.
Dyscalculia is whatever your authorities think it is
Dyscalculia, or the local term for it, is whatever your authorities think it is. This may enable the parent, teacher, and sufferer, to request special help. This can be special help with exams, along the lines that dyslexics get help with exams in terms of extra time and the opportunity to use computers if handwriting is difficult. It can also mean help with learning. Again, dyslexics can get specialized teaching. There are places in the world where this approach can be useful, for example, Italyâs Law 170 (see Box 1.1). This law provides for both recognition of the condition and help for overcoming its consequences.
Box 1.1 Italyâs Law 170
Nuove norme in materia di disturbi specifici di apprendimento in ambito scolastico (New regulations concerning specific disorders of learning).
Article 1.1. The present law recognizes dyslexia, dysgraphia, dysorthographia and dyscalculia as Specific Learning Disabilities.⌠They manifest themselves in cases of adequate cognitive capacities, and in absence of neurological or sensory deficits. Yet, they constitute an important limitation for daily activities.
Article 1.5. The present law refers to dyscalculia as a specific deficit which manifests itself as a difficulty in grasping the automatisms of calculation and number processing.
Article 2 states among other things, that there will be appropriate teaching to realize potential, a reduction in social and emotional consequence, train teachers appropriately, make people aware of the problem, promote early diagnosis and rehabilitation, and ensure equal opportunities to develop social and professional capacities.
The Individuals with Disabilities Education Act (IDEA) in USA recognizes dyscalculia (along with dyslexia). The Office of Special Education and Rehabilitative Services of the USAâs Department of Education requires state and local education authorities to carry out appropriate assessments and to provide appropriate help.
The problem with this approach is that the authorities may not recognize dyscalculia; and even if they do, the authorities may not provide support, such as provision for additional money to buy in specialized help, or special provision (âaccommodationsâ) in the school.
Here is one example of failure to recognize from the UK Department for Education in 2016. It has dropped all the useful material about dyscalculia that had been there until 2015. However, a previous UK government did have dyscalculia on its website and in its publications. Here is the definition in Guidance to support pupils with dyslexia and dyscalculia published by the Department for Education and Skills in 2001:
First it describes the actual cognitive differences between the dyscalculic and typically developing peers, and not just that they may be slower and more limited in their acquisition of arithmetical skills. So it is not just that they are worse at arithmetic, which may have many causes. The dyscalculic disability is identified in terms of a particular cognitive deficit â a deficit in understanding simple number concepts and having an intuitive grasp of numbers.
Dyscalculia: it is what professionals think it is
Usually this will mean a special educational needs coordinator or an educational psychologist, but sometimes it can mean a medical doctor or a psychiatrist. These professionals may provide an assessment that recognizes dyscalculia, and indeed, can recommend the help that is needed. These professionals are important because the authorities do not specify what the assessments or the help should be. This is left to the professionals, and professionals will use definitions and criteria provided by professional organisations such as the American Psychiatric Association or the World Health Organisation.
Professional definitions
1. The Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. DSM-IV
This is the âold testamentâ of categories of disorders devised by the American Psychiatric Association in the USA. It gives the following diagnostic criteria for âMathematics Disorderâ (Section 315.1)
Mathematical ability, as measured by individually administered standardized tests, is substantially below that expected given the personâs chronological age, measured intelligence, and age-appropriate education.
The disturbance in Criterion A significantly interferes with academic achievement or activities of daily living that require mathematical ability.
If a sensory deficit is present, the difficulties in mathematical ability are in excess of those usually associated with it.
The first point to note is that the âstandardized testâ is not specified. If it is a standardized test of arithmetic, then there will be many reasons why a child may underperform, as we will see, especially in Chapter 3.
The second point to note is that this is a âdiscrepancyâ criterion, which rules out by definition the possibility that someone can have both a mathematics disorder and low general cognitive ability; and it presumably implies that low measured intelligence is sufficient to cause the symptoms of âmathematics disorderâ. Indeed, for learners with equivalently poor performance on the standardized test, the one with the higher IQ is more likely to be granted the classification of Mathematics Disorder.
No justification is presented either for the terminology nor the evidential base for this classification. In fact, DSM-IV claims, again without evidence, that the prevalence of Mathematical Disorder is 1%. We will return to this in Chapter 2.
One practical probl...