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Hyperlexia
Hyperlexia Syndrome

Hyperlexia syndrome has characteristics similar to autism, pervasive developmental
disorder,  and aspergers. Perhaps hyperlexia may be a separate subgroup of children with
Pervasive Developmental Disorder or could it be a separate developmental disorder, of it’s
own? These questions remain to be a mystery, as is the autism spectrum in whole.
Hyperlexia is a  precocious ability to read words, far beyond what would be expected at an
early  age and /or a fascination with letters or numbers. These children have barriers in
language acquisition and communication. Children with this feature have a simultaneous
connection  in their  social interactions and behavior, they have difficulty socializing and
interacting appropriately with people.
Hyperlexia is the a feature skill, of premature reading abilities, which emerges in preschool
years. Most children with hyperlexia are diagnosed as pdd or aspergers, it is commonly
found in children who are considered high functioning. The feature may also be found in
low functioning autistic children but due to the lack of language and communication skills
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Hyperlexia

are unable to express their abilities.

Most  children with this syndrome  read or have pre- reading skills before the age of 5. Some children are reciting
the alphabet  at a very early age. Others begin as sight readers and later beginning understanding the phonics of a
word. Some begin reading only single words, and go on to read sentences, and paragraphs.

Behavior

Hyperlexia children follow a similar pattern of development. First words developed at 12-18 months, but
approximately half of the children lose gained words and do not begin to regain them until after age two.

At about age two, language may be acquired through simple processing, beneficial through speech therapy. Early
speech and language attempts are mainly echolalic. Language is used in "chunks" and “whole phrases” and even
entire dialogues may be used as conversation. There are abnormalities in the form and content of language when
they speak. It varies from unemotional, high and low voice pitches, perseveration, pronoun reversals and peculiar
use of words or phrases. Comprehending of a single word, exceeds comprehension of
sentences. Reading may come naturally, however they may not understand the meaning
of what they recite.  

Many Hyperlexia children show a big improvement in their language abilities beginning at
ages 4 to 5, although difficulties in holding social conversations continue. This pattern of
language acquisition is similar to that of many high-functioning autistic children.  
Difficulties with social language persist in autistic individuals throughout adulthood.
Individuals with Asperger's syndrome are reported to have developed good grammatical
language skills though they too have difficulty comprehending subtle, abstract
language.In the early years,

Hyperlexia children exhibit many of the behaviors typically associated with autism:
self-stimulating behaviors.  Routine, ritualistic behaviors, tantrums, sensitivity to sensory
input (noise, taste, touch), general anxiety and specific unusual fears. These behaviors
subside substantially as growth in language, generally at age 4 to 5.

These children are  generally affectionate with their families and are better able to relate to adults than children. By
age 5, they became able to participate in structured interactive games with peers and imaginative play develops.
Difficulty in socializing and handling large groups remains problematic through the elementary grades.  

Hyperlexia children often succeeded in regular education classrooms with some minor modifications in instruction.
This may also be true for high-functioning autistic children, though there may be other factors which would cause
autistic behaviors to persist longer in this group.
Most  of the children with Hyperlexia syndrome generally have normal gross  motor development and normal
neurological tests, fine motor skills are often delayed.  

Diagnosis

Many have no family history of disorders, though several families were positive for autism and learning disability in
the previous generation. Individuals with Aspergers's Syndrome were described as clumsy and uncoordinated, while
autistic individuals are often described as being very well coordinated.
Some children with hyperlexia syndrome may be classified as having a Pervasive Developmental Disorder, and while
there may be some similarities to children with autism and/or Asperger's syndrome. The differentiating
characteristics appear to center around the Hyperlexia children's ability to develop higher level language skills and the
children's innate desire to develop social relationships, though they may lack the language skills to do so effectively.

The primary reason for developing a specific diagnostic category for hyperlexia is to assure that hyperlexia is well
understood so that appropriate treatment strategies can be developed. In speech language therapy with these
children, it is crucial the reading skill be employed as a primary means of developing language. Reading can also be
used for behavioral management and for assisting the child in understanding classroom  routine.

Due to their pre-reading skills it is not expected that these children exhibit a language disorder and odd behaviors, it is
often regarded as a "splinter skill" and is not exploited as a means for learning. It is natural for a teacher to try
restating a direction verbally when a child does not respond, but these children need the direction to be written so
they have something tangible to look at. This approach has been used with autistic children who read early. The
major difference is that autistic children have a reduced ability to utilize the information acquired through reading
within meaningful language.

Early signs of hyperlexia

•        Learns expressive language in a odd way, echoes or memorizes the a sentence structure unable to understand
the meaning. Recites whole phrases and  reverse pronouns.

•        Rarely initiates conversations

•        An intense need to keep routines, difficulty with transitions, ritualistic behavior.

•        Sensory / tactile sensitivity.

•        Self-stimming behavior such as rocking, spinning, and odd eye movement etc.

•        Specific, unusual fears or distress at inappropriate times.

•        Normal development until 18-24 months, then regression.

•        Strong auditory and visual memory.

•        Difficulty understanding questions, such as "what," "where," "who," and "why".

•        Think in concrete and literal terms, difficulty with abstract concepts.

•        Listen selectively, appear to be deaf at times.
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Hyperlexia