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The phonological deficit hypothesis is a prevalent neurological explanation for the cause of reading difficulties and dyslexia. It stems from evidence that individuals with dyslexia tend to do poorly on tests which measure their ability to decode nonsense words using conventional phonetic rules, and that there is a high correlation between difficulties in connecting the sounds of language to letters and reading delays or failure in children.
The basic hypothesis is that reading failure or dyslexia stems from a functional or structural deficit in left hemispheric brain areas associated with processing the sounds of language. Some researchers have studied the structure and function of neural pathways in the language areas of the brain. Others have focused on the perception of short or rapidly varying sounds of language, positing that the core deficit is one of timing rather than of overall function. 
In the past two decades, the phonological deficit hypothesis has been the dominant explanation favored by researchers as to the probable cause of dyslexia, but it is only one of several competing theories. Critics of the phonological hypothesis point out that it fails to account for symptoms of dyslexia unrelated to phonetic decoding difficulties, such as problems with short-term memory, visual processing issues, or difficulties with balance and small motor coordination that are common to many dyslexic children and adults. They also argue that the much of the evidence for the theory is based on circular reasoning, in that phonological weakness is seen as both a defining symptom of dyslexia and as its underlying cause.
- Vellutino, Frank R., Jack M. Fletcher, Margaret J. Snowling, Donna M. Scanlon (January 2004). Specific reading disability (dyslexia): what have we learned in the past four decades?. Journal of Child Psychology and Psychiatry 45 (1): 2–40.
- Ramus, Franck (2001). Dyslexia: Talk of two theories. Nature 412: 393–395.
- Uppstad, Per Henning, Finn Egil Tønnessen (2007). The notion of phonology in dyslexia research: cognitivism - and beyond. Dyslexia 13: 154.
- Shaywitz, Sally (2005). Overcoming Dyslexia, Vintage.
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