An excerpt from Reading Through Tears
b-d-p-q CONFUSIONS.
(Jean)

Gary had letter reversals.

Long before he went to school he knew that a cat was still called a 'cat' regardless of which direction it was facing. In other words he had learned to name objects in terms of their shape, not by their direction.

When he first saw the letters 'u' or 'n', he therefore assumed that they were both the same letter, simply because they were both the same shape.

By the end of grade1 he had mastered the vertical differences between n/u and m/w and p/d but still had problems with the more difficult horizontal task of discriminating between b/d or p/q. He couldn't even POINT to matching letters, let alone tell you which sound belonged to which letter.

The problem was that nobody had actually sat down and taught him the differences and so, being a bright lad, he worked out his own remedy. Whenever he wanted to write a 'b' or 'd' he simply wrote the capital. His essays were therefore littered by words like 'noBoDy'.

I showed him that a b was the same as B with the top half rubbed away, I then wrote Bb and Dd at the top of every writing page so that whenever he wanted a lower case b he simply looked for the capital B at the top of the page and wrote down the adjacent lower case b.

He immediately had mastery of b/d differences and gradually found that he didn't need to look to the top of the page and eventually discontinued the Bb heading.

However, I still needed to teach him which sound goes with which letter. I remembered a lecture on auditory discrimination by that brilliant audiologist Eddie Keir during which a tape was played of a male and female saying different things simultaneously. It was quite impossible to understand a word of the babel (it sounds exactly like my house, where everyone talks at the same time).


Keir then said 'Now listen only to the female voice' and miraculously I could suddenly hear clearly every word that she said. If I switched to listening to the male voice, that too then became perfectly clear. I could tune in to either one.

I tried this with Gary. Having got him to the stage where he could trace/copy the bdpq letters from memory I turned to the differences between b,d,p,q sounds. I said 'knock on the table whenever you hear a /d/ sound' and then I hid my mouth and sounded aloud the letter sounds b, d, p and q in random order.

Within a minute he was 100% correct. The sound of 'q' was easiest; the b and p took a bit of concentration but he never looked back after that lesson.

Later on we extended the work by knocking on the table whenever he heard a WORD containing b, d or p and later still he had to write the sound down instead of knocking on the table.
But it all started however by just getting him to first see and then hear the differences.

A few years ago I was having a coffee with a group of dedicated teachers. I was quite shocked when some complained that they had received no specific training in how to remediate bdpq confusions and routinely were reassuring parents that their child would ‘grow out’ of the problems.

I was shocked because, if you look back at the earlier statistics on failing children, you will see that many failing students are still making bdpq errors even in high school. One of the objections to allowing children to ‘grow out of it’ is that it may take many years and those are critical years of quite unnecessary failure. Along the way many children develop strategies such as writing in capitals as Gary did in the story above or, worse still, they learn that since they have a 50% chance of being right, they should merely make a guess without thinking about it at all.
Some teachers underestimate the IMPORTANCE of bdpq reversals. The importance stems from the fact that 56% of simple (3-4 letter) words, so important to the beginner reader, contain one or more of the bdp letters. 56% is such a large proportion of a child’s vocabulary that bdp confusions almost invariably are associated with low confidence in reading.
Some teachers also underestimate the EXTENT of the problem, particularly those teachers who are encouraging children to read to the end of each sentence and then to guess unknown words. For example in the sentence ‘The cat was chased by the dog’, the child with b/d confusions is not going to misread the word ‘dog’ as bog or pog. They can guess the word ‘dog’ from the words that preceded it; they therefore don’t attract remedial attention. However had the infant teachers simply presented tested the word ‘bog’ in isolation they would have realised that the child needed help.
Our current study showed that most (about 94%) of superior and average readers had mastered bdp confusions by the age of 8. Failing readers however still displayed a very different picture with 30% of children in their last year of primary school still repeatedly displaying bdp confusions. That is a terrible indictment of our infant schools’ detection and remedial strategies.
There is however another, hitherto unsuspected, factors:
VAS interacts with bdp confusions!

See also '
Letter Formation'.

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