ABSTRACT

Therapy for writing comprises two main approaches: first, therapy targeting the lexical writing route and, secondly, therapy targeting the sub-lexical writing route. Therapy targeting communicative writing is generally used with clients with severe impairments of both writing and speech. Therapy has generally resulted in item-specific learning, with improvements seen in the writing of the treated words but no improvement in the writing of untreated words. Therapy for the sub-lexical writing route has involved the teaching of phoneme-to-grapheme correspondences. Cognitive relay strategy to improve the writing of irregular words via the orthographic output lexicon. During the period of therapy, clinical observation and SV's self report suggested that the creative aspects of writing were easier. In writing to dictation, he scored around 50" with predominantly phonologically plausible errors. At the end of therapy, DR showed near-normal performance in writing, making errors only on words with non-univocal spellings.