A Treatment Sequence for Phonological Alexia/Agraphia.

Purpose: Damage to left perisylvian cortex often results in impaired phonological processing abilities with written language profiles consistent with phonological alexia and phonological agraphia. The purpose of this article was to examine a behavioral treatment sequence for such individuals intende...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 53; no. 2; pp. 450 - 469
Autores principales: Beeson, Pélagie M., Rising, Kindle, Kim, Esther S., Rapcsak, Steven Z.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association April 2010
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: April 2010
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      pub: American Speech-Language-Hearing Association
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        10.1044/1092-4388(2009/08-0229)
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        atl: A Treatment Sequence for Phonological Alexia/Agraphia.
      aug:
        au:
          Beeson, Pélagie M.
          Rising, Kindle
          Kim, Esther S.
          Rapcsak, Steven Z.
      su:
        Reading disability
        Writing & psychology
        Dyslexia
        Cerebrovascular disease patient rehabilitation
      sug:
        subj:
          Reading disability
          Writing & psychology
          Dyslexia
          Cerebrovascular disease patient rehabilitation
      ab: Purpose: Damage to left perisylvian cortex often results in impaired phonological processing abilities with written language profiles consistent with phonological alexia and phonological agraphia. The purpose of this article was to examine a behavioral treatment sequence for such individuals intended to strengthen phonological processing and links between phonology and orthography, as well as train a means to maximize use of residual orthographic and phonological knowledge for spelling. Method: Two women with persistent impairments of written language and phonological processing following damage to left perisylvian cortical regions participated in this study. Both exhibited characteristic features of phonological alexia and agraphia in that reading and spelling performance for real words was better preserved than nonwords (lexicality effect). A 2-stage treatment protocol was administered to strengthen sublexical skills (phonological treatment) and to train interactive use of lexical and sublexical information to maximize spelling performance (interactive treatment). Results: Both participants improved phonological processing abilities and reading/spelling via the sublexical route. They also improved spelling of real words and were able to detect and correct most residual errors using an electronic spelling aid. Conclusions: Behavioral treatment served to strengthen phonological skills supporting reading and spelling, and provided a functional compensatory strategy to overcome residual weaknesses. Reprinted by permission of the publisher.
      pubtype: Academic Journal
      doctype: Article
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    language: English
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