Agraphia Treatment: Sentence-Level Treatment

Author: Brett McCardel, MS, CCC-SLP

What are specific areas to target for writing treatment at the sentence-level? ๐Ÿคท๐Ÿผโ€โ™‚๏ธ๐Ÿ–‹โ“โฃ
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When treating agaraphia at the sentence-level, syntax and morphology are areas that may be contributing to writing difficulties โœ๐Ÿผ โฃ
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Treatments targeting these areas include:โฃ
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๐— ๐—ฎ๐—ฝ๐—ฝ๐—ถ๐—ป๐—ด ๐—ง๐—ต๐—ฒ๐—ฟ๐—ฎ๐—ฝ๐˜† (๐—ฆ๐—ฐ๐—ต๐˜„๐—ฎ๐—ฟ๐˜๐˜‡, ๐Ÿญ๐Ÿต๐Ÿต๐Ÿฐ): this approach focuses on retraining thematic roles within sentences (e.g., WHO is doing WHAT). A heavy emphasis is placed on identifying the agent, theme, and verb of a sentence.โฃ
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๐—ง๐—ฟ๐—ฒ๐—ฎ๐˜๐—บ๐—ฒ๐—ป๐˜ ๐—ผ๐—ณ ๐—จ๐—ป๐—ฑ๐—ฒ๐—ฟ๐—น๐˜†๐—ถ๐—ป๐—ด ๐—™๐—ผ๐—ฟ๐—บ๐˜€ (๐—ง๐—ต๐—ผ๐—บ๐—ฝ๐˜€๐—ผ๐—ป, ๐Ÿฎ๐Ÿฌ๐Ÿฌ๐Ÿฑ): in this treatment, a variety of complex sentence types are trained that allow for generalization to simpler, linguistically-related sentences. This treatment employs principles of the Complexity Account of Treatment Efficacy, which allows for such nice generalization effects! โฃ
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๐— ๐—ผ๐—ฟ๐—ฝ๐—ต๐—ผ๐˜€๐—ฒ๐—บ๐—ฎ๐—ป๐˜๐—ถ๐—ฐ ๐—ง๐—ฟ๐—ฒ๐—ฎ๐˜๐—บ๐—ฒ๐—ป๐˜ (๐—™๐—ฎ๐—ฟ๐—ผ๐—พ๐—ถ-๐—ฆ๐—ต๐—ฎ๐˜„, ๐Ÿฎ๐Ÿฌ๐Ÿฌ๐Ÿด): this approach targets verb inflection through sentence-picture matching and sentence production tasks. Suffixes such as present progressive-ing or regular past tense -ed can really make text formulation difficult if morphological skills are compromised!โฃ
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๐—ฆ๐—ฎ๐—น๐—ถ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐—˜๐—ฑ๐˜„๐—ฎ๐—ฟ๐—ฑ๐˜€ (๐Ÿฎ๐Ÿฌ๐Ÿญ๐Ÿฌ): in this treatment, subject-verb-object (SVO) sentences are trained with a consistent tense (such as present progressive -ing). This approach utilizes a โ€œcue-and-copyโ€ method in which clients are given scaffolding to generate written language and then provided written models as needed.โฃ
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Consider trying out some of these approaches in your writing treatment! ๐Ÿ™Œ๐Ÿผ ๐Ÿ“โฃ
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#aphasia #agraphia #writing #neurorehab #speechpathology #medslp #treatment