Kohnen Saskia, Nickels Lyndsey, Coltheart Max, Brunsdon Ruth
Macquarie Centre for Cognitive Science, Macquarie University, Sydney, New South Wales, Australia.
Cogn Neuropsychol. 2008 May;25(3):343-75. doi: 10.1080/02643290802003000.
This paper presents a single case study investigating the mechanisms underlying generalization of treatment benefits to untrained words in spelling. Brunsdon, Coltheart, and Nickels (2005) observed that untreated words that improved tended to be those whose errors were closest to being correct prior to treatment. These words also tended to be high in written frequency. The present study employed the same treatment techniques as those used by Brunsdon et al. with K.M., a developmental surface dysgraphic. During a first treatment the characteristics of words whose spelling improved without specific training were identified. These characteristics were then used in a second treatment to test whether it was possible to predict generalization. The results showed that treatment generalization to untreated irregular words was best predicted by neighbourhood size and frequency. We suggest that the processes underlying treatment generalization are based on the interaction between the orthographic lexicon and the graphemic buffer. Clinical implications are discussed.
本文呈现了一项单病例研究,探究拼写中治疗益处推广至未训练单词背后的机制。布伦斯登、科尔特哈特和尼克尔斯(2005年)观察到,拼写得到改善的未治疗单词往往是那些在治疗前错误最接近正确拼写的单词。这些单词在书面频率上也往往较高。本研究采用了与布伦斯登等人对发育性表层失写症患者K.M.所使用的相同治疗技术。在首次治疗期间,确定了未经特定训练但拼写得到改善的单词的特征。然后,在第二次治疗中使用这些特征来测试是否有可能预测推广情况。结果表明,对未治疗的不规则单词的治疗推广最佳预测因素是邻域大小和频率。我们认为,治疗推广背后的过程基于正字法词汇和字素缓冲器之间的相互作用。文中讨论了临床意义。