Lecture Notes on Writing and Dysgraphia

Lecture 18: Writing

  • Instructor: Dr. Chelsea Ekstrand
  • Date: March 24, 2026
  • University: University of Lethbridge

Learning Objectives

  • What is writing?
  • What are the components of a cognitive model of writing?
  • What evidence do we have from acquired dysgraphia?
  • What are the neural substrates of writing?

Objectives Upon Completion

  • Identify the major components in our cognitive model of writing, specifically the central and peripheral components.
  • Understand the evidence related to subsystems of the cognitive model from cases of acquired dysgraphia, illustrating evidence of dissociations.
  • Characterize the neural substrates associated with the major components of writing.

Definition of Writing

  • Writing: An expressive form of language similar to reading, which involves creating orthographic expressions.
  • Key forms:
      - Handwriting
      - Typing
  • Requires:
      - Manual skills
      - Knowledge of spelling conventions
  • Historical context: Up until the 20th century, a significant portion of the population did not need to write; however, it is now a fundamental requirement for many activities.
  • Writing has been underexplored in academic discourse compared to reading.

A Cognitive Model of Writing

  • Major elements of the cognitive model include:
      - Semantic System: Understanding meaning in writing.
      - Phoneme System: Recognizing individual sounds.
      - Phonological Lexicon: Storage of sound structures of words.
      - Orthographic Lexicon: Accessing spelling patterns.
      - Graphemic Buffer: Temporary storage system for grapheme identities during writing.
      - Allographic Conversion: Translating abstract letter identities into specific forms (e.g., upper/lower case).
      - Graphomotor Planning: Motor planning for handwriting or typing.
      - Phoneme-Grapheme Conversion: Mapping sounds to written symbols.

Writing Process

  • Speech Input Processing:
      1. Auditory feature analysis.
      2. Phoneme system recognition.
      3. Activation of the phonological lexicon for word sound structures.
  • Spelling patterns are accessed from the orthographic lexicon, which helps determine the appropriate sequences of graphemes.
  • Writing can be prompted directly by speech or the semantic system, allowing for flexible routes during composition.
      - Routes for Spelling Retrieval:
        - Direct addition from phonological lexicon to orthographic lexicon.
        - Engagement of the semantic system when writing from inner thoughts or feelings.
  • Graphemic Buffer: A limited-capacity working memory that temporarily holds grapheme identities and positions until the word is written, receiving input from both the orthographic lexicon and phoneme-grapheme conversion systems.
  • Phoneme-Grapheme Conversion:
      - Mapping phonemes to appropriate graphemes, allowing novel expressions to be conveyed in writing.
      - Important for regular (e.g., desk) vs. irregular mappings (requiring access to the orthographic lexicon when exceptions occur).
  • Allographic Conversion: Converts abstract letter identities into concrete forms before relaying instructions to the hand or computer.

Evidence from Acquired Dysgraphia

  • Dysgraphia: A neurological disorder characterized by impaired writing abilities and fine motor skills, often likened to “the dyslexia of writing.”
      - Phonological Dysgraphia: Impairment in writing pseudowords but not real words (e.g., inability to write 'yawt').
      - Surface Dysgraphia: Impairment in writing irregular real words but not regular words or pseudowords (e.g., inability to write 'yacht').
      - Deep Dysgraphia: Impairment in both pseudowords and real words, with semantic errors more prevalent in abstract items.

Cognitive Model Dissociations

  • Phonological Dysgraphia Evidence:
      - Involves reduced phonological processing capacity and affects reading and spelling.
      - Patient RG: Poor at reading pseudowords but could spell real words accurately.
      - Patient MH: Could read pseudowords but struggled to spell them despite high reading accuracy.
  • Surface Dysgraphia Evidence:
      - Performs well with pseudowords; struggles with sight-written words.
      - Examples include misspellings like 'YOT' for 'yacht' where phoneme-grapheme conversion is functional, but irregular spelling cannot be retrieved.

Neural Substrates of Writing

  • Findings from Purcell et al. (2011) meta-analysis of neuroimaging studies:
      - Central components: Orthographic lexicon, graphemic buffer, and phoneme-grapheme conversion.
      - Key brain areas:
        - VWFA (visual word form area)
        - Inferior frontal gyrus
        - Superior temporal gyrus
        - Supramarginal gyrus.
      - Peripheral components: Allographic conversion and graphomotor planning, associated with dorsolateral frontoparietal regions.