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Reading and writing disorders in a patient with the human immunodeficiency virus: a case study

This paper had the aim to describe the case of a human immunodeficiency virus-positive child with reading and writing disorders, analyzing the functional strategies and the results obtained in the pre and post speech-language therapy evaluations. A weekly closed speech-language therapeutic program (of 15 sessions), lasting 50 minutes each, was carried out with an 11 year-old female patient of the Speech and Hearing Investigation Laboratory in Reading and Writing. Different strategies focusing on auditory processing, phonological and phonemic awareness, reading and writing were used. Writing evaluations and audiological exams were performed at the beginning and the end of the aforementioned program. After the 15 sessions, an improvement was observed in words decoding and written production of small texts (adequate from the generic competence point of view), as well as in auditory information processing. The most motivating strategies were: activities with child poems, computer activities, crosswords, word search, and game of written stories for complementing. In this specific case, working with strategies that were interesting for the child and balancing the new with the unknown contributed to the functional success of the therapeutic process in reading and writing. The audiological assessment is important before and after a closed therapeutic program as it is crucial to both monitor the therapeutic evolution and to evaluate the relevance of this program.

HIV; Reading; Language therapy; Learning disorders; Rehabilitation of speech and language disorders; Child


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