Advance for OT August 2012
Susan N. Schriber Orloff, OTR/L
A rising 6th grader, Johnny* (not his name) was
sent to WIN™ (Write Incredibly Now™) handwriting camp. His mother’s goal was for him to learn to
write sentences and know his cursive alphabet automatically. Johnny’s goal was to learn to write his name.
It was a goal from which he could not be deterred. He wanted to write his first and (long) last
name fluently. His motivation for this
was in hyper-drive. So choosing to move
from a point of success to more success. Johnny learned to write his name. It took all week.
It should be noted that in addition to writing the camp
covered midline orientation, pincer grasp, bilateral coordination, spatial
organization, figure ground discrimination and visual tracking. Utilizing crafts and games that were
sensory-kinesthetic based, Johnny learned how to use his body so that he was
comfortable sitting, reaching, and writing as well as being aware of those
close to him.
It was a lot to cover in the short 12 hours made even
shorter by his refusal to learn to write anything other than his name. But his name, having so many letters and
letter combinations did feed into the flow-go-stow patterns necessary for
automatic writing.
Which brings my therapeutic soul to question, “Who’s goals
should I be meeting?” Clearly I met
Johnny’s goals, but equally clearly, I did not meet his mother’s. This has been a conundrum for me, and I
suspect many of my colleagues as well.
I feel that it is impossible, particularly with older
children to force goals upon them and that success breed’s success. By meeting his goals first I was then able to
go on to meet the other goals in a follow-up session. Mom was satisfied, and Johnny was happy he
had learned to write his name and please his mother.
It is important to understand the symbolic importance of
writing one’s name. While doing PRN work
at a spinal center I met a man who was a recent quadriplegic. A successful businessman, his goal was to
learn to write his name again, so that he could sign payroll checks, contracts
and related business papers. This was
more important to him than learning to dress, feed or perform personal hygiene
tasks. But once he had learned how to
sign his name, interest in the other tasks became important to him.
Handwriting is daunting.
It is intimidating for many. It is a graphic example “advertising”
oneself. It is semi-permanent; more so
than the spoken word that quickly dissipates into air. It is on paper and it is visible for both the
writer and the reader. If it is messy,
not legible, or otherwise unacceptable it can serve as an unexpected example of
one’s related abilities.
Keith Berry, Ph.D., the author of the Visual Motor Integration
(VMI) tests, states that “…Besides the
fact that handwriting, as a common graphic behavior, is a natural vehicle for
teaching, there are broader reasons for focusing upon it. Our schools are encountering increasing
numbers of children who lack solid mental and social foundations, and who are
at risk of becoming school and social dropouts. Handwriting is frequently an
indicator of children’s mental and social foundations. If a child lacks an adequate mental
foundation, in the Piagetian sense, because of insufficient sensory-motor and
other experiences, it tends to show up in poor handwriting. Similarly, if a child lacks an adequate
social foundation—has not developed basic self-respect and respect for other—it
also tends to evidenced in poor handwriting.” (pgs125-126 VMI Scoring Manual, 4th
Edition, Revised).
Teaching handwriting is a sensory motor skill
and it is an emotional/social one as well. It is essential that it be a
standard part of both the elementary and middle school curriculums. And this needs to be communicated by
school-based occupational therapists throughout the country. The United States of America is the only western industrialized
country that does not have a uniform handwriting program.
Writing our name is basic. We learn this in preschool. It is our first academic source of
pride. It is step one in the process of
learning to read and write. As a
profession we need to remind school administrators that even in a computer
based society, handwriting matters. And
it all starts with clearly writing one’s name.
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