Hierarchical planning disability in the drawings and constructions of a special group of severely aphasic children.

A small group of severely receptive aphasic children who appear to be suffering from a rare aphasic syndrome that has been referred to in the literature as "acquired aphasia with convulsive disorder in children" was tested on drawing and construction tasks which tap hierarchical planning abilities. Although they could draw and construct a complex figure when using a serial method, they could not do so when required to use hierarchical planning in building up the model in terms of its subunits. Their scores reflecting hierarchical ability were significantly lower than those of age-matched profoundly deaf and normal children. The nature of this disability is discussed and its effects noted on tasks in other modalities. It is argued that neither an auditory deficit theory nor a short-term memory deficit theory is adequate to account for the observed disabilities. Individual differences in the group were noted. It was also found that a smaller percentage of developmentally expressive aphasic children evidenced the hierarchical planning disability. It is concluded that a primary hierarchical planning disability in some aphasic children can account for some aspects of their linguistic disabilities and for disabilities on other nonlanguage and nonauditory tasks.