Abstract
We report clinical findings in a 7-year-old female with speech retardation showing retardation of verbal expression by spoken language and her course until the initiation of acquisition of spoken language. This case was characterized by low verbal expression ability compared with language understanding ability and lack of will to communicate with other people and objects that is spontaneously acquired in daily life in infants and small children. To improve verbal expression and communication will, speech training was performed using written language as a medium. After training for about 1 year, the will to communicate by spoken language improved, and the clearness of speech also slightly improved. In children with speech retardation in whom communication behavior before speech has not been acquired, but visual clues can be effectively utilized, training using written language as a medium may be effective.