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The aim of this book is to analyze the language therapy process of an aphasic subject, taking literacy issues as a guiding principle. It draws on clinical practice and theoretical positions to unravel the boundaries between these two language modalities. Within the framework of enunciative-discursive neurolinguistics, a notion of language as a constitutive activity is assumed, as historical work of a social nature. Orality and writing also follow this notion of language and, in this way, the dichotomy established between them is discarded and they are seen as a continuum of social practices. From this theoretical perspective, the longitudinal monitoring of subject Ma, who uses writing as an expressive resource, concomitantly with orality, in the process of (re)elaborating altered language, is developed.