This study reports the case of an aphasic patient, S.D., who demonstra
tes a spontaneous ability to self-cue for items she is unable to name,
by pointing to the initial letter of the target word. The effectivene
ss of S.D.'s cueing strategy is demonstrated and, by comparing it with
other methods of cueing, it is shown that the written form of the ini
tial letter is required for self-cueing. It is shown that S.D.'s self-
cueing can be explained, in an information processing theory, by a lex
ically-mediated cascade of activation from input orthography to output
phonology.