PixWriter is a voice output word processor program designed for use by individuals with learning or cognitive disabilities. Intended for beginning readers and writers, this program combines words, pictures, and speech. By selecting buttons, which hold words and graphics, users can write whole words, sentences, and stories. PixWriter supports writing using a mouse, keyboard, touch screen, one and two-step switch scanning, joystick and whiteboard. It also includes auditory scanning for people who are blind or have low vison. After selection, the word is written; a picture is automatically paired with that word and the picture is shown as the word is spoken. The program has over 10,500 Literacy Support Pictures with corresponding text and speech, and the user can import additional photographs, clipart and personal artwork. It supports 4, 16, 36 and 64 button setups. PixWriter includes the LSP Thesaurus to enhance the user's ability to select homonym meanings or adjust the word bank for an individual's needs. The PixCards feature also provides the ability to make PECS, flashcards or memory game cards. English and Spanish languages are supported. COMPATIBILITY: IBM and compatible computers and Macintosh computers. SYSTEM REQUIREMENTS: Windows 7, Vista or XP, or Macintosh OS 10.4 or later; 600 megabytes (MB) of hard disk space.