ABSTRACT
Communication entails much more than understanding and speaking words. It is a process by which people inform one another of their needs and opinions. It begins shortly after birth. Although words increase its power and complexity, it can take place in the absence of words or even sounds-through gestures, facial expressions, and directed eye gaze. This broad view of communication must be maintained in order to think clearly about assessment and intervention for children who are unable to make speech sounds and unable to follow directions involving motor acts.
