ABSTRACT
What do we do when we try to work with aphasic people who have no useable spoken output? There is no doubt that aphasic people who have no spoken communication present the clinician with a range of challenges, for example: How will alternative communication strategies be introduced; what nonverbal form of communication is best for that person; how can a clinician facilitate choice for the aphasic person; how can the clinician help ease the aphasic person, their family, and friends through the realisation that speech is no longer a viable option; will the outcome of intervention be satisfactory and/or effective for the aphasic person, their communication partners, and the therapist? The three case studies in this part demonstrate varied responses to these taxing questions and examine how successful intervention is possible in a variety of settings, using different techniques with differing clients.
