Conversation is a basic element in the medium of comics, where much of the narrative appeal is derived from the interplay between dialogue and action. The speech balloon, a favoured visual symbol for voice and utterance in the medium since the mid-twentieth century, has become a symbol for comics. In Italian, famously, the word fumetto—the word for a speech or thought balloon—also refers to the art form itself, whether in the form of a comic strip or a comic book. In fact, dialogue is such a central feature in the medium that it may sometimes be difficult to think of it as a distinct element. A character who speaks his thoughts aloud when apparently nobody is listening is a much-used convention, and many comics, for instance, ‘talking heads’ or humoristic comic strips that deliver a verbal gag, focus on speaking. Perhaps paradoxically, dialogue scenes may be more distinguishable when their use is more restricted, for instance, in comics when action is predominant and only occasionally interrupted by a scene of talk or when first-person verbal narration is predominant, as in autobiographical comics that occasionally lapse into dialogue.