Communication supports for people with motor speech disorders can include strategies and technologies to supplement natural speech efforts, resolve communication breakdowns, and replace natural speech when necessary to enhance participation in all communicative contexts. This article emphasizes communication supports that can enhance…

Today, children with hearing loss are often identified at birth, fitted with advanced hearing technology, and enrolled in family-centered early intervention. Most of these children have the opportunity to enter kindergarten or first grade with language competencies that rival their hearing peers. For these children to be successful communicators…

People with communication support needs experience barriers that limit their social inclusion in society. A community approach such as "communication access" that targets changing attitudes, skills, and resources may assist in facilitating community participation. The authors describe the development of communication access from 2008 in…

This article focuses on a narrative account of a therapeutic journey experienced by 2 of the authors: an individual (P.D.) with a diagnosis in adulthood of autism spectrum disorder (ASD) and a speech-language pathologist/researcher (I.W.). Instead of adopting a traditional expert clinician treating an impaired patient stance in a highly formalized…

Discourse is a commonly occurring and cognitively demanding form of naturalistic communication (e.g., conversation, event narration, personal and fictional narratives, text reading/generation). Because of the prevalence of these communication acts in daily routines (e.g., educational, vocational, and social), disrupted discourse is an important…

Purpose: A primary goal of aphasia intervention is to improve everyday communication. Although a large body of research focuses on treatment generalization, transfer of learning to real-world interactions involving discourse does not always occur. The goal of an integrated discourse treatment for aphasia (IDTA) approach is to facilitate such…

During clinical interactions between speech-language pathologists and adults with aphasia, a variety of emotional issues arise. The literature suggests that while counseling is within the scope of practice, SLPs tend to avoid emotional issues in therapy (A. Holland, 2007a). The precise mechanisms employed for circumventing emotional issues in…

Addresses three relationships between research and practice in speech-language pathology: (1) shared-interest communication; (2) research-driven communication; and (3) practice-driven communication. Recommendations for developing effective communication are offered. (Author/DB)