Of the topics outlined in this book, therapists will perhaps be most familiar with communication. Traditional therapies for communication have focused on improving the aphasic person’s use of verbal strategies such as circumlocution and/or non-verbal methods including gesture and drawing (Green, 1982; Trupe, 1986; Coelho, 1991; Rao, 1994). The client’s ability to take turns and repair instances of communication breakdown has also been addressed (Davis & Wilcox, 1985; Pulvermuller & Roth, 1991; Leiwo, 1994). Within the social model framework introduced in Chapter 1, these therapies may be viewed as broaching aspects of impairment. An emphasis upon getting the message across -transaction – has often been apparent.