The article describes an approach to aphasia description and intervention based on analysis of speech pauses and hesitations. The concepts of pause, planning, and paraphasia (a language production error involving substitution or replacement) are distinguished. Three case studies illustrate application of the technique. (DB)

This guide is intended to assist individuals (including therapists, relatives and friends, and volunteer and paid tutors) who are attempting to help adults relearn communication skills lost through stroke or accident. The first section examines dysphasia and the needs of dysphasics in an attempt to help the layperson understand the causes of…