Abstract
Aphasia has an effect on both the transactional functions (e.g. exchanging information) and the interactional functions (e.g. establishing relationships) of communication. The goal of the present study was to explore the perceptions of physicians, spouses and adolescents of the effect of aphasia on both functions of communication and to identify their compensatory strategies. This study confirms: (1) that the interactional function of communication and its subsequent breakdown in aphasia should not be minimised; and (2) that the perceived effect of aphasia on this function is influenced by the interlocutor. Family members perceived a greater effect of aphasia on interactional functions while physicians were generally preoccupied with the transactional functions. The importance of addressing both functions of communication as well as the importance of intervening at the interlocutor level to reduce the situations of handicap is stressed.
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