Augmentative and Alternative Communication (AAC) and Non-Speaking Gestalt Language Processors

If you're supporting a non-speaking gestalt language processor, introducing a robust AAC system can be a powerful way to expand communication opportunities. While all gestalt language processors (GLPs) can benefit from some form of AAC, there are important considerations when implementing AAC with non-speaking GLPs.

Because most AAC systems are designed with analytic language processors in mind, we often need to think creatively about programming and customization to better support gestalt language development. By understanding these unique considerations, we can create communication systems that are meaningful, individualized, and able to grow alongside the child.

Let's explore some of the common challenges and practical strategies for implementing AAC with non-speaking gestalt language processors.

Challenges Faced When Implementing AAC with Non-Speaking Gestalt Language Processors

• Authentic, specific gestalts the individual wants to communicate can be difficult to identify. For a gestalt language processor to adopt and use a gestalt, the language needs to be meaningful, resonate with them, and reflect what they genuinely want to communicate.

• Determining the best location for new gestalts requires thoughtful planning. As we customize a gestalt language processor's device, we should consider how it will continue to support them as they progress through the stages while preserving the vocabulary needed for later language development (e.g., single words).

• Offering Stage 2 mitigations while maintaining access to other vocabulary can be challenging and is often dependent on the programming capabilities of the AAC system.

• Synthesized speech may not provide the same rich intonation as the original source (e.g., spoken language or media clips). While some AAC apps allow users to upload recorded audio or video, not all systems offer these features.

How Can We Support Non-Speaking Gestalt Language Processors with AAC?

• Input characters, media clips, and the individual's interests into their AAC device. Observe non-spoken communication (e.g., gestures and vocalizations) to help identify possible new gestalts.

• Consider adding potential gestalts to pages with contextual relevance or in locations that support motor planning and are consistent with the overall language organization (e.g., placing "Let's play" on the PLAY/TOYS page in the same location as "play" on the home/actions page).

• Introduce potential gestalts using both spoken language models and AAC models. For individuals in earlier NLA stages, one gestalt per button may be most appropriate. Consider using pop-ups or hold features for Stage 2 mitigations when the AAC system supports them.

• Whenever possible, consider recording and adding natural speech to the device. Many gestalt language processors have difficulty processing synthesized speech and may benefit from hearing familiar voices or authentic intonation.

It's important to remember that these recommendations are dependent on the AAC app being used. Not all systems offer the same programming capabilities, so these features should be considered when selecting an AAC system for a gestalt language processor.

Want to Learn More about AAC for Gestalt Language Processors?

• Start with our FREE Beginner's Guide to AAC & Gestalt Language Processing! It is the the perfect start for anyone beginning their learning journey or on the fence about purchasing our courses! 
• Meaningful Speech Course or AAC + Gestalt Language Processing Course: Deepen your understanding of gestalt language processing and AAC and learn strategies to support gestalt language development with our in-depth self-paced course. 
• SLP Registry: Find speech-language pathologists experienced in supporting gestalt language processors and child-led therapy.
• Free Webinars and Articles: Access free information to further your own knowledge or get free resources you can share with others.