[Communication with the aphasic patient]

The consequences of aphasia with reference to the WHO ICIDH classification are evoked. The role of the physician and the behaviour of the relatives are underlined as well as the main parameters to be taken into consideration to communicate with an aphasic patient. As a rule, a dialogue in quiet surroundings will make communication easier with an aphasic patient. Our attitude will be modulated according to the behaviour of the patient, his past and the aphasiological picture. At the early stage of the disease, verbal means of communication will be mainly used, whereas later on, in a pragmatic approach, all means (verbal and non verbal) will be used to improve communication.