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Purpose
The purpose of this paper is to explore the use of key word sign by staff in organisations working with children and adults who have intellectual disabilities.
Design/methodology/approach
This commentary provides an overview of both historical and recent research in this area.
Findings
After a dearth of research on signing, new studies are emerging, but appear to identify the same issues – and many of the same solutions – as those from 40 years ago.
Social implications
Sign needs to be seen as a cultural intervention necessitating attitude change and policy development.
Originality/value
Paradigm shifts in the field of intervention and in AAC are needed to address these issues.
© Emerald Publishing Limited
2019
Emerald Publishing Limited
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