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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.

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