What do you get when you cross a communication aid with a riddle?

Anne's speech is difficult to understand. At the age of 10 she has already used several alternative means of communication including manual signs, a symbol chart and a voice-output communication aid – with varying degrees of success. Anne is typical of a child with speech and language impairment: the frustration faced when not understood promotes an avoidance of conversation and can produce a passive communicator, someone more often talked to rather than with.

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