Speech therapy conversations between five dyads, comprising senior
speech pathology students and hearing-impaired adolescents enrolled in
a Total Communication programme, were videorecorded for five
weekly sessions. Samples over one-minute intervals at the start, middle
and end of the sessions were analysed for topic initiations and initiators,
conversational turns, and responses to questions according to the
communication modes: speech; sign or gesture; and speech combined
with sign or gesture. Statistical analyses explored differences between
dyads, conversational partners, sessions, and intervals, and their inter
actions, in relation to mode. The results are discussed with reference to
changes in conversational competence with therapy.