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Dynamic psychotherapy has traditionally been reserved for those individuals who are able to verbalize freely. With the development of electronic communication devices, however, the opportunity now exists for the delivery of therapeutic services to anarthric and severely dysarthric individuals. Seven nonvocal patients with multiple handicaps have been followed in individual therapy for periods ranging from one to 10 years. Several communication devices have been utilized in keeping with the particular ability of the patient in question. The response of both anarthric and dysarthric individuals to therapeutic intervention by means of electronic devices generally has been positive. The course of therapy is similar to that observed in other persons with disabilities.