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Abstract
This paper is a reply to the 12 colleagues who responded to the lead article (Rose, Citation) concerning the utility of gesture in aphasia treatments. The validity of current models of gesture, speech, and language interactions are reviewed and de Ruiter's Sketch Model is supported as a reasonable working tool for clinical reasoning in aphasia therapy. The paper argues for greater multidisciplinary research in order to further specify the models. Clinicians are urged to carefully consider gesture type when contemplating using gesture in language therapy and are cautioned against inferring communicative gesture abilities from assessments of limb apraxia. Finally, the use of gesture beyond word retrieval treatments is considered.