Evidence map›Paper›PMID 39481863›Full record

ArticleMedical humanities2025

Imagining alternative futures with augmentative and alternative communication: a manifesto.

Darryl Sellwood, Lateef McLeod, Kevin Williams, Katie Brown, Graham Pullin

Abstract read
In one paragraph

Article in Medical humanities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. "People Think I'm a Fraud": A Shared Autistic Experience Across Vastly Different Profiles.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Darryl SellwoodFlinders University, Adelaide, South Australia, Australia.
Lateef McLeodCalifornia Institute of Integral Studies, Oakland, California, USA.
Kevin WilliamsIndependent Researcher, Charlotte, North Carolina, USA.
Katie BrownDuncan of Jordanstone College of Art and Design, University of Dundee, Dundee, Angus, UK.
Graham PullinDuncan of Jordanstone College of Art and Design, University of Dundee, Dundee, Angus, UK G.Pullin@dundee.ac.uk.ORCID http://orcid.org/0000-0002-0841-8909

Funding

Wellcome Trust
6 · The paper itself

Abstract

This manifesto seeks to challenge dominant narratives about the future of augmentative and alternative communication (AAC). Current predictions are mainly driven by technological developments-technologies usually being developed for different markets-and are often based on ableist assumptions. In online conversations and a discussion panel at the 2023 International Society for Augmentative and Alternative Communication conference, we explored alternative futures by adopting different starting positions. Our case is presented under five headings: questioning the dominance of predictions that artificial intelligence and brain-computer interfaces will define the future of AAC; resisting disability being framed medically, as a problem to be solved, yet acknowledging both the pleasures and pains of being disabled; declaring that people who use AAC-as cyborgs of necessity rather than choice-should have choice and ownership of our technologies; challenging notions of independence as the necessary end goal for disabled bodies and considering interdependence as a human right; imagining alternative futures in which all people who use AAC are accepted and embraced for our communication and self-expression. This manifesto is an invitation for further discussion, and we welcome responses. While our focus is AAC, and three of the authors use AAC, we believe that our stance could be relevant to other disability communities in turn. This paper is about who gets to imagine disability futures and whose voices are left out. It is about how uncritical these futures can be, often presuming values that disabled people, in all their diversity, may not share.

Indexed as

Artificial IntelligenceBrain-Computer InterfacesCommunication Devices for People with DisabilitiesPersons with DisabilitiesCommunicationForecastingHumansImaginationDigital TechnologydisabilityMedical humanities

Identifiers

PMID39481863
PMCPMC11877025

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.