One of the us (Carolyn) has worked in the field of stammering within adult education ever since qualifying, while the other (Sam), works predominantly in neurology-rehabilitation within the NHS (while running groups for adults who stammer at the City Lit in addition). In our opinion there are areas of similarity between these clinical areas—notably the hidden nature of the impairment. However, interestingly there is little cross-fertilisation regarding developments in either field. In this article we will consider how developments within the disability movement and sociology are influencing aphasia therapy in important ways while in contrast they have not had an impact on stammering therapy.