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Reviewed are uses of the computer for communication and access to valuable educational, vocational, and recreational activities for a large class of people with serious communication problems such as deafness, autism, or severe physical handicaps. Some uses of the computer to benefit children immediately and directions for future research and development are suggested. Reported is pilot work with 10 multiply handicapped children (5 to 16 years old) which is noted to indicate hope for clinicians and teachers involved in the education and rehabilitation of such children. (IM)