“…The phenomenon of significant others adjusting their expectations is probably a natural and, in many cases, functional adaptation to the impact of the stroke on everyday life. However, there is evidence that aphasia and other communication disorders have specific, negative impact on the perception of an individual [47,48], which might indicate that aphasia can be a particularly strong factor for lowering of expectations. In this there is an inherent risk of underestimation of the competence of the PWSA [49].…”