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There are many ‘gaps’ in the treatment of people who have had a stroke and the various injuries that might follow including dysphasia. The chapter is not a critique of a particular patient’s experience but a collection of narratives which focus on the potential role of poetry, music, and patient-centred approaches. Starting with Deleuze’s writings, we are fumbling towards ‘irrational’ strategies with patients who may be struggling with dysphasia but also want to give more attention to pleasure - or at least different tactics - in treatment. This reflection may be useful - or not - for clinicians and patients, but at least this piece raises the possibility of looking again at a brain-injury practice which, in some way, has only begun its journey.
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