Computer software and instruction manuals sold or distributed therewith for assisting the handicapped to communicate; computer based device for use by a speech impaired user to generate voice output to assist in communication; computer based device with changeable screen display of multiple icons selectable by a speech impaired user to generate voice output to assist in communication; portable augmentative communications device comprised of a touch screen display with multiple icons selectable by a speech impaired user to generate voice output through a speech synthesizer; computer software for converting text information to synthesized speech to assist a speech-impaired user to communicate; portable augmentative communications device having a touch screen display and a speech synthesizer; computer software for converting text information to synthesized speech to assist a speech-impaired user to communicate; computer programs for predicting words in text for use by individuals with physical or learning disabilities; peripheral devices for use with augmentative communication devices and computers for physically challenged individuals, namely, eye responsive communication apparatus for use in the control of computers, voice synthesizers, printers, modems, telephones, monitors, environmental controllers, and infrared interface attachment for personal computers