The paper presents some personal clinical observations on aphasia and aphasia therapy. It discusses the relative merits of direct language-centered therapy and a more indirect context-centered therapy. It presents a viewpoint on when therapy should be undertaken and by whom. It elaborates some new concepts about aphasia as a thought-process defect rather than a linguistic disturbance. It introduces the idea that the word-finding problem in aphasia is related to involuntary inhibition or what has been called “the shutter principle.” It presents some guidelines for considering when therapy should be discontinued.