Approaches to language and communication disorders may substitute the notion of “language” with the analytical decoding of, for instance, talk, semiotic gesture, and emotional display. In this chapter, a non-telementational framework is presented as a new framework for approaching language and communication disorders. Tools inspired from practice theory, and concepts from integrational linguistics and ethnomethodology and conversation analysis are introduced in this joint framework. However, within integrational linguistics the notion of language (Harris 1981), linguistic models of language activity (Harris in Signs, language and communication, Routledge, London, 1996, Harris in Introduction to integrational linguistics, Pergamon, Oxford, 1998; Love in Lang Sci 61:1–35, 2017; Orman in Critical humanist perspectives: The integrational turn in philosophyof language and communication, Routledge, London, 2017), and data analysis (Duncker in Lang Sci 33:533–543, 2011; Fleming in Lang Sci 17:73–98, 1995, Fleming in Linguistics inside out, John Benjamins, Amsterdam, pp. 182–207, 1997; Toolan in Total speech: An integrational linguistic approach to language, Duke University Press, Durham, NC, 1996) are considered ontologically troublesome (second-order categories). Therefore, similarities and divergences between traditional models and the joined approaches are discussed by downgrading and discarding orthodox positioning.