&NA;A clinical application of assessment methods adapted from qualitative research is described. Specifically, data were collected via ethnographic interviewing and journal writing before, during, and after intervention in a case of adult aphasia. The data were categorized to provide insight into contexts of communication, social relationships, and feelings about life with aphasia. By analyzing the reports of the client and significant others over the course of treatment, changes in social participation and psychosocial well‐being were documented. These descriptive data provided a socially valid and consumer focused method of tracking outcome in this case.