The literature is reviewed in order to see what support, direct or indirect, was to be found for adopting a communication perspective in gaining insight into childhood asthma. A study is presented on the communication (pattern and efficiency) of parents having an asthmatic child in a standardized communication situation in which a communication conflict is induced. Parents of children with severe chronic heart disease were used as control couples. As expected, the parents having asthmatic children proved to be a heterogeneous group with respect to communication efficiency. Two-thirds of the couples showed a communication as efficient as that of the control couples, whereas one third demonstrated an extremely inefficient communication in that they failed totally to cope with the experimentally induced communication conflict.