Role play, a narrative device relying critically on the linguistic ref
erence system of American Sign Language (ASL), also appropriates extra
syntactic devices such as signing style idiosyncrasies and facial cari
cature for the linguistic purpose of differentiating roles. Whereas th
e spatialized grammatical reference system has been shown to make dema
nds on left hemisphere processing, role play may require right hemisph
ere processing. To investigate this issue we analysed role play in a 3
8-year-old, ASL-fluent, female hearing signer (A. S.) with a right par
ietal-occipital lesion. A.S, correctly reassigned first person referen
ce, signalling attempted use of role play at the sentence level, despi
te its spatialized realization in ASL. However, she had difficulty wit
h pragmatically appropriate changes in gaze direction, and with the us
e of caricature and shifts in body position, to distinguish roles. Ana
lysis of the deficits in this right-lesioned signer's use of a single
Linguistic construction that crucially requires both sentence-level an
d discourse-level devices helps us to refine our concept of the roles
of the two cerebral hemispheres in language functions.