This dissertation examines six different types of noun phrases that commonly occur in American Sign Language. These noun phrases all include at least a head noun and one of four signs resembling a pronoun. Videos of natural ASL discourses are gathered, multiple instances of the six types of noun phrases are identified, and their meanings are analyzed. The six types of noun phrases are found to represent six distinct constructions. A cognitive grammar analysis of the semantic poles of each construction is presented. The four pronoun-like signs involved in the constructions are analyzed to determine their meaning and grammatical function. The study concludes that within these constructions, one of the pronoun-like signs is a pronoun functioning as an associative plural marker; the others function as determiners. I show that at least two of the determiners are differentiated not by the identifiability of the referent, but by the accessibility of the referent. In order to distinguish between at least two of the constructions, discourse functional concepts regarding referential accessibility are relied upon. It becomes clear that when certain constructions are used, the referent is either inaccessible or very low accessibility, and when other constructions are used, the referent is mid accessibility. Further, since all of the pronoun-like signs are directed toward their referents made present as a blend between an area of real space and a conceptual entity (i.e. as a token or surrogate), the concept of accessibility applies to these tokens and surrogates. When the conceptual entity projected into the blend is accessible, so too will the resulting token or surrogate be accessible. Likewise, if the conceptual entity projected into the blend is inaccessible so too will the token or surrogate be inaccessible. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]