What are the boundaries between traditional and new media, between ability and disability, and between the artist and the processes for making art? This article reports findings from a study of tablet devices as media for self-expression and visual storytelling by adults with intellectual disabilities and examined whether or not art-making processes were altered by the use of tablet devices when compared with the use of more traditional paper-based media. Using McLuhan's tetrad as an analytical lens we identify processes simultaneously altered as users engaged with tablet devices. Social interaction and self-initiated communication were observed when tablets were used to create art.