How do we decide which tactile communication strategies (e.g., coactive signs, sign on body, tactile signs, touch cues, object cues, textured symbols) to use with a child who is deaf-blind?
First, identify the child s receptive and expressive communication behaviors. Next, consider the child s motor and cognitive abilities. Use techniques that the child will easily understand so that he or she will experience immediate reinforcement and pleasure for effort during interactions. If there is little or no response from the child, try a strategy that provides more concrete information (e.g., whole objects that are familiar to the child). Be sure that any strategy that is used with the child is integrated in natural, respectful, and enjoyable conversations that involve turn taking and shared attention. Over time, a child may progress to more abstract and complex communication modes. 6. How do we determine whether to use a textured symbol or an object cue? Object cues are easily understood because of their obvious relationship to their referents (e.g., a cup to represent drink). When it is difficult or inconvenient to use an object cue (e.g., to represent let s go outside and pl
