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Communicating With Children Who Are Deafblind

Lesson 3 - Symbolic Communication

The move to symbolic communication is a major step forward in development for children who are deafblind. In this lesson, you’ll explore the different types of symbols that they can use and see how symbol use broadens the kinds of topics they’re able to have conversations about. You’ll also meet a number of children who communicate using a variety of symbol systems and learn how educators and family members support their communication development.

For more information, visit the National Center on Deafblindness at nationaldb.org.

Matt teaching young boy calendars.

Learning Objectives

Lesson 3 has three learning objectives. After completing the lesson, participants should be able to

  • Define the types of symbols typically used with children who are deafblind
  • Explain how to choose and use symbols that are appropriate for a child based on their vision, other senses, and physical abilities
  • Describe effective strategies for supporting a child’s use of abstract symbols

Part 1 - What Is Symbolic Communication?

Topics Covered

  • Examples of children who use symbols to communicate
  • Concrete symbols
  • Abstract symbols
  • Choice making
  • Using a combination of symbol types
  • Communication using symbols and eye gaze technology

Descriptive Video Transcript

Activities

Instructors: The following activities can be adapted for a variety of purposes. For example, have participants turn in written or posted responses, or use the topics and questions as discussion starters. Some can be used for group activities.

Option 1
You learned in this section that the ability to communicate with symbols is a major developmental step for children who are deafblind. Explain what symbolic communication allows a child to converse about that other forms, like gestures, body movements, and vocalizations, do not. Include specific examples in your response.

Option 2

In this section, you’ve learned about the following types of symbols:

  1. Concrete symbols
  2. Abstract symbols
  3. Identical object symbols
  4. Partial object symbols
  5. Two-dimensional visual symbols
  6. Tactile symbols

Answer the following questions:

  1. What are the characteristics of each of these symbol types? 
  2. Describe an example of a concrete symbol and an abstract symbol that refer to the same thing.
  3. Describe an example of an identical object symbol and a partial object symbol that refer to the same thing.
  4. Describe an example of a two-dimensional symbol and a tactile symbol that refer to the same thing.

Part 2 - Choosing and Using Symbols

Topics Covered

  • How to select symbols 
  • Symbols that age well
  • Avoiding miniatures
  • Using symbols that are meaningful to the child
  • Using symbols in calendar systems
  • Using symbols to access the general education curriculum

Descriptive Video Transcript

Activities

Instructors: The following activities can be adapted for a variety of purposes. For example, have participants turn in written or posted responses, or use the topics and questions as discussion starters. Some can be used for group activities.

Option 1
Suppose a child you are working with is totally blind and has moderate hearing loss. The child has excellent mobility and fine motor skills. You want to see if this child can learn the meanings of a few symbols. Explain which kind of symbol you will use to begin this process and why. What kinds of symbols would not be appropriate for this child and why?

Option 2
A three-year-old child you are working with uses object symbols of a bowl and a diaper. Another child of the same age uses two-dimensional picture symbols of a bowl and a toilet. For each, which of these symbols might you want to reconsider using as the child ages? Explain your reasoning. Then, describe an object symbol and a two-dimensional picture symbol the children could use instead.

Option 3
Imagine you are an early intervention provider for a two-year old child who is deafblind. The child has very limited vision and wears cochlear implants. Over the past year, you have worked with the family to teach the child to understand a few object symbols. You pay a visit one day, and see that the child’s mom is using a tiny plastic bathtub as a symbol for bathtime. She is frustrated that even though she’s been using the symbol consistently for more than a week, the child has been unable to make the connection. What would you discuss with her to help her choose a better symbol for “bathtime”?

Part 3 - Supporting the Use of More Advanced Abstract Symbols

Topics Covered

  • Using more advanced abstract symbols (e.g., printed or braille words, spoken language, sign)
  • The pairing strategy to encourage the use of new symbols
  • Examples of children who have learned to use advanced symbols

Descriptive Video Transcript

Activities

Instructors: The following activities can be adapted for a variety of purposes. For example, have participants turn in written or posted responses, or use the topics and questions as discussion starters. Some can be used for group activities.

Option 1
In this section, you met Maryn’s speech language pathologist, Debbie, and Jaxson’s mom, Donia. You learned how each child’s communication developed over the years. What are some strategies Debbie and Donia used to support communication development?

Option 2
In this section, you learned how the pairing strategy can support a child’s move to more advanced abstract symbol use. Imagine that you are working with a child who is deafblind either in school or at home. How could you use pairing to support their use of an advanced abstract symbol? 

In your response, describe

  1. The child’s age and their sensory abilities
  2. The symbols you would use for pairing and why you selected them (e.g., do they match how the child accesses information?) 
  3. How you would use pairing with these symbols in an activity

Quiz

Instructors are welcome to use this quiz as-is or adapt it to meet their needs. It can be used to test participants’ knowledge following completion of the module or for pre- and post-test evaluation. To obtain answers to the quiz, instructors should contact support@nationaldb.org.

Additional Resources

Likes and Dislikes
This webpage from the Washington DeafBlind Program provides a process and form you can use to learn about a child’s preferences  

NCDB Info Topic: Use of Concrete Symbols
Resources on the use of symbols that have an obvious relationship to what they represent, including symbolic gestures, vocalizations, objects, and pictures

Tangible Symbol Systems Primer
Basic information about the use of tangible symbol systems, including tips and troubleshooting suggestions 

Experience Stories
Information from the Texas Deafblind Project (don’t miss the "Story bags and boxes" and "Books" links in the Instructional Strategies Menu on the right)

Tactile Symbols
Information about tactile symbols from the Texas Deafblind Project (includes a tactile symbol dictionary)