Natural communication methods with adult subjects using gestural monitoring and modelling were used in a therapeutic intervention with a nine year old pre-linguistic child with severe mental retardation. Gestural monitoring occurs when an adult imitates the spontaneous gestural behaviour of the child by responding to requests. Modelling is used to shape more complex and elicited gestural behaviour. It was hypothesized that these strategies would significantly influence communication between adult and child, and increase the frequency of the child's complex gestures. In phase one of the study, a pressing of hands gesture was imitated. In phase two, the adult responded to this gesture by touching the object requested. Finally, the adult response involved pointing to an out-of reach object. In the latter two phases, both spontaneous and elicited touching and reaching were imitated. Results demonstrate a low rate of successful negotiations between adult and child underlies communication failure. Prior to intervention, immediate adult response to gesture, or verbal demands to specify target objects or actions was observed. Following intervention, the child visually attended while using the "pressing hands" gesture, began to use touch or reach for objects while looking, and to respond to questions asking for details of the target object by touch or reaching gestures. The findings support the hypothesis that adult gestural monitoring and modelling have a positive effect on communication and the complex gestural behaviour of a pre-linguistic severely mentally retarded child.
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