The article addresses the need to identify the unconventional, nonsymbolic behaviors of children with severe, multiple disabilities. Suggestions for improving the frequency and quality of communicative interactions by building on the child's current behavioral repertoire. (Author/DB)

Symbol shelves are tools for developing two-way communication with multihandicapped children who can anticipate events, but who do not respond to speech or sign language. The purpose of symbol shelves is to allow children to be expressive through symbols, to enable them to feel some sense of control, and to serve as a bridge to a more formal…