This article presents a brief overview of the literature pertaining to the use of objects of reference by people with deaf-blindness. It suggests that the establishment of nonsymbolic object use in appropriate routines may facilitate the acquisition of the symbolic use of objects. (MDM)

Most children who are congenitally deafblind are severely delayed in their communication development and many will not achieve symbolic understanding and expression. This article discusses developmental markers cited in the research literature as predictive of or facilitative of the development of symbolism. These markers include the growth toward…

A practitioner's model of the processes of learning and knowing was developed through a review of global, societal, individual, and personal perspectives on learning. The first phase of the model's development consisted of using a method of exploration based on determining who, what, where, when, why, and how to investigate the following 10…