Visual accents can create unique communication graphics to increase attending behavior necessary for learning symbol/referent relationships by students with severe vision loss. Accenting procedures use size, color, contrast, shape, and graphic pattern to enhance the probability that the learner will self-initiate attending to the visual symbol.…

The article describes methods used to bring a seven-year-old boy with severe auditory and visual impairments and no communication skills to a level of oral communication within one year. The manual, graphic, and oral-aural strategies used are described. (Author/DB)