I have also found these methods to be very successful, particularly the neutral object (washcloth) or a non-preferred. Sometimes I have also provided a "stop" symbol choice to introduce that concept for when she starts to push things away. If she selects and hands over this picture choice, I will verbally reinforce her choice and stop everything I am doing. A great thing she is starting to do is recognizing that I have stopped, and reaching out for my arms or her communication book to indicate, "wait, let me tell you something else!". Great self-correction and problem solving on her part!

koeser - 4/22/2016