ABSTRACT
Children with multiple disabilities and a visual impairment encounter diverse challenges in their development of communication skills. Complex sensory, physical and cognitive impairments may make conventional means of interpersonal communication inaccessible to, or inappropriate for this population. The aim of this chapter is to explore the nature of pre-verbal communication development in children with multiple disabilities and a visual impairment. Particular emphasis is given to the role of the communication partner in promoting the optimal development of each child's communication skills.
