“…Further, many of these children show only limited gains in spoken language in spite of intensive operant therapy (Mack, Webster, & Gokcen, 1980 (Bonvillian & Nelson,. 1976;Carr, , 1982aKiernan, 1977;Layton & Baker, 1981; Creedon, Note 1) and this type of training has achieved widespread use nationally (Goodman, Wilson, & Bornstein, 1978;Lloyd, 1980). A review of the research literature on sign training with handicapped children (Carr, 1979) indicated, however, that although most studies reported positive outcomes, and some were data based, almost none involved controlled experimentation.…”