“…However, undue stress is placed on the caregiver or clinician who serves as the patient's exclusive translator, and interpretation errors may abound (Happ, roesch, & Kagan, 2004). Studies have reported that systematic assessment of a patient's preference, for example, by counting "approach responses" (Pace, Ivancic, Edwards, Iwata, & Page, 1985), more accurately reflects a patient's choice than mere clinician belief, furthering the notion that clinician opinion should not be the sole interpretation of patient preference (Green, Gardner, & reid, 1997;reid, DiCarlo, Schepis, Hawkins, & Stricklin, 2003).…”