“…Miles also recommends that we should substitute hand-under-hand for hand-over-hand whenever possible so we do not encourage the hands to become passive. In addition, tangible representations are a viable communication form for prelinguistic children who are deafblind (see Bruce, Trief, & Cascella, 2011; Cascella, Trief, & Bruce, 2012; Murray-Branch et al, 1991; Prickett & Welch, 1998; Rowland, 1990; Rowland & Schweigert, 1989, 2000; Trief, 2007, 2013; Trief, Bruce, & Cascella, 2010; Trief, Bruce, Cascella, & Ivy, 2009; Trief et al, 2013). Tangible representations may be three-dimensional (as in object representations) or two-dimensional (as in photographs).…”