Children with ASD need a clear and effective way to communicate to reduce frustration and
replace challenging or unacceptable behaviours (Beukelman and Mirenda, 1998; Webb, 2000).
Augmentative and alternative communication (AAC) interventions for these children have traditionally focused on unaided communication (i.e. signs and gestures). Subsequently, the focus shifted to aided communication systems utilizing the visual–spatial processing strengths of individuals with ASD (Light, Roberts, Dimarco, and Greiner, 1998). The PECS is an aided, picturebased communication system, aiming to develop the social exchange underlying all communicative acts.