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Diane: Children will generally indicate their readiness to look at new novel objects when they independently look at new targets during day-to-day activities.  Parents, caretakers and teachers should continue to encourage looking behavior towards new novel items by bringing along some element of the students preferred target and attach it to the new target.  Let me explain how that might work.  Say the child's preferred target early on is a red Mylar-like gift bag.  As you want him to expand to look at new targets, you might cut a piece of that gift bag and attach it to the next target you'd like him to take a look at, so that some Mylar gift bag-ness is still attached to the new target that they're looking at.  And so in this case, maybe some of that Mylar gift bag-ness is attached to Elmo.  And so now he has a bigger target to look at, but he still has a little bit of that Mylar gift bag-ness. And now, the parent is wanting to start to introduce books and to read some bedtime stories to the child, but rather than skipping to an Elmo book because he's looking at Elmo, and he has the red tie, and they want to skip right to the book, you might do an intermediate step.  And buy two of these books or three of these books, cut apart the pictures and keep them simple.   And again, attach some of that red Mylar gift bag-ness to the pictures that came out of the book.  And so that you can still tell a story, but there's not a lot of visual clutter through here.  And as you go through the story about Elmo, he still has some gift bag-ness attached with the reflectiveness, and there's not a lot of visual clutter all over the page.  It's just about Elmo and you can tell the story as we're progressing towards a book-like presentation.  And then finally, of course, you would hope that they would be able to attend well to the book.