- Makaton: signs and symbols alongside speech.
- PECS: communicating by exchanging pictures, in structured phases.
- Symbol sets (like Widgit) for timetables, labels and boards.
- They can be combined, and don't stop speech.
What's the difference?
| Makaton | PECS | Symbol sets (e.g. Widgit) | |
|---|---|---|---|
| What it is | Signs and symbols used with speech | Exchanging picture cards to communicate | A library of symbols |
| Main use | Everyday communication and understanding | Starting to make requests, then sentences | Timetables, labels, boards, adapted texts |
| Who teaches it | Families, schools, therapists after training | Trained staff, following PECS phases | Anyone making visual materials |
Sources: Makaton Charity, Pyramid Educational Consultants and Widgit.123
Will they stop speech?
No. A research review found augmentative and alternative communication did not reduce speech, and in many cases speech increased afterwards.4 See Will my autistic child learn to talk?
How do we choose?
- Asking a speech and language therapist to assess
- Using the same system at home and school
- Combining approaches if it helps
- Treating every point, sign or picture as real communication
- Waiting for speech before trying other ways
- Different symbols in every setting
What can we try this week?
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