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PECS, or the Picture Exchange Communication System, primarily utilizes social interactions as reinforcement. This program is designed to teach individuals, particularly those with autism or other communication challenges, to communicate using pictures. The core idea is that the act of exchanging a picture for a desired item or action helps the individual learn communication in a natural context.

In PECS, the social interaction that follows a successful communication exchange is vital because it not only reinforces the behavior of initiating requests but also builds social skills. When a child hands over a picture to communicate their needs (for example, requesting a snack), the immediate social response—the adult providing the item and engaging with the child—reinforces their attempt to communicate.

Visual aids, contextual reinforcements, or verbal praises function differently in the context of PECS. Visual aids serve as tools for communication but are not the reinforcement themselves; they facilitate interaction. Contextual reinforcements would relate to the environment's influence on behavior rather than the specific social aspect of the exchange in PECS. Verbal praises can be a part of the reinforcement process, but they are not the primary mechanism of reinforcement emphasized in the structure of PECS. The focus is on the importance of social interactions to encourage and validate the communication being established by