Brain damage and autism

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Hi Everyone,

I wanted to put this posting out in the community to see if anyone has

any suggestions. I am working with a 22month old boy that has been

recently diagnosed with ASD and has documented brain damage due to lack

of oxygen inutero. The damage mostly affects his language abilities

and motor planning. He babbles a bit, has a few words, recently just

learned to walk(with rigid gait), independently observes and interacts

with his peers and engages in minor SSB's. When we try to teach him

new motor actions, we have to teach in the natural environment. Once

something begins to be taught, as natural as possible, he will refuse

to do the target and if the target involves using an object he will no

longer play or approach the object, just after a few times.

We are trying to teach him to communicate with PECS, but even with the

most motivating items, he still begins to refuse to do the target when

he discovers that it is a criteria.

I am unsure if the brain damage is limiting his functions and that the

refusal is essentially an inability to do the tasks, or behavioral.

Does anyone have any suggestions as to how to determine this or

possible ways to teach? We are also unsure as to how hard to push

him. Any information would be appreciated!!! Thanks,