When Janey is given a choice of two options, she almost always picks the second one mentioned. For example, if you ask her "Do you want McDonalds or Burger King?", she'll say "Burger King", but if you switch the order around, she'll say McDonalds. I am always looking for ways to help her choose what she really wants. The method I've found that is easiest to use and seems to work well is the hand choosing method. It works like this---I'll show Janey my two hands, made into fists, and assign each of them one of the choices. I'll wave the first hand and say the first choice "McDonalds?" and wave the second hand and say the second choice "Burger King?" Janey will then point to the hand she wants. Sometimes she'll say the word too. And in that situation, she doesn't just pick the second option, for some reason. It seems like having something physical to touch leads to her making a real choice.
When I was thinking about this, I realized that it's often the case that giving Janey a physical cue works to help her understand. Sometimes when we get home and it's time to get out of the car, Janey will just sit there. I'm sure she knows it's time to go in the house, but it seems hard for her to get started. I can say over and over "time to get out! Let's go! Time to go in the house!" and although she understands me, she ignores me. But if I put out my hand to help her get out, she'll hop right out. She doesn't need the physical help, she doesn't even hold onto my hand when getting out. She just needs the physical gesture. I've noticed I do this a lot without thinking about it. When I want her to sit, I make a sitting motion. When I want her attention, I tap her. When she is not eating, I'll give her the first bite, or put the spoon to her mouth.
I don't really understand why physical prompts or objects help as they do. I suspect it has something to do with the unique wiring of Janey's brain. Maybe adding a second pathway to the area that needs to be activated helps. Maybe showing the two hands emphasizes that there's a choice between two things, in a way words can't. There is so much I don't get about how Janey thinks. But if something works, I'll use it, whether I get it or not.