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My approach to reference focuses on naturally occuring processes of communication, and in particular on children's earliest referential activities. I begin by describing three different kinds of child gesture — ritualizations, deictics, and symbolic gestures — and then proceed to examine young children's early word learning. The account focuses on the joint attentional situations in which young children learn their earliest gestures and linguistic symbols and on the social-cognitive and cultural learning processes involved in the different cases.