TABLE 4.

Our Patients’ Nonverbal Interactive Behaviors During the Speech and Language Assessment

Behavior	Patient 1	Patient 2
	Visit 1	Visit 1	Visit 2	Visit 3†
Eye contact	Appropriate	Appropriate	Inconsistent	Inconsistent
Nonverbal social greetings	Appropriate (smiled at the clinician during initial encounter)	Appropriate (smiled at the clinician during initial encounter)	NA	NA
Facial affect‡	Equivocally flat or tendency toward flat affect§	Equivocally flat or tendency toward flat affect§	Frequent smiling	Smiling frequency and intensity reduced compared to previous visit
Responsiveness (or intent to respond) to questions/requests	Consistent	Consistent	Inconsistent due to inattention (often required reinstruction and prompts)	Profoundly impaired; rarely established joint attention with the clinician
Inappropriate behaviors	None	None	• Trying multiple times to look at what the examiner was writing • Inappropriate or unexplainable smiling/laughing • Turning the page of the stimulus book before responding to the task in hand
Other		Subtle intermittent rocking back and forth while sitting	Rocked torso sideways or back and forth frequently while sitting; intermittent hand stereotypy—rubbing hands	Rocked back and forth or sideways frequently while sitting; frequent hand stereotypy—rubbing hands

^†Due to a lack of substantial participation, this evaluation was based on observation of a limited video recording.

^‡Rating scale used: minimal, mild, moderate, severe.

^§The tendency toward flat affect appeared like “lost in thought” facial expression.

NA = not assessed because the pertinent segment was not captured on video.