Yes, and I will add the more cumulative result is more one of being judged, unincluded, and isolated, not one of acknowledgement that the communication was impaired. When I have a conversation or a job interview and someone asks me how it went, I never can say. I can speak to practical and obvious fumbles or difficult questions to which I am proud of having known the answer but this seems to not be what is means when I am asked how it went. I literally have no idea how it went and saying I did would be just as well done with a roll of dice. For most of my life, I thought I knew, but I was just working from what I had. Without very explicit novelty displays of preference or emotion, I would just assume things are fine. This is a very bad road to travel.