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A total of six or more items from 1 , 2 , and 3 , with at least two from 1 , and one each from 2 and 3 1 qualitative impairment in social interaction, as manifested by at least two of the following:a marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body posture, and gestures to regulate social interactionc a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people, e.