Patrick & Mouth-and-Face-games

Patrick (age 4 ½ ) adopted ‘mouth-and-face-games’ as if he had been craving for a game like this:

Always active, it took some time to get Patrick to sit down or to pay attention to anything. He spent most of the time moving around, from one room to the other, to and fro. To catch his attention I made the most peculiar noise-sequence I could think of with my mouth. He looked up with sudden interest, or suspicion. I did it again, my mind expectantly focussed on him, but paused mid-way waiting for him to complete the sound-sequence. When he did not, I completed it myself more quietly rather than let our hard-won ‘joint attention’ go. But then he seemed to try, blowing and pressing his lips together, and I echoed him. He did it again, more confidently, and we traded ‘raspberries’ a few times. I added a tongue-click, and waited for him to try. He did. We now had a ‘dialogue-game’: ‘raspberries – tongue-click – : your turn!’. I added a tongue-wiggle, which he copied. …. And then it was my turn to be surprised. Patrick’s response was: ‘raspberries’ – tongue-click – vocal sound – punch air and shout!” He looked at me with a broad grin, and I copied his expanded version. After 10 minutes he still did not want to stop.’ (Janert (2000), Reaching the Young Autistic Child)