| COMMENTS |
1. None is characterized by speech or vocalization that has a neutral or pleasan
urmuring sounds, wails, or laments in much louder than usual volume. Loud groan
ing is characterized by louder than usual inarticulate involuntary sounds, often
abruptly beginning and ending. 6. Crying is characterized by an utterance of e
motion accompanied by tears. There may be sobbing or quiet weeping.
t quality. 2. Occasional moan or groan is characterized by mournful or murmurin
g sounds, wails, or laments. Groaning is characterized by louder than usual inar
ticulate involuntary sounds, often abruptly beginning and ending. 3. Low level
speech with a negative or disapproving quality is characterized by muttering, mu
mbling, whining, grumbling, or swearing in a low volume with a complaining, sarc
astic, or caustic tone. 4. Repeated troubled calling out is characterized by ph
rases or words being used over and over in a tone that suggests anxiety, uneasin
ess, or distress. 5. Loud moaning or groaning is characterized by mournful or m
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