“…With respect to the assessment of RS cognitive functions, a focus on two main areas can be identified in the literature: eye gaze communication (Woodyatt and Ozanne, 1992, 1997; von Tetzchner et al, 1996; von Tetzchner, 1997; Umansky and Watson, 1998; Sandberg et al, 2000; Umansky et al, 2001) and communication by means of a functional analysis of behavior patterns (Roane et al, 2001; Baschina et al, 2002; Cass et al, 2003; Sarimski, 2003; Umansky et al, 2003; Wright et al, 2003; Wales et al, 2004), such as abnormal breathing patterns, hand stereotypies, etc. The overall picture that results is that girls with RS are classified within the third or the fourth stage of sensorimotor intelligence, corresponding, respectively, to a mental age of 4–8 and 8–12 months (Olsson and Rett, 1985, 1990; Olsson, 1987) or exceptionally in the transition to the pre-operatory stage (Lindberg, 1988).…”