To document interoception and body state evidence and limits, report Yuki's practical decision, direct sensation reports, communication, observable contexts, physiological or device data, partner interpretations and responses, medical evidence within role, supports, privacy, raw counts, denominators, missingness, comparisons, alternatives, and design limits. Name the qualified interpretation, action, owner, and reassessment trigger. Keep conclusions bounded to sampled events and evidence sources.

Lead with Yuki's decision and authority

State the practical question, Yuki's priority, qualified interpreter, contributors, dates, settings, consent route, assent when applicable, permitted uses, and any immediate medical, protective, privacy, safety, or access action.

Show evidence provenance

Present direct reports, messages, observable events, physiological or device data, partner hypotheses, medical information, supports, methods, informants, invalidity, missingness, corrections, and raw outcomes before conclusions.

Keep pathways and outcomes separate

Distinguish direct communication, partner-supported communication, no message needed, safe exit, environmental adjustment, health referral, emergency action, unresolved event, and practical fit.

State alternatives and design limits

Discuss health, pain, sleep, medication, trauma boundary, sensory context, communication access, relationships, task demand, privacy, observer effects, phase order, informant bias, and generalization.

Use this sequence to document evidence

Lead with Yuki's decision, preserve provenance, report raw counts and denominators, separate evidence and pathways, state uncertainty and alternatives, record the bounded action, and set a meaningful trigger.

Build Yuki's interoception and body-state evidence report

Create one versioned interoception and body-state evidence report for the public library archive project. Include Yuki's priority, practical decision, direct sensation report, accessible communication, observable context, physiological or device evidence when relevant, partner interpretation and response, health evidence within role, ordinary supports, safety route, eligible opportunities, outcome, privacy, invalidity, missingness, withdrawal, alternatives, qualified owner, correction, action rule, and reassessment trigger. Store only purpose-needed information with role-limited access. Pair every conclusion with source, date, context, support version, unit, denominator, privacy boundary, uncertainty, and permitted action. Show disagreements and plausible alternatives rather than resolving them through unsupported narrative certainty.

Validate Yuki's evidence

Reproduce 40 events, seven access failures, three missing outcomes, 30 interpretable, 18 direct messages, six partner-supported messages, three no-message-needed, three unresolved, and 20/27 workable resolved pathways. Verify provenance, report, communication, context, physiology, inference, response, health, privacy, outcome, alternatives, and ownership.

Connect Yuki's evidence to a decision

The report links each bounded conclusion to communication access, partner repair, environmental adjustment, qualified health referral, urgent action, or focused follow-up. Unresolved items retain an owner and age.

Work through Yuki's example

Yuki reviews 40 archive events. Seven lack required communication or access and three lack usable outcomes, leaving 30 interpretable events. Eighteen contain direct messages, six contain partner-supported messages, three need no message, and three remain unresolved. Among 27 resolved pathways, Yuki rates 20 workable; the three unresolved events stay open and outside that fit denominator. Preserve every planned and eligible event, source, context and support version, communication and health state, direct report, partner response, invalid record, correction, unresolved item, and outcome. This fictional example demonstrates one assessment control. It supplies no diagnosis, treatment effect, medical conclusion, crisis clearance, legal conclusion, coverage decision, or outcome guarantee for Yuki.

Address Yuki's main interpretation risk

Reporting 24 successful body-state messages merges direct and partner-supported sources. Calling 20/27 interoceptive accuracy turns Yuki's fit rating into a hidden-state score. Excluding 10 unavailable records would hide access and outcome failures. Review access, health, pain, sleep, medication, trauma boundary, sensory context, task demand, relationships, partner behavior, privacy, observer effects, client priorities, and design strength separately. Quietness, endurance, compliance, or reduced visible behavior cannot establish comfort, consent, health, safety, or body-state accuracy.

Keep Yuki's scope and authority explicit

For Yuki's interoception and body-state evidence report, the CASP public summary supplies high-level ABA behavioral-health-treatment scope for autistic people, with licensed detail outside this page. The current BACB Ethics Code addresses competence, client involvement, consent and assent when applicable, medical needs, assessment, risk, data, documentation, and evaluation for covered people. The BACB outline is examination content. These sources do not authorize medical diagnosis, medication advice, emergency delay, forced body-state disclosure, or inference about what Yuki feels.

Interpret interoception research cautiously for Yuki

The systematic review and meta-analysis of interoceptive differences in autism found varied constructs, tasks, and results across a developing literature. It supports defining the exact interoceptive process and measure before interpreting a difference. It does not establish one universal deficit, diagnostic test, or treatment target for Yuki.

Keep subjective constructs bounded for Yuki

A review of subjective interoception and alexithymia describes related but distinguishable constructs and varied self-report measures. The earlier alexithymia meta-analysis included 15 studies with 366 autistic and 348 non-autistic participants and discussed self-report limitations. These group findings cannot determine Yuki's sensation, emotion, communication, cause, diagnosis, or clinical need.

Preserve participation, access, and safety for Yuki

The UK NICE NG11 recommendations address people with learning disabilities whose behavior challenges and emphasize participation, communication, health, medication effects, trauma history, sensory and environmental context, partner roles, quality of life, and least-restrictive support. These considerations organize Yuki's questions but are not U.S. authority or a universal interoception protocol. ASHA's AAC portal says AAC users should always have access to their tools or devices. Breaux and Smith propose individualized assent and withdrawal procedures in an evolving literature; their paper is practice guidance, not a separate BACB mandate. For danger or a medical emergency in the United States, SAMHSA directs people to call 911 or go to the nearest emergency room; routine assessment must not delay emergency or mandated action.

Choose Yuki's next bounded action

Yuki approves the summary and requests deletion of unnecessary detail. Reassessment occurs only when access, health, partners, tasks, supports, safety, or Yuki's priorities materially change. Record the qualified owner, evidence, effective date, communication and support version, health and safety route, implementation check, accessible explanation, disagreement path, and reassessment trigger. Preserve the earlier record when access, contexts, tasks, supports, relationships, health, safety, or priorities change.

Close Yuki's assessment

Review the interoception and body-state evidence report with Yuki, the qualified behavior analyst, relevant partners, access owners, and specialists named in the manifest. Confirm that direct report, communication, observation, physiology, interpretation, health evidence, partner response, privacy, and outcome remain separate; every denominator is reproducible; AAC, basic needs, prescribed care, rest, and safe exit remain protected; urgent needs received action; and conclusions stay bounded to sampled events. Keep this page draft and noindex until every required review is complete.

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