This item is often chosen by individuals who express a lack of confidence and some measure of anxiety. As social creatures we have an instinctive ability to read cues and have been able to so from an early age. This has been necessary for our survival. However, some individuals are naturally internally focused (or become so over time due to challenges) and condition themselves to miss, or misread, important external information.
A lack of awareness and/or ability to interpret social cues can lead to miscommunication, missed opportunities and frustration. A long history of social challenges can even result in people turning off their “social receptors” in order to feel safe or minimize over stimulation aka sensory overload.