I used to do that, both too literally and too seriously. Nowadays it only tends to show up under stress. I think in my case, I fell behind socially partly due to lack of interest in the fine details of people but maybe I had some other quirk, and then there’s the trouble processing one’s own emotions. Since taking atomoxetine with some immediate results (when they say it takes weeks to work), I think it has to do with a faulty “landing net” between the conscious and unconscious mind so that there isn’t much of a chance to process the information before reacting to it. The right mix of meds and therapies could help.