• Pulling her hand dramatically toward his torso (probably touching his chest/jacket)
• Bending her wrist at a sharp angle (even if you're an 18-year-old athlete, can be painful, esp. if it's sudden)
• Trump is lifting her entire arm much higher than any variety of normal handshake
• Trump is leaning into Pelosi's Personal Space
• Trump's grip intensity is unknown, however, in order to pull her hand-arm upward, it would have to be considerable
• While Pelosi is directing her entire body toward Trump (feet, hips, chest, head, eyes, etc.), and her torso is upright, Trump is not 'full-body pointing' toward Pelosi. His feet, hips, shoulders, chest, etc. are rotated significantly and he is asymmetrically leaning in.
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