This case study longitudinally analyzes and describes the changes of attentional expressions in interchanges between a pair of fraternal twins, 1 deaf and 1 hearing, from the age of 10-40 months, and their Deaf family members. The video-observed attentional expressions of initiating and reestablishing interchange were grouped in 5 functional categories: "getting," "directing," "maintaining," "redirecting," and "checking" attention. Changes appear to be associated with development during the twins' ages of 10-13, 15-24, and 28-40 months, including the use of vision in communication. Although there are similarities in the changes of each twin's communicative initiations, there are also differences based on hearing status, personality, and use of modality. This is evident in the ways in which each twin's individual attention interchanges unfold over time; it is also connected with the parents' negotiating attention and arranging "seating positions" with them. Implications and findings for special educational purposes are discussed.