Deficits in using communication for social purposes, such as greeting and sharing information, in a manner that is appropriate for the social context.Ģ. Persistent difficulties in the social use of verbal and nonverbal communication as manifested by all of the following:ġ. Social communication disorder can co-occur with other communication disorders in the DSM-5 (these include language disorder, speech sound disorder, childhood-onset fluency disorder, and unspecified communication disorder), but cannot be diagnosed in the presence of autism spectrum disorder (ASD). Sufficient language skills must be developed before these higher-order pragmatic deficits can be detected, so a diagnosis of SCD should not be made until children are 4–5 years of age. Individuals with SCD may be characterized by difficulty in using language for social purposes, appropriately matching communication to the social context, following rules of the communication context (e.g., back and forth of conversation), understanding nonliteral language (e.g., jokes, idioms, metaphors), and integrating language with nonverbal communicative behaviors. SCD is defined by a primary deficit in the social use of nonverbal and verbal communication (see Table 1 for the full list of criteria). Social (pragmatic) communication disorder (SCD) is a new diagnostic category included under Communication Disorders in the Neurodevelopmental Disorders section of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5).
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