Semantic-Pragmatic Disorder

Pragmatics refers to the expression of language.

Children with autism, Asperger’s syndrome, or PDD (Pervasive Developmental Disorder), etc., have difficulty expressing themselves, especially in social situations. They may express their thoughts and feelings openly and explicitly with little or no consideration for others in their surroundings. Controlling the volume of voice may also be an issue.

Children diagnosed with “Semantic-Pragmatic Disorder” experience delays in language development and have difficulty with comprehension and expression. Check with your pediatrician or speech-language pathologist if you have questions regarding your child’s inability to express himself/herself or communicate effectively with you and others.

A child with SPD between the ages of 0-4 usually:

• Is quiet, content, and plays alone.

• Does not respond to someone calling and may appear deaf.

• Is a late talker and cannot express wants easily.

After age 4, parents may notice that the child:

• Does not initiate play but participates in rough and tumble play.

• Has a grasp of jigsaw puzzles, numbers, letters, shapes and colors.

• Enjoys activities like washing up or operating a computer.

• Parrots phrases or sentences.

• Obsesses over certain personal interests.

• Over-reacts to touch, pain, and everyday noises (vacuum cleaner, balloon pop, and blender).

• Has difficulty following rules, taking turns, or participating in team or group activities.

• Speaks literally in a grown-up tone and doesn’t like “baby talk.”

• Finds facial expressions, gestures, and body language confusing.

• Has difficulty comprehending idioms and figurative language.

• Has difficulty with abstract concepts like time or motivation (e.g., next week, when you get ready, don’t stay too long).

• Reads very early or late, but without comprehension.

• Finds social events challenging, is unsure how to take part, and dislikes crowds.

• Has minor problems with motor-skills.

• Has specific language impairments.

• Becomes distracted while on task by something very random.

• Appears indifferent or aloof regarding the feelings and opinions of others.