Social (Pragmatic) Communication Disorder and Its Relation to the Autism Spectrum: Dilemmas Arising From the DSM-5 Classification

Yael Brukner-Wertman*, Nathaniel Laor, Ofer Golan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

DSM-5 introduced two diagnoses describing neurodevelopmental deficits in social communication (SC); Autism Spectrum Disorder (ASD) and Social (Pragmatic) Communication Disorder (SPCD). These diagnoses are differentiated by Repetitive and Restricted Behaviors (RRB), required for an ASD diagnosis and absent in SPCD. We highlight the gaps between the research into SPCD and DSM-5’s diagnostic criteria, and discuss the clinical implications of this diagnostic decision. We argue that DSM-5’s demand for full manifestation of both SC and RRB axes when diagnosing ASD, prematurely forced a categorical view on the continual nature of the potentially dependent SC and RRB phenotypes. We conclude by highlighting the implications of this differential diagnostic decision on public health policies, designated therapy, and the need for further research regarding SPCD.

Original languageEnglish
Pages (from-to)2821-2829
Number of pages9
JournalJournal of Autism and Developmental Disorders
Volume46
Issue number8
DOIs
StatePublished - 1 Aug 2016

Funding

FundersFunder number
Ministry of Science and Technology, Israel10842

    Keywords

    • Autism spectrum disorder
    • Differential diagnosis
    • Phenotype
    • Services
    • Social communication disorder
    • Treatment

    Fingerprint

    Dive into the research topics of 'Social (Pragmatic) Communication Disorder and Its Relation to the Autism Spectrum: Dilemmas Arising From the DSM-5 Classification'. Together they form a unique fingerprint.

    Cite this