Persistent deficits in social communication and social interaction

DSM-5 says that to meet the diagnostic criteria for ASD there must be persistent deficits in all three of the areas below.

  1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions.
  2. Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.
  3. Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.

So why is it some of us are completely alone and isolated while others seem to have friends, partners and active social lives?

How do people who meet the above criteria achieve this?

Parents
  • The obvious answer is that some Autists are better at learning the skills that they need in the world than other Autists are.

    Some can probably face being around others more often. The more you can be around others, the more you will learn.  But it's exceedingly painful to be around others all the time. So many on the spectrum will become heavily socially withdrawn or take their own life.

Reply
  • The obvious answer is that some Autists are better at learning the skills that they need in the world than other Autists are.

    Some can probably face being around others more often. The more you can be around others, the more you will learn.  But it's exceedingly painful to be around others all the time. So many on the spectrum will become heavily socially withdrawn or take their own life.

Children
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