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

    It's a huge spectrum and you have to also factor in intelligence, personality, lifestyle etc. Some autistic people provide motivational talks at huge conferences (Temple Grandin) while others present the news (Melanie Sykes).

    As you can see often on this forum, a lot of people are wondering how to make friends but then don't do anything about it. They just sit about complaining.

    It seems counterintuitive to autistic people, but you've got to push yourself.

    Get out and meet people and deal with the anxiety and sensory issues. Pretty easy to start, just sign-up here and go to some meetings: https://www.meetup.com. Or volunteer at a local charity etc.

    As for dating, I've always been single by choice. Not interested in marriage etc.

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

    It's a huge spectrum and you have to also factor in intelligence, personality, lifestyle etc. Some autistic people provide motivational talks at huge conferences (Temple Grandin) while others present the news (Melanie Sykes).

    As you can see often on this forum, a lot of people are wondering how to make friends but then don't do anything about it. They just sit about complaining.

    It seems counterintuitive to autistic people, but you've got to push yourself.

    Get out and meet people and deal with the anxiety and sensory issues. Pretty easy to start, just sign-up here and go to some meetings: https://www.meetup.com. Or volunteer at a local charity etc.

    As for dating, I've always been single by choice. Not interested in marriage etc.

Children
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