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Persistent deficits in social communication and social interaction

Deleted User

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 Reply Children
  • in reply to Uhane

    I'm not really sure how I "get away with it" with humans.  I've done, whatever it is that I've done, for so long now, that it isn't concious........EXCEPT when I do suddenly "link eyes" with someone!  Then it feels too weirdly intimate and creepy most of the time - although context is everything - and I can hide my sense of WTAF sufficiently well that people don't (generally) realise.  I am deemed quite "full on" IRL I think, and that's without meeting peoples eyes.

  • in reply to Deleted User

    yet. it is so easy with animals and so hard with humans. what are your thoughts about that? why is it so different. I just end up looking at (hunan's) their mouth or something.

  • in reply to Ausomely Autistic

    Yes - but those particular African cultures DO acknowledge the importance of it.....by expressly excluding it....in the same way that it is NEVER a good idea to stare intently into the eyes of a nervous animal in the wrong way!

    [IMPORTANT DISABMBIGUATION - I am NOT suggesting that particular African cultures are nervous animals.  It makes me sad that I feel the need to explain this....but I also feel that we now have an existence where this type is disambiguation is required by the digital world!]

  • in reply to Deleted User
    Unknown said:
     If you can't use words, you are left with body language......the eyes are especially expressive.

    Yes I completely agree, there is a reason why the eyes are known to be a window to the soul.

    But what I was trying to convey is that some cultures for example in Africa may not value eye contact.