6A01.22

Developmental language disorder with impairment of mainly pragmatic language

Transtorno do desenvolvimento da linguagem com comprometimento principalmente da linguagem pragmática

Category

Definition

Developmental language disorder with impairment of mainly pragmatic language is characterised by persistent and marked difficulties with the understanding and use of language in social contexts, for example making inferences, understanding verbal humour, and resolving ambiguous meaning. These difficulties arise during the developmental period, typically during early childhood, and cause significant limitations in the individual’s ability to communicate. Pragmatic language abilities are markedly below the expected level given the individual’s age and level of intellectual functioning, but the other components of receptive and expressive language are relatively intact. This qualifier should not be used if the pragmatic language impairment is better explained by Autism Spectrum Disorder or by impairments in other components of receptive or expressive language.

Diagnostic Criteria

  • This qualifier should be applied when the Developmental Language Disorder is characterized by persistent and substantial difficulties with the understanding and use of language in social contexts, for example making inferences, understanding verbal humour, and resolving ambiguous meaning. Receptive and expressive language skills are relatively unimpaired, but pragmatic language abilities are markedly below the expected level for the individual’s age and interfere with functional communication to a greater degree than with other components of language (e.g., syntax, semantics). This qualifier should not be used if the pragmatic language impairment occurs in the context of a diagnosis of Autism Spectrum Disorder.

Exclusions

  • Diseases of the nervous system
  • Selective mutism

Index Terms

Developmental language disorder with impairment of mainly pragmatic languageSocial pragmatic communication disorderSocial communication disorder