![]() Examples of deficits in nonverbal communication used for social interaction include poorly integrated verbal and nonverbal communication, abnormalities in eye contact and body language or deficits in understanding and use of gestures, and a lack of facial expressions and nonverbal communication. Problems with social-emotional reciprocity can be observed while administering an autism evaluation via behaviors such as an abnormal social approach difficulty with normal back-and-forth conversation reduced sharing of interests, emotions, or affect and failure to initiate or respond to social interactions. Social communication deficits often manifest as deficits in social-emotional reciprocity deficits in non-verbal communicative behaviors used for social interactions and deficits in developing, maintaining, and understanding relationships. We observed during our autism testing in Colorado that individuals with autism spectrum disorder often lack the “nuts and bolts” of social communication that present without conscious thought in typically developing children and adults. Neurotypical children and adults use a variety of verbal and non-verbal means of communicating to convey social intent. Aka, the manner in which an individual uses communication for social purposes. In contrast, the most current edition of the DSM has focused on the concept of deficits in social communication. Previous conceptualizations of autism separated deficits in social interaction and communication into separate categories. ![]() ![]() Let’s start by breaking down the feature of deficits in social communication. When conducting autism evaluations, we at Brain and Body Integration characterize Autism Spectrum Disorder by two features: a) persistent deficits in social communication across multiple contexts, and b) restricted, repetitive patterns of behaviors, interests, or activities. Each level is then defined to describe the deficits that must be present to warrant each level of support. For example, the three levels of severity are: Level 1 (Requiring support), Level 2 (Requiring Substantial Support), and Level 3 (Requiring Very Substantial Support). Symptoms characteristic of autism are now conceptualized according to a spectrum of severity with severity levels being categorized according to the level of support the individual requires. This version of the DSM introduced the diagnosis of Autism Spectrum Disorder in place of what was formerly diagnosed as Autism or Asperger’s Disorder. In 2013 the American Psychiatric Associated released the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). What is Autism Spectrum Disorder? You may have already noticed that the term Autism Spectrum Disorder is different from diagnostic labels that have historically been used such as Autism and Asperger’s Disorder. ![]() Attention Deficit/Hyperactivity Disorder. ![]()
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