Pragmatic Disorders

Pragmatic disorders in a child can impact his practical understanding of communication in his adult life. Pragmatics is one’s ability to interact in a social communication gamut. Pragmatic disorders relate to an impaired sense of language and the use of it thereof. For example, in a group, one employs formal terminology with an adult and a playful tone with a youngster. A person with pragmatic disorders fails to understand metaphors, jokes, common colloquial phrases, sarcasm, etc.

Pragmatics relates to:

  • Maintaining social connections.
  • Maintaining eye contact while communicating
  • Speaking in turns.
  • Use of appropriate language acceptable in the social order.
Symptoms of Pragmatic disorder
  • Unable to maintain normal flow in a conversation – does not understand the give and take in a dialogue.
  • Refrains from making appropriate eye contact
  • Unable to take turns while playing games or in a conversation.
  • Faces difficulty in transitioning from one topic to another.
  • The child is stuck on a particular subject or idea.
  • The child faces issues in verbal and non-verbal communication 
  • Comes up with unrelated comments during a conversation
  • Uses disjoint language that can confuse the listener
  • The child has problems relating to peers.
  • The child does not understand jokes and humor.
Causes of Pragmatic Disorders

Not much is known about the causes of Pragmatic Disorders. It is related to neurodevelopmental disorder. Some of the reasons that researchers feel attribute to Pragmatic disorders are:

  • Genetic factors – children who have a family history of Communication Disorders or Autism Spectrum Disorder, or Specific Learning Disorders have higher chances of Pragmatic Disorders.
  • Autism
  • Hearing loss
  • Psychological or emotional disorder.

How can 7DMC help?

At the Department of Speech and Language Therapy at 7DMC, our internationally-acclaimed speech therapists use scientifically developed models to help the child. Our experts work collaboratively with the child and his family to develop a comprehensive treatment plan.

The diagnosis of the disorder is the first step, and it can be complicated. A speech-language pathologist is involved with the support of family and peers to get the child treated. Our speech therapists and speech-language pathologists use different methods to treat the child. These involve:

  • Use of computerized programs – use of software programs to impart language and vocabulary skills
  • Video modeling – in this, videos of desired behaviors are shown to the child. He is then encouraged to follow or imitate these behaviors.
  • Augmentative alternative communication - with the help of aided and unaided symbols, natural language is supplemented.

Other simultaneous methods include:

  • Reinforcement of conversation skills 
  • Follow turn-taking and eye contact model
  • Engaging the child in people games
  • Play games that involve turn-taking
  • Sharing social experiences 
  • Encouraging the child to play in a group for reinforcement of social skills.
  • Roleplaying

Our experts ensure peer and family participation for comprehensive treatment of Pragmatic Disorders in the child.