Something interesting happened when I was with the shrink on Wednesday. She asked me if I had ever heard of Semantic pragmatic disorder, (or SPD), because she was pretty sure I had it. It is a condition which “affects the use of language in a social context (knowing what to say and when to say it).” I ‘m guessing they didn’t want to come right out and call it Foot In The Mouth Disease, lest it be conflated with the hoof and mouth disease that animals get. there Also, there is apparently still some “debate about whether semantic pragmatic disorder is part of the autism spectrum, or an entirely separate condition.” This condition is more familiar to Asperger’s/Autism specialists in England, and they’re still trying to work that out. Most doctors hear in America are unfamiliar with it at all.
I loves me a psychiatrist who keeps up on the European medical journals as well as the American ones, y’all.
To make things more confusing the terminology may be changing from SPD to the term pragmatic language impairment (PLI). Golly, I am so glad they are doing this kind of switch-up! You know how us Aspie’s love us some uncertain and changeable things! Since I have no idea which one more clinicians are using, Imma use SPD/PLI when I talk about it.
“According to Bishop & Norbury (2002), children with semantic-pragmatic disorder have fluent, complex and clearly articulated expressive language but exhibit problems with the way their language is used. These children typically are verbose. However, they usually have problems understanding and producing connected discourse, instead giving conversational responses that are socially inappropriate, tangential and/or stereotyped. They often develop obsessional interests but not as strong or eccentric as people with Asperger’s Syndrome or autism.”
I am good with the jokes, sarcasm, and whatnot, but there are some manifestations of the problem that fit me like a glove. Notice the highlighted word “verbose”? Basically it means that you can break out into what can only be described as the jibber-jabbers. When I get nervous or excited or stressed I develop uncontrollable logorrhea. I literally cannot make myself shut up and cease my nervous prattle.
You know what is even better than socially inappropriate communication? Socially inappropriate communication that flows non-stop with a Tourette’s like inability to prevent it from happening! Who doesn’t love uncontrollable blather!
I must be fokking fabulous in all other areas because I honestly don’t see how I could have so many friends. I need a plaque that says “I am so awesome people love me despite my SPD”. Of course, then people would ask me what SPD was and I could jibber-jabber about it while asking them to pardon me for all the blithering. I cannot tell if that is a win or a lose.
My God, I just realized my blog is written record of my not-internal-enough blather.
What are you people doing here??