I can haz more diagnosis?

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??

About Betty Fokker

I'm a stay-at-home feminist mom.
This entry was posted in health, involuntary guest post, shit I think y'all should know, Too Much Information. Bookmark the permalink.

14 Responses to I can haz more diagnosis?

  1. What am I doing here? Well, you know, it’s pretty entertaining jibber-jabber, and besides, there’s all that housework I’m avoiding. :D

    Actually reading this makes me think of what I wrote on Becky’s blog, which basically said that we all have issues – they may be physical, mental or emotional or even situational – and they may be apparent or may be hidden, but it behooves (love that word) us all to remember to be gentle and forgiving with each other.

  2. Selina says:

    Relieving the boredom of working day reading your jibber-jabber of course

  3. inkgrrl says:

    I prefer jibber-jabber to logorrhea or mania. Which is what I’m telling my pain doc next time I see him – I’m jibber-jabbery, not manic, thankyouverymuch. Then I’ll ask him if he’s heard of SPD and he’ll say yes and I’ll owe him donuts. Who are your people again? We’re long-lost twins, right?

  4. Robin S. says:

    I like your jibber-jabber. And I don’t think you’re all the way over to SPD ’cause your jibber-jabber makes sense and is usually right on target. When you start wandering all over the place all the time, then I’ll worry. :)

  5. Braless Betty says:

    I am quite fluent in the jibber-jabber language.

  6. I can only speak for myself but I’m here cause I lurvs you.

  7. Sorsha says:

    Well, you manage to put up with my inability to apply the brain to mouth filter…..

  8. Sheena says:

    It’s such articulate and entertaining jibber-jabber, I learn so much about parenting and about compassion from you. Please don’t stop on our account.

  9. Your jibber jabber is so erudite, vivid and fabulous that it would make anyone wish they had spd if it would make them as smart and wonderful as you. <3
    Ps i do some badass jibbering when nervous. And I jibber FAST, my old speech coach used to rip me for it all the time.

  10. Mandy says:

    Well, I’m here for the show. You cover way more ground than the usual blogger- and I find most of it interesting. I love your jibber-jabber. The page said something about not understanding jokes. I don’t get that from you, you seem to have a well developed sense of the absurd.
    I’m a little this way- well, was probably a lot when I was a kid. I have worked very hard over the years to refine my social skills, and make sure I ask about other people. I actually don’t mind if someone else takes over the conversation; then I don’t have to make sure I’m not dominating the discussion lol!
    One of my neices is still very much this way, inher mid 30’s. She’s a lovely woman, I regard her as my sister- her mum would come back home to live, quite often, and all my actual siblings were much older- anyway, she just loves to talk about herself, and often when you talk, you can see her waiting for you to stop so she can say something else.
    A friend of mine became her best fried, coz she has trouble making friends, so she shares some of her relatives friends- she said to me that she goes to neice’s place for company, for love, and to feel a sense of belonging. Which you get from her family, but she doesn’t go to her for heart to heart chats. And that’s ok.
    I’d be surprised if my niece knew much of how I thought on anything. But when I go to her place I get hugs from her and the kids, some cups of tea and a few laughs. You don’t have to be perfect to be loved- as some said before, none of us are perfect. So it’s best to enjoy the best of what we are, and quietly chuckle and try to improve the rest :-)

  11. Wait. She said this the first time she met you? Seriously?

    • Betty Fokker says:

      Well, she knew I have Asperger’s and I was “verbose” at about 5000 words per minute in the session and she asked if I was hyperlexic (reading before age two) and I told her I was … so it’s not like I didn’t have my freak flag flying.

  12. K.D. says:

    Actually, that description sounds a lot like me. I have, incidentally, been accused of being autistic in the past.

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