Therapy for Social/Pragmatic Skills

WHAT IS PRAGMATICS?

Pragmatics is the use of language in social contexts. The rule system used for social communication allows us to initiate and maintain positive relationships with others; contributes to peer acceptance; and helps us cope effectively and adaptively with our social environment. 

RISK INDICATORSFOR POOR PRAGMATIC SKILLS

  • Difficulty using language for different purposes 
    • Greeting 
    • Informing 
    • Demanding 
    • Promising 
    • Requesting 
  • Difficulty changing language according to the needs of a listener or situation 
  • Difficulty following rules for conversation and story telling 
    • Conversational turn taking 
    • Introducing topics of conversation 
    • Topic maintenance 
    • Altering body language 
    • Self-monitoring body language 

ACADEMIC IMPACT

Difficulty with social communication may lead to 

  • Poor classroom adjustment 
    • Listening to instructions 
    • Following directions 
  • Poor conversation skills and knowledge of how to make friends
    • Reduced peer acceptance 

THE ASSESSMENT PROCESS

  • Formal assessment procedures 
    • Test of Pragmatic Language 2nd edition
  • Reference based tests 
  • Informal assessment 
    • Associated verbal and nonverbal tasks 
  • Natural context analysis 
    • Discourse samples 
    • Problem-solving 

AREAS OF TREATMENT

  • Affect 
  • Topic maintenance 
  • Turn taking 
  • Code switching 
  • Metalinguistic skills 
  • Theory of mind 
  • Communication breakdown repair 
  • Using appropriate body language 
  • Interpreting body language of others 
  • Initiating/closing conversations 
  • Figurative language 
  • Comprehension of cause/effect relationships 
  • Problem solving using appropriate judgment and inferencing skills