24/10/2025
Why Diagnosing Children with “Language Disorder” or “Social Communication Disorder” is problematic:
🔴 Normative Bias - Labelling Autistic communication as “disordered” assumes there is only one correct or normal way to communicate — the neurotypical one. This pathologises Autistic communication differences rather than recognising them as valid forms of expression.
🔴 Mismatch with Diagnostic Criteria - For a diagnosis of Language Disorder, a child must show significant and specific difficulties with syntax, morphology, semantics, pragmatics, or working memory despite typical development in other areas. But Autistic development is not “typical” — especially for children who are Language Processors; their language development follows a different trajectory altogether.
🔴 Contextual Variability - Language and communication in Autistic children fluctuate depending on a range of factors, such as: fatigue, regulation state, attention/ flow, anxiety, cognitive load, and overwhelm. Treating these dynamic differences as fixed deficits misrepresents the child’s abilities.
🔴 Deficit Framing - These focus on what the child lacks compared to neurotypical norms, rather than recognising the meaningful ways Autistic children may use language to connect and communicate.
🔴 Lack of Research on Autistic Language Development - This has not been sufficiently studied. We simply don’t have the data to label it as “disordered.” Therefore, these diagnoses rely on incomplete or neurotypical-centric theories of communication.
🔴 Ignoring the Double Empathy Problem (Milton, 2012) - The so-called “social communication deficits” of may reflect reciprocal misunderstandings between Autistic and non-Autistic communicators. The Double Empathy Problem highlights that communication challenges are relational, not one-sided — meaning the problem lies in the interaction, not in the Autistic person alone.
This is why I don't do Social Skills Training. Join me for a deep-dive into the existing evidence-base - https://www.eventbrite.co.uk/e/1760044072199?aff=oddtdtcreator
🚨 Upcoming Webinar 🚨
"Deconstructing the evidence base: Social Skills Training for Autistic people"
📅 Tuesday 4th November 7pm (UK time)
💻 https://deconstructingsocialskills.eventbrite.co.uk
🎟️£25.00 Speech and Language Therapists / £10.00 general public (non-SLTs)
Social skills training (SST) has long been positioned as a “gold standard” intervention for Autistic children and young people. But how strong is the evidence? Whose outcomes are being measured—and whose voices are missing? This 1.5-hour webinar examines the research for social skills interventions, drawing on contemporary studies, ethical debates, and perspectives of Autistic people.
💠How did we get here? Addressing the historical context of SST
💠What is "evidence-based practice"?
💠Critiquing old theories of Autistic cognition e.g., Theory of Mind
💠Explore common outcome measures used in SST research
💠Critiquing the current evidence base for SST (specific studies)
💠Limitations of SST research
💠Ethical considerations: Does SST help or harm?
💠Contemporary, neurodivergent-affirming research
💠What do Autistic people actually want?