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Within the transition from DSM-IV to DSM-5, there were various reasons for introducing a new disorder like SPCD into the Manual. Typical symptoms of SPCD are deficits in using communication for social purposes, impairment of the ability to change communication to match the context, and difficulties in following the conversational rules (American Psychiatric Association, 2013, p. This disorder, which has been included in the macro-category of Communication Disorders (CDs), is characterized by a primary difficulty with pragmatic abilities broadly conceived. The latest edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5 (American Psychiatric Association, 2013) has introduced the Social (Pragmatic) Communication Disorder (SPCD) as a new category of the psychiatry nosography. In the conclusion, we evaluate whether SPCD could play any role in contemporary psychiatry other than that of an independent mental disorder and discuss the role that non-epistemic factors could play in the delineation of the future psychiatry nosography. Then, we turn to reliability issues connected with the introduction of the grandfather clause and the use of the concepts of spectrum and threshold in the definition of ASD. First, we analyze literature on three potential validators of SPCD, i.e., etiology, response to treatment, and measurability. In the second part, we focus on the validity and reliability of SPCD. In the first part, we outline the major aspects of the DSM-5 nosological revision involving ASD and SPCD. The aim of this paper is to review recent debates on SPCD, particularly as regards its independence from ASD. This opens up the possibility that individuals with very similar symptoms can be diagnosed differently (with either ASD or SPCD) and receive different clinical treatments and social support. For instance, the symptomatology of SPCD is notably close to that of (some forms of) Autism Spectrum Disorder (ASD).
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Although the introduction of SPCD in the psychiatry nosography depended on a variety of reasons-including bridging a nosological gap in the macro-category of Communication Disorders-in the last few years researchers have identified major issues in such revision. The latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) included the Social (Pragmatic) Communication Disorder (SPCD) as a new mental disorder characterized by deficits in pragmatic abilities.