Pragmatics refers to the social rules and conventions governing language use. It involves how something is said, the speaker's intention, and the relationship between participants within a cultural context. Pragmatic language skills develop similarly to other developmental milestones from birth through childhood. Delays can be associated with processing difficulties, learning disabilities, social-emotional issues, or cultural differences. Children with pragmatic difficulties have trouble maintaining conversations and may appear rude or self-involved. The document then outlines typical pragmatic language development milestones from birth to age 6.