Selective mutism

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Definitions, symptoms, causes, and treatments

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Selective mutism

  1. 1. Selective mutism<br />Definitions, Symptoms, Causes, and Treatments<br />CSE 627<br />Allyson Hindal<br />
  2. 2. Definition<br />DSM IV (1994)<br />Consistent failure to speak in specific social situations, despite speaking in other situations<br />Hinders educational or occupational achievement<br />Occurs for at least one month<br />Is not accounted for by a communication disorder<br />
  3. 3. Symptoms<br />Silence in new social situations<br />Tantrums<br />Parental separation issues<br />Social issues<br />Problems maintaining eye contact<br />Flat affect<br />Emotionless<br />
  4. 4. Symptoms Continued<br />Odd eating patterns<br />Difficulty sleeping<br />Biological issues<br />Decreased excitability in the amygdalae<br />Abnormal electroencephalogram<br />
  5. 5. Symptoms Continued<br />Abnormal motor behavior<br />Tremors<br />Tics<br />Rigidity<br />Odd gait<br />
  6. 6. Causes<br />Result of unresolved conflict<br />Cultural background<br />Negative reinforcement<br />Mouth injury or trauma during early language development<br />Troublesome family background<br />Abuse<br />Mental illness<br />
  7. 7. Who are affected?<br />7 in 1,000 children<br />3-6 years old<br />Girls<br />Immigrants and bilingual children<br />
  8. 8. What to do as a teacher?<br />Refer for testing and treatment<br />Little research<br />Under diagnosed<br />Allow other means of communication<br />Email<br />Text Messages<br />No pressure <br />Positive behavior supports<br />Rewards for verbalizations<br />
  9. 9. Treatments<br />Medication<br />Relieves feelings of anxiety <br />Psychotherapy <br />Individual counseling<br />Family Counseling<br />Play therapy<br />Operant Conditioning<br />Establish positive connection with vocalization in school<br />
  10. 10. Resources<br />Works Cited<br />Brigham, F. J. & Cole, J. E. (1997). “Selective mutism: Definition, issues, and treatment.” Paper presented to the Council for Exceptional Children. <br />Caputo, N. & Crawford, M. (1993) “Elective Mutism.” <br />Cleator, H.M. (1998). Speech and language characteristics of selectively mute children: a speech pathology perspective. Master’s thesis. University of Sydney, Sydney, Australia.<br />Crundwell, R. M. (January/February 2006). “Identifying and teaching children with selective mutism.” Teaching exceptional children. 38(3), pgs 48-54.<br />Hahn. J. (2008) Selective mutism in elementary students. Master’s Thesis. Biola University, La Mirada, California.<br />

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