Empower the child with selective mutism to speak with confidence. Speech-language pathology expert and author, Dr. Gail Richard, combines current knowledge with years of experience to give an authoritative, practical guide for the diagnosis and successful treatment of selective mutism.
- Confidently assess and treat children with selective mutism
- Improve social and academic development
- Resolve selective mutism in the early years
End the confusion you may have about selective mutism with this easy-to-read Source. Learn crucial information you need including:
- differentiating selective mutism from shyness
- differentiating the types of selective mutism
- the behavioral parameters of selective mutism
- the most beneficial treatment methodologies
- Dr. Richard's desensitization treatment program to alleviate speaking anxiety includes 44 pages of detailed instructions
- setting treatment goals
- how to address comorbid speech and language disorders
- why SLPs are uniquely qualified to assess and treat selective mutism
- roles of the multidisciplinary team members
- why the "wait and see" approach is harmful
- how to meet the need for services within regular education and special education
The eye-opening information gives you the facts you need to confidently work with children with selective mutism. Copy the student activity pages or print them from the FREE CD. The chapters include:
Chapter 1: diagnostic criteria, types of selective mutism, leading evidence-based etiological factors
Chapter 2: prevalence, behavioral symptoms, comorbidity, misdiagnoses
Chapter 3: informal and formal assessment procedures, developmental speech-language issues, differential diagnosis, prognosis, Selective Mutism Questionnaire
Chapter 4: treatment considerations, common treatments
Chapter 5: four-stage desensitization treatment program (44-page, detailed program), speech-language goals, working with adolescents
Chapter 6: roles and responsibilities of professionals, qualifying a child for services
Chapter 7: resources for parents, teachers, and other professionals
Copyright © 2011
- Early intervention on selective mutism is critical to prevent long-term secondary consequences of poor performance in social skills (Kolvin & Goodyer, 1982), educational progress (O'Reilly et al., 2008) and emotional health (Steinhausen & Juzi, 1996).
- Therapy for selective mutism is more successful when initiated with younger children (Porjes, 1992).
- The aspects of treatment that contribute to success with selective mutism are based in operant conditioning with positive reinforcement, contingency management, and stimulus fading (Krohn, Weckstein, & Wright, 1992; Cohan, Chavira, & Stein, 2006; Kee, Fung, & Ang, 2001).
- The majority of intervention studies utilize a behavioral aspect to treatment for selective mutism that includes establishing verbal behavior and then shaping and generalizing verbalization across people and settings (Stone, Kratochwll, Sladezcek, & Serlin, 2002).
The following supports the speech-language pathologist as a primary service provider to address the disorder of selective mutism:
- Research suggests that as many of 68% of children with selective mutism may have comorbid speech-language deficits (Manassis et al., 2007; Kristensen, 2000).
- A trend in the research supports considering selective mutism as a communication anxiety disorder instead of a specific social phobia (Remschmidt, Poller, Herpertz-Dahlmann, Hennighausen, & Gutenbrunner, 2001; Omdal & Galloway, 2008; Yeganeh, Beidel, & Turner, 2006; Nowakowski et al., 2009).
- There appears to be a close relationship between selective mutism and expressive language delays (Steinhausen & Juzi, 1996; Kristensen, 2000).
The Source for Selective Mutism incorporates these principles and is also based on expert professional practice.
Cohan, S.L., Chavira, D.A., & Stein, M.B. (2006). Practitioner review: Psychosocial interventions for children with selective mutism: A critical evaluation of the literature from 1990–2005. Journal of Child Psychology & Psychiatry, 47(11), 1085-1097. doi:10.1111/j.1469-7610.2006.01662.x
Kee, C.Y., Fung, D.S., & Ang, L. (2001). An electronic communication device for selective mutism. Journal of the American Academy of Child & Adolescent Psychiatry, 40(4), 389. doi:10.1097/00004583-200104000-00004
Kolvin, I., & Goodyer, I.M. (1982). Child psychiatry. In K. Granville Grossman (Ed.), Recent advances in clinical psychiatry (1-24). London: Churchill-Livingstone.
Kristensen, H. (2000). Selective mutism and comorbidity with developmental disorder/delay, anxiety disorder, and elimination disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 39(2), 249-256. Retrieved from EBSCOhost.
Krohn, D.D., Weckstein, S.M., & Wright, H.L. (1992). A study of the effectiveness of a specific treatment for elective mutism. Journal of the American Academy of Child & Adolescent Psychiatry, 31(4), 711-718. doi:10.1097/00004583-199207000-00020
Manassis, K., Tannock, R., Garland, E., Minde, K., McInnes, A., & Clark, S. (2007). The sounds of silence: Language, cognition, and anxiety in selective mutism. Journal of the American Academy of Child & Adolescent Psychiatry, 46(9), 1187-1195. Retrieved from ERIC database.
Nowakowski, M., Cunningham, C., McHolm, A., Evans, M., Edison, S., St. Pierre, J., . . . Schmidt, L.A. (2009). Language and academic abilities in children with selective mutism. Infant and Child Development, 18(3), 271-290. Retrieved from ERIC database.
Omdal, H., & Galloway, D. (2008). Could selective mutism be re-conceptualised as a specific phobia of expressive speech?: An exploratory post-hoc study. Child & Adolescent Mental Health, 13(2), 74-81. doi:10.1111/j.1475-3588.2007.00454.x
O'Reilly, M., McNally, D., Sigafoos, J., Lancioni, G.E., Green, V., Edrisinha, C., . . . Didden, R. (2008). Examination of a social problem-solving intervention to treat selective mutism. Behavior Modification, 32(2), 182-195. Retrieved from EBSCOhost.
Porjes, M. (1992). Intervention with the selectively mute child. Psychology in the Schools, 32, 114–123.
Remschmidt, H., Poller, M., Herpertz-Dahlmann, B., Hennighausen, K., & Gutenbrunner, C. (2001). A follow-up study of 45 patients with elective mutism. European Archives of Psychiatry & Clinical Neuroscience, 251(6), 284-296. Retrieved from Academic Search Premier database.
Steinhausen, H., & Juzi, C. (1996). Elective mutism: An analysis of 100 cases. Journal of the American Academy of Child & Adolescent Psychiatry, 35(5), 606-614. Retrieved from EBSCOhost.
Stone, B., Kratochwill, T.R., Sladezcek, I., & Serlin, R.C. (2002). Treatment of selective mutism: A best-evidence synthesis. School Psychology Quarterly, 17(2), 168-190. Retrieved from EBSCOhost.
Yeganeh, R., Beidel, D., & Turner, S. (2006). Selective mutism: More than social anxiety? Depression & Anxiety, 23(3), 117-123. doi:10.1002/da.20139