Seçici Konuşmamazlık (Selective Mutizm): Sebepleri ve Tedavi Yaklaşımları

Selektif mutism çok ender görülen bir bozukluk olduğundan bazen de zaman içinde kendiliğinden ortadan kalktığı için dikkat çekmemekte ve kolaylıkla gözden kaçabilmektedir. Bu nedenle Gimdiye kadar hakkında çok fazla Gey yazılmamıGtır. Bu derlemenin amacı, selektif mutism bozukluğunu incelemek, alandaki uzmanlara ve okuyuculara tanıtmak ve yeni bilgiler sunmaktır. Önce bu bozukluğun temel özelliklerine, tanı kriterlerine bakılmıG, yaygınlık oranları, ailesel sebepleri ve birlikte görülen bozukluklar incelenmiGtir. Daha sonra ise bu rahatsızlığı oluGturan etiolojik sebepler ve tedavi yöntemleri, en son bilimsel bulgularla birlikte, değiGik kuram ve yaklaGımlar ıGığında incelenmiGtir.

-

Because selective mutism is a very rare disorder and it disappears by itself over time, it did not draw attention of many mental health professionals. Thus, there have been not been many written texts regarding this topic. The purpose of this literature review is to examine selective mutism and introduce it to the professionals. First, the core features of the disorder, prevalence rates, family etiologies, and co-morbid disorders are examined. Then, the etiological reasons for the disorder, assessments, interventions and treatment options were discussed in lights of the most recent theories and evidence-based findings.

___

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. (4th ed.). Washington, DC.
  • Anstendig, K. D. (1999). Is selective mutism an anxiety disorder? Rethinking its DSM- IV classification. Journal of Anxiety Disorders, 13(4), 417-434.
  • Bergman, R. L., Piacentini, J., ve McCracken, J. T. (2002). Prevalence and description of selective mutism in a school based sample. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 938-946.
  • Black, B. B., & Uhde, T.W. (1992). Elective mutism as a variant of social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 31(6), 1090- 1094.
  • Black, B. B., & Uhde, T.W. (1995). Psychiatric characteristics of children with selective mutism: A pilot study.Journal of the American Academy of Child and Adolescent Psychiatry, 34, 847-855.
  • Black, B. B. (1996). Social anxiety and selective mutism. American Psychiatric Press Review of Psychiatry. Washington, DC. American Psychiatric Association Press.
  • Brown, G. J. ve Llyod, M. A. (1975). A controlled study of children not speaking at school. Journal of Workers for Maladjusted Children, 3, 49-63.
  • Bozigar, J. A., & Hansen, R.A. (1984). Group treatment for elective mute children. Social Work, 29(5), 478-480.
  • Carr, A. & Afnan, S. (1989). Concurrent individual and family therapy in a case of elective mutism. Journal of Family Therapy, 11, 29-44.
  • Cunningham, C. E., McHolm, A., Boyle, M. H., ve Patel, S. (2004). Behavioral and emotional adjustment, family functioning, academic performance, and social relationships in children with selective mutism. Journal of Psychology and Psychiatry, 45(8), 1363-1372.
  • Cunningham, C. E., McHolm, A., & Boyle, M. H. (2004). Social phobia, anxiety, oppositional behavior, social skills, and self-concept in children with specific selective mutism, generalized selective mutism, and community controls. European Journal of Child and Adolescent Psychiatry, 10, 245-255.
  • Dow, S. P., Sonies, B. B., Scheib, D., Moss, S. E., Leonard, H. L. (1995). Practical guidelines for the assessment and treatment of selective mutism. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 836-845.
  • Essau, C.A., Conradt, J. & Peterman, F. (2000). Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. Journal of Anxiety Disorders, 14, 263-279.
  • Fundudis, T., Kolvin, I. & Garside, R. F. (1979). Speech retarded and deaf children: The psychological development. London, England. Academic Press
  • Giddan, J. J., Ross, G. J., Sechler, L. L., & Becker, B. R. (1997). Selective mutism in
  • elementary school: Multidisciplinary interventions. Language, Speech, and
  • Hearing Services in Schools, 28(2), 127-133.
  • Gillberg, C. (1995).Clinical Child Neuropsychology. Cambridge, UK: Cambridge University Press.
  • Hayden, T. L. (1980). The classification of elective mutism. Journal of American Academy of Child Psychiatry, 1980(191), 118-133.
  • Harris, H. F. (1996). Elective mutism: A tutorial. Language, Speech, and Hearing Services in Schools, 27(1), 10-15.
  • Hultquist, A. M. (1995) Selective mutism: Causes and interventions. Journal of Emotional & Behavioral Disorders, 3(2), 100-107.
  • Kehle, T. J., Owen, S. V., & Cressy, E. T. (1990). The Use of self modeling as an intervention in school psychology: A case study of an elective mute. School Psychology Review, 19, 115-121.
  • Kehle, T. J., Madaus, M. R., Baratta, V. S., & Bray, M. J. (1998). Augmented self- modeling as a treatment for children with selective mutism. Journal of School Psychology, 36(3), 247-260.
  • Klin, A., Volkmar, F.R. (1993). Elective mutism and mental retardation. Journal of the American Academy of Child and Adolescent Psychiatry, 32(4), 860-864.
  • Kolvin, I., & Fundudis, T. (1981). Elective mute children: Psychological development and background factors. Journal of Child Psychology and Psychiatry, 22, 219-232.
  • Kopp, S. & Gilberg, C. (1997). Selective mutism: A population based study: A research note: Journal of Child Psychology and Psychiatry, 38(2), 257-62.
  • Kristensen, H. (2000). Selective mutism and comorbidity with developmental disorder/delay, anxiety disorder, and elimination disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 39(2), 249-256.
  • Kristensen, H. (2001). Multiple informants‟ report of emotional and behavioral probleSM in a nation-wide sample of selective mute children and controls. European Journal of Child and Adolescent Psychiatry, 10,135-142.
  • 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 and Adolescent Psychiatry, 31(4), 711-718.
  • Krysanski, V. L. (2003). A Brief Review of Selective Mutism Literature. The Journal of Psychology, 137(1), 29-40.
  • Kumpulainen, K., Rasanen, E., Raaska, H., ve Somppi, V. (1998). Selective mutism among second-graders in elementary schools. European Journal of Child and Adolescent Psychiatry, 7, 24-29.
  • Leonard, H. L, & Topol, D. A. (1993). Elective mutism: Child and Adolescent Psychiatric Clinics of North America, 2, 695-707.
  • Melfsen, S., Walitza, S., & Warnke, A. (2006). The extent of social anxiety in combination with mental disorders. European Journal of Child and AdolescentPsychiatry 15(2), 111-117.
  • Meyers, S. (1994). Elective mutism in children: A family system approach. The American Journal of Family Therapy, 12, 39-45.
  • ReSMchmidt, H., Poller, M., Herpertz-Dahlmann, B., Hennighausen, K., Gutenbrunner, C. (2001). A follow-up study of 45 patients with elective mutism. European Journal of Child and Adolescent Psychiatry, 251,284-296.,
  • Richburg, M. L., Cobia, D. C. (1994). Using behavioral techniques to treat elective mutism: A case study. Elementary School Guidance & Counseling, 28(3), 214-220.
  • Roberts, S. J. (2002). Identifying mutism‟s etiology in a child. The Nurse Practitioner, 27(10), 44-48.
  • Rye, M.S., & Ullman, D. (1999). The successful treatment of long-term selective mutism: A case study. Journal of Behavior Therapy and Experimental Psychiatry, 30(4), 313-323.
  • Shreeve, D. F. (1991). Elective mutism: Origins in stranger anxiety and selective attention. Bulletin of the Menninger Clinic, 55(4), 491-504.
  • Spasaro, S. A., & Schaefer, C.E. (Eds.). (1999). Refusal to speak: Treatment of selective mutism in children. Northvale, NJ: Jason Aranson Inc.
  • Subak, M., West, M., & Carlin, M. (1982). Elective mutism: An expression of family psychopathology. International Journal of Family Psychiatry, 3,335-344.
  • Steinhausen, H., & Juzi, C. (1996). Elective mutism: An analysis of 100 cases. Journal of the American Academy of Child and Adolescent Psychiatry, 35(5), 606-614.
  • Steinhausen, H.C., Wachter, M, Laimböck, K., & Metzke, W. (2006). A Long-term outcome study of selective mutism in childhood. Journal of Psychology and Psychiatry, 47(7), 751-756.
  • Weininger, O. (1987). Elective mute children: A therapeutic approach. Journal of the Melanie Klein Society, 5, 25-42.
  • Wergeland, H. (1980). Elective mutism. Annual Progress in Child Psychiatry and Child Development, 373-385.
  • Wilkins, R. (1985). A comparison of elective mutism and emotional disorders in children. British Journal of Psychiatry, 146, 196-203.