Selektif Mutizm Olgusu

ÖzSelektif mutizm (SM) normal ve sosyal ortamlarda konuşmama fakat ebeveyn ve kardeş gibi yakın ilişkilerin olduğu ortamlarda konuşma olarak tanımlanabilir. Nedeni tamolarak belirlenememiştir fakat çekingenlik ve utangaçlık özellikleri, travmatik yaşantılar, olumsuz ebeveyn tutumları ve dil gelişimi sorunlarının SM’ye yol açabileceği bildirilmiştir. Yaygınlık oranları çeşitli çalışmalarda farklılık göstermekte ise de yaklaşık%2 olduğu belirtilmiştir ve kızlarda daha fazla görülür. SM’nin dört alt türü bulunmaktadır ve tanıya genellikle okul başlangıcında gidilir. SM’nin tedavisi oldukça zordur. Multimodal bir yaklaşım ile bilişsel-davranışçı yaklaşım temelli uygulamaların başarılı so-nuçlar verdiği bildirilmiştir. Çalışmada 11 yaşında ki SM’li kız çocuğuna yönelik uy-gulamalar gerçekleştirilmiştir. Bu çerçevede okulaile işbirliği doğrultusunda bilişsel-davranışsal yaklaşım temelli strateji uygulanmıştır. Çalışmanın diğer olgu sunumlarından farkı, vakanın ilgi ve yeteneğine göre değişik bir çevrede grup dinamiğine girmesiyönünde ki uygulamalardır. SM olgusu 2 aylık süreçte çözümlenmiş ve takip eden 2 ay-lık izlemde problem tekrar etmemiştir.

Anahtar Kelimeler:

Selektif mutizm, Mutlidisipliner yaklaşım, bilişsel-davranışsal uygulamalar

The Case of Selective Mutism

Absract The Selective mutism (SM) can be defined as not to speak in the normal and social environments but to speak in an environment where there are close relationships suchas parents and siblings. The cause has not been fully determined, but it has been reported that the shyness and shyness characteristics, traumatic experiences, negative parental attitudes and language development problems can lead to the SM. Although the prevalence rates vary from one study to another, it has been reported to be about 2% andit is more common in girls. here are four subtypes of SM and the diagnosis is usuallymade at the beginning of the school. The treatment of SM is very difficult. It has beenreported that the practices based on a multimodal approach and cognitive-behavioral approach have successful results. In the study, treatments were performed for the 11-year-old girl child with SM. In this framework, a strategy based on cognitive-behavioral app-roach was applied in the direction of school-family cooperation. The difference of thework from the other case presentations is the applications in the direction of entering tothe group dynamics in a different environment according to the interest and ability ofthe case. The SM case was resolved in a 2-month period and it did not occured again inthe following 2-month follow-up.

Keywords:

Selective mutism, Multidis-ciplinary approach, cogniti ve behavioral practices,

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