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Adapting Palin PCI
Published in Elaine Kelman, Alison Nicholas, Palin Parent–Child Interaction Therapy for Early Childhood Stammering, 2020
Elaine Kelman, Alison Nicholas
The therapy strategies can be implemented by the parents as described in earlier chapters. Therapists can also support parents to find the appropriate professionals and any additional help they may need to manage his selective mutism.
Developmental disorders, Part 3: Speech and language 1
Published in Quentin Spender, Judith Barnsley, Alison Davies, Jenny Murphy, Primary Child and Adolescent Mental Health, 2018
Quentin Spender, Judith Barnsley, Alison Davies, Jenny Murphy
Selective mutism is more likely to develop in children who are temperamentally shy and prone to anxiety. There may be a history of language delay in the first 2–3 years of life; some affected children may have an underlying learning disability. It is slightly more common in girls than boys and occasionally develops following a traumatic event.
Selective Mutism
Published in James Law, Alison Parkinson, Rashmin Tamhne, David Hall, Communication Difficulties in Childhood, 2017
Selective Mutism is an emotional disorder of childhood in which affected children speak ¯uently in some situations but remain consistently silent in others. The condition is known to commence early in life, and can be transitory, such as on starting school or being admitted to hospital, but in rare cases it may persist and last right through a child's school life. These children usually do not talk to their teachers, and in more serious cases they are also silent with their peers, though there may be non-verbal communication. Other combinations of non-speaking can also occur, affecting specific members of the child's family. Typically the child has no other identifiable problems and uses language age-appropriately at home or with close friends. Tramer,1 a Swiss psychiatrist, coined the term `Elective Mutism' to distinguish the condition from other forms of mutism, but as the child's silences are no longer thought of as deliberate acts, and are `selective' in nature, the condition is now known as `Selective Mutism', since reclassification in the Diagnostic and Statistical Manual of Mental Disorders.2 However, both terms continue in use.
Effectiveness of an Eight-Week Multidisciplinary Selective Mutism Treatment Group
Published in Evidence-Based Practice in Child and Adolescent Mental Health, 2023
Jaclyn T. Aldrich, Jennifer B. Blossom, Ashley Moss, Brenda Ray, Marcy Couckuyt, Tracey Ward, Andrew R. Fox, Kendra L. Read
Selective mutism (SM) is an anxiety disorder typically diagnosed during childhood, characterized as a consistent failure to speak in social situations where speaking is expected (e.g., school) despite speaking in other situations (e.g., home; American Psychological Association [APA], 2013). Children with SM have impairments in educational, occupational, and other social situations that often do not remit in the absence of intervention. Anxiety disorders, as a whole, pose a significant mental health burden if left untreated. SM itself represents a less prevalent disorder requiring further investigation of treatment approaches (Muris & Ollendick, 2015). In recent years however, behavior-focused interventions have emerged as an effective option for treating SM, allowing clinicians to begin exploring optimal methods for care delivery. We sought to evaluate the effectiveness of a brief weekly group treatment approach as an option for SM treatment.
Sequential Implementation of Functional Behavior Assessment-Informed Treatment Components for Sleep Disturbance in Autism: A Case Study
Published in Behavioral Sleep Medicine, 2021
Jenna R. van Deurs, Laurie K. McLay, Karyn G. France, Neville M. Blampied
In this case study, FBA-informed treatment components were implemented sequentially to address sleep disturbance experienced by a 9-year-old girl with ASD and selective mutism in a minimally sufficient manner. White noise alone had no effect on target sleep variables. White noise and relaxation instruction produced a statistically significant reduction in CCs, an increase in sleep efficiency, as well as a clinically substantive improvement in total sleep duration also. White noise, relaxation instruction, and stimulus control produced statistically significant and clinically substantive improvements across all sleep variables. These improvements were maintained at 10-week follow-up. Further treatment phases involving consequence-based interventions (positive reinforcement and unmodified extinction) were not required. Eve and her parents considered the overall treatment package to be effective, reasonable, and affordable. Their preferred treatment components were white noise and implementation of a faded bedtime.
Clinical characteristics according to sex and symptom severity in children with selective mutism: a four-center study
Published in Nordic Journal of Psychiatry, 2023
Hicran Dogru, Ilknur Ucuz, Ayla Uzun Cicek, Semiha Comertoglu Arslan
Selective mutism (SM) is a debilitating childhood disorder in which a child, despite having the ability to speak normally, is unable to speak in specific settings or conditions [1]. As per the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), SM is an anxiety disorder [1]. To establish the diagnosis, this behavior must be evident for at least one month (excluding the first month of school) and lead to impairment in educational, occupational, or social functioning. Moreover, diagnostically, SM cannot be better attributed to a lack of knowledge of, or discomfort with, the primary spoken language or a communication disorder and cannot occur especially among those with a developmental disorder such as autism or psychotic disorders [1].