Abstract
Elective or selective mutism (Latin mūtus, “speechless,” “silent”) is categorized by the International Classification of Diseases, 10th revision (ICD-10; World Health Organisation 1996), as one of the “disorders of social functioning with onset specific to childhood and adolescence” (F94). Biological constitution (“inhibited temperament”), model learning, cultural change, and difficulties of language acquisition are regarded as risk factors. A familial disposition is postulated, as selectively mute children and adolescents, in comparison with healthy controls, are significantly more likely to have noticeably introverted relatives who are more insecure, themselves sufferers of selective mutism, or are pathologically anxious. The families are generally characterized by higher levels of psychopathological abnormalities.
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Literature
Alyanak B, Kilincaslan A, Harmanci HS, Demirkaya SK, Yurtbay T, Vehid HE (2013) Parental adjustment, parenting attitudes and emotional and behavioral problems in children with selective mutism. J Anxiety Disord 27:9–15
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn (DSM-5TM). American Psychiatric Publishing, Washington/London
Black B, Uhde TW (1994) Treatment of elective mutism with fluoxetine: a double-blind, placebo-controlled study. J Am Acad Child Psychiatry 33:1000–1006
Carlson JS, Kratochwill TR, Johnston HF (1999) Sertraline treatment of 5 children diagnosed with selective mutism: a single-case research trial. J Child Adolesc Psychopharmacol 9:293–306
Chavira DA, Shipon-Blum E, Hitchcock C, Cohan S, Stein MB (2007) Selective mutism and social anxiety disorder: all in the family? J Am Acad Child Psychiatry 46:1464–1472
Cohan SL, Chavira DA, Stein MB (2006) Practitioner review: psychosocial interventions for children with selective mutism: a critical evaluation of the literature from 1990–2005. J Child Psychol Psychiatry 47:1085–1097
Dummit ES, Klein RG, Tancer NK, Asche B, Martin J (1996) Fluoxetine treatment of children with selective mutism: an open trail. J Am Acad Child Psychiatry 35:615–621
Golwyn DH, Sevlie CP (1999) Phenelzine treatment of selective mutism in four prepubertal children. J Child Adolesc Psychopharmacol 9:109–113
Kaakeh Y, Stumpf JL (2008) Treatment of selective mutism: focus on selective serotonin reuptake inhibitors. Pharmacotherapy 28:214–224
Krysanski VL (2003) A brief review of selective mutism literature. J Psychol 137:29–40
Kumpulainen K (2002) Phenomenology and treatment of selective mutism. CNS Drugs 16:175–180
Manassis K, Tannock R (2008) Comparing interventions for selective mutism: a pilot study. Can J Psychiatry 53:700–703
Melfsen S, Warnke A (2007) Treatment of selective mutism. Z Kinder Jugendpsychiatr Psychother 35:399–407
Oerbeck B, Johansen J, Lundahl K, Kristensen H (2012) Selective mutism: a home-and kindergarten-based intervention for children 3–5 years: a pilot study. I Clin Child Psychol Psychiatry 17:370–383
Remschmidt H (2001) A follow-up study of 45 patients with elective mutism. Eur Arch Psychiatry Clin Neurosci 251:284–286
Sharkey L, Mc Nicholas F (2008) ‘More than 100 years of silence’ elective mutism: a review of the literature. Eur Child Adolesc Psychiatry 17:255–263
Steinhausen HC, Juzi C (1996) Elective mutism: an analysis of 100 cases. J Am Acad Child Psychiatry 5:606–614
Wong P (2010) Selective mutism: a review of etiology, comorbidities, and treatment. Psychiatry (Edgmont) 7:23–31
World Health Organisation (1996) Multiaxial classification of child and adolescent psychiatric disorders. The ICD – 10 classification of mental and behavioral disorders in children and adolescents. Cambridge University Press, Cambridge
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Egberts, K., Seifert, J. (2014). Elective (Selective) Mutism. In: Gerlach, M., Warnke, A., Greenhill, L. (eds) Psychiatric Drugs in Children and Adolescents. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1501-5_17
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DOI: https://doi.org/10.1007/978-3-7091-1501-5_17
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