Hesselman coined the term “selective mutism” in 1983 to describe the disorder previously called “aphasia voluntaria, elective mutism, speech phobia, psychological mutism, and hearing mute” among fourteen other historic terms (Dow, Freeman, Garcia, Leonard, & Miller, 2004; Kearney, 2010). The American Psychiatric Association, or APA, characterizes selective mutism by a “persistent failure to speak in specific social situations where speech is expected, despite speaking in other situations.” Selective mutism shifted in recent years from being viewed as a response to trauma sustained early in life to a manifestation of an anxiety disorder (Dow et al, 2004). This paper briefly covers all aspects of selective mutism from signs and symptoms to diagnosis and treatment. Selective mutism is a rare condition and some discrepancies exist pertaining to its incidence. Beidel and Turner (2005) state that the incidence falls between .18-.76 percent, while Kearney (2010) states that the incidence falls between .20-2.0 percent. No known cause currently exists. Researchers identified common similarities between children with selective mutism. The most prevalent similarities are gender (1.5 females have selective mutism compared to every one male), having a language or anxiety disorder, having a social phobia, and a family history of selective mutism or social phobia. Dow, Freeman, Garcia, Leonard, and Miller (2004) state that out of patients with selective mutism, “70 percent had a first degree relative with a social phobia or avoidant disorder and 37 percent had a first degree relative with selective mutism” (p. 286). The APA classifies selective mutism under DSM-IV. A child’s behavior must meet these criteria for diagnosis of sele... ... middle of paper ... ...n. If a child’s speech and language skills are inadequate, the speech-language pathologist will work with the child to improve the skill that the child struggles with. They also help parents and teachers understand what the child is experiencing and how to assist with implementing the provided treatment plan. Selective mutism is a rare disorder that affects mainly children. Treating selective mutism early and vigorously leads to success. Research about treatment methods and causes of selective mutism is limited due to the rarity and uniqueness of the disorder. While no known cause is recognized for contributing to selective mutism, professionals use many indicators to assess and diagnose a child. Children with selective mutism, contrary to popular belief, do communicate through gestures and nods but fail to speak in unfamiliar and uncomfortable situations.
It is most often characterized by difficulty in the child's ability to respond to people, events, and objects. Responses to sensations of light, sound, and feeling may be exaggerated. Delayed speech and language may be associated. Other characteristics include: impairment in ability to make peer friendships, absence of imaginative activity, stereotyped body movements, persistent preoccupation with parts of objects, marked distress over changes in trivial aspects of the environment, unreasonable insistence on following routines in precise detail, a restricted range of interests and a preoccupation with one narrow interest, along with many others.
Despite its 50 year-old diagnosis, autism is still one of the mostly commonly contracted and rarely treated childhood diseases. Studies suggest that as many as 1 in 500 children may display autistic symptoms. Manifestations of this disability include the stereotypical physical contortions and hand-flapping motions commonly associated with autism, as well as inability to relate to the outside world, limited social skills, lack of concentration, and hypersensitivity to certain stimuli-particularly noise (1). Perceived causes include poor fetal development, genetics, allergies, and a lack of crucial enzymes. Because for many years the disorder was thought to be a result of poor parenting, only recent studies have begun any attempts to identify the causes of childhood autism. Many diagnosis and potential treatments have been tried only by the parents of autistics; undergoing research is still slow and often under-funded.
Einspieler, C. (2005). Is the early development of girls with rett disorder really normal?. Pediatric
Many individuals with mental retardation (MR) have mental health disorders that are undiagnosed and untreated (Reiss & Valenti-Hein, 1994). Individuals with MR experience the full range of emotional, psychiatric and behavioral disorders at higher frequencies than the general population (Kishore, Nizamie & Nizamie, 2010; Prout, 1993). Prevalence studies have shown that individuals with MR are three to four times at higher risk for psychopathology than are individuals without MR (Matson & Bamburg, 1998; Prout, 1993). This is known as a dual diagnosis, which describes the finding of MR in association with significant psychopathology (Prout, 1993). While, psychopathology is limited to those phenomena and disorders that are described in the conventional classification systems such as the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV). Examples include anxiety, depression, paranoia, dependent personality traits, avoidant behaviour and thought disorder (Reiss & Valenti-Hein, 1994).
Having anxiety is common and a part of everyday life however; there is a huge difference between a fear and a social phobia or anxiety disorder. The difference and important distinction psychoanalysts make between a fear and a phobia is “a true phobia must be inconsistent with the conscious learning experience of the individual” (Karon 1). Patients with true phobias “do not respond to cognitive therapy but do respond well to psychoanalysis and psychoanalytic therapy” (Karon 2). Social phobia is a serious anxiety disorder that should not be taken lightly or mistaken as a fear you will simply grow out of the older you get. Social phobia has the power to destroy lives and can prevent people from living and enjoying their life to the fullest. Social phobia is a disabling condition that often starts between the ages of early childhood and late adolescence. The origins of social phobia can be linked to “traumatic social experiences and social isolation” (Hudson118-120). Social phobia is treatable however; research and statics show that not many seek help.
Do you know there is a medically diagnosed disorder that affects over two American children?” Experts on the subject say there are many more undiscovered cases out there and the cause is still unknown. It sounds like we have a really big problem. The thing is, the disorder that affects all these children, isn’t a disorder at all.
Weston is social anxiety disorder. Criterion A and B list that the individual has marked fear or anxiety about one or more social situations where the person is exposed to possible scrutiny by others, and in return, he/she will act in a way or show anxiety symptoms that may be negatively evaluated. For both of these criteria, I listed him as not meeting them due to there not being significant evidence in his vignette that implies he is particularly fearful of what others think of him. Criterion C and D list that the social situations almost always provoke fear or anxiety and are avoided or endured with intense fear or anxiety. He stated many times that he experiences fear and anxiety in certain social situations. Criterion E and F state that the fear/anxiety is out of proportion to the actual threat posed, and it is persistent, lasting for six months or longer. These criterion are listed in both generalized anxiety disorder and agoraphobia, both of which I also listed as convergent evidence. Criterion G and H are also convergent evidence, and they state that the fear/anxiety causes clinically significant distress or impairment in social, occupational, and other important areas of functioning. Also, none of this is attributable to substance abuse or another medical condition. This is also stated in the criterion of the previously discussed mental illnesses, both of which were proven accurate by the symptoms listed in his vignette. The last two criterion are convergent evidence; criterion I states that the fear, anxiety, or avoidance isn’t better explained by the symptoms of another mental disorder, and criterion J states that if another medical condition is present, the symptoms are exacerbated. I believe that agoraphobia provides a better explanation for his symptoms, and there is not another medical condition interacting with his symptoms to make his fear/anxiety more
After working with the 3rd graders, I became an assistant teacher at an early childhood education center in a low-income neighborhood with numerous students who needed extra support due to behavioral and emotional disorders. At one point, I encountered a student with selective mutism; selective mutism is when a person is capable of speaking but voluntarily chooses not to communicate verbally. I began to work one on one with him to understand why he didn 't communicate verbally. The first course of action was a meeting with his mother to learn more about him and th...
The most distinct feature of autism is impaired social interaction. Children with autism may fail to respond to their names and often avoid looking at other people. Such children often have difficulty interpreting tone of voice or facial expressions and do not respond to others' emotions or watch other people?s faces for cues about appropriate behavior.
Stein, M. B., & Stein, D. J. (2008). Social anxiety disorder. The Lancet, 371(9618), 1115-25.
It’s interesting to know that clinics like the one I volunteer for are approved by the Department of Education and can provide additional services to children who need them. I have been told by quite a few people that in the past, speech-language pathologists had to know a little bit of everything, and while that still holds true today, specialized speech-language pathologists are becoming more of the norm. The American Speech-Language-Hearing Association offers SLPs the opportunity to receive their Clinical Specialty Certification, which is a step beyond the Certificate of Clinical Competence. These areas include Child Language and Language Disorders, Fluency and Fluency Disorders, Swallowing and Swallowing Disorders, and Intraoperative Monitoring; Auditory Verbal Therapy (AVT), what the SLP that worked with Student A was certified in, is governed by the Alexander Graham Bell Academy for Listening and Spoken Language. As a future speech-language pathologist, I will be able to refer a child whose speech and language issues go beyond hearing loss to the appropriate SLP and work collaboratively with him/her; educators will be able to advocate for their
According to the US National Comorbidity Survey, Social Anxiety was classified as the third most common mental disorder. About 19.2 million people are victims from the disorder in which can take place at any given time. Unfortunately, people who have Social anxiety are being diagnosed with many other disorders due the actual cause being unsure. Research suggests that it can be caused by inheritance or the nervous system. Medications that are prescribed to treat the anxiety effects many parts of the nervous system which leads to the calming signals sent to the brain....
Communication is very crucial in life, especially in education. Whether it be delivering a message or receiving information, without the ability to communicate learning can be extremely difficult. Students with speech and language disorders may have “trouble producing speech sounds, using spoken language to communicate, or understanding what other people say” (Turkington, p10, 2003) Each of these problems can create major setbacks in the classroom. Articulation, expression and reception are all essential components for communication. If a student has an issue with articulation, they most likely then have difficulty speaking clearly and at a normal rate (Turkington, 2003). When they produce words, they may omit, substitute, or even distort sounds, hindering their ability to talk. Students who lack in ways of expression have problems explaining what they are thinking and feeling because they do not understand certain parts of language. As with all types of learning disabilities, the severity can range. Two extreme cases of expression disorders are dysphasia and aphasia, in which there is partial to no communication at all (Greene, 435, 2002). Individuals can also have a receptive disorder, in which they do not fully comprehend and understand information that is being given to them. They can experience problems making sense of things. “Children may hear or see a word but not be able to understand its meaning” (National Institutes of Health, 1993, p1). Whether children have difficulty articulating speech, expressing words, receiving information, or a combination of the three, there is no doubt that the tasks given to them in school cause frustration. These children experience anxiety when...
The term social phobia is described by the presence of anxiety or tendency to experience excessive fear while social interaction is present. Social avoidance is also described as a combination of syndromes performing in a person perceived as embarrassment. The anxiety in the individuals experiencing this type of phobia is cause by the tendency of exaggeration in self-evaluations , having a negative perception of themselves based of their own negative judge. The tendency of being self-critical is lead by fear during social interaction or even during intrapersonal situations. The anticipation of anxiety and fear is often part of a vicious cycle in which persons experience a physical symptom such as blushing, palpitations , sweating, avoiding eye contact and trembling (Heimberg, 1995). However, some persons with social phobia report no physical symptoms of anxiety only self-consciousness and fear.
There are numerous distinctive discernments about individuals with social anxiety. Individuals who do have it are frequently seen by others as simply being timid, remote, compelled, hostile, uneasy, quiet, aloof, or restrained. The individuals who are tormented with social anxiety may be obfuscated by these recognitions also, so they may neglect to look for medication. Since the issue is for the most part inconceivable, they may imagine that they are the main ones who experience the ill...