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Selective mutism in children is characterized by persistent refusal to speak in one or more social situations (e.g., at school or among strangers), notwithstanding the demonstrated ability to use language at home. The range of treatment options has recently expanded to include promising behavioral, psychopharmacological, and multi-modal approaches in addition to psychodynamic and family systems therapy. Toward overcoming the traditional intractability of the disorder, the authors exhort clinicians - psychologists, psychiatrists, pediatricians, counselors, social workers - to familiarize themselves with all of the options in order to expand their repertoires and individualize treatment strategies. Comprehensive in scope, this book presents the major therapeutic approaches and offers alternatives to professionals working with selectively mute children.A Jason Aronson Book
Sheila A. Spasaro, Ph.D., is a clinical psychologist with the Rockland County, New York Chapter of NYSARC, and maintains a consulting psychology practice in Dutchess County, New York. Charles E. Schaefer, Ph.D., is professor of psychology and director of the Psychological Services Center, Fairleigh Dickinson University, Hackensack, New Jersey.
Part 1 An Introduction to the Treatment of Selective MutismPart 2 Part I: Assessment and Treatment PlanningChapter 3 Practical Guidelines for the Assessment and Treatment of Selective MutismChapter 4 When to Intervene in Selective Mutism: The Multimodal Treatment of a Case of Persistent Selective MutismPart 5 Part II: Behavior TherapyChapter 6 Intervention with the Selectively Mute ChildChapter 7 Elective Mutism: Special Treatment of a Special CaseChapter 8 Combining Self-Modeling and Stimulus Fading in the Treatment of an Electively Mute ChildChapter 9 An Adapted Language Training Strategy in the Treatment of an Electively Mute Male ChildPart 10 Part III: Psychodynamic TherapyChapter 11 Elective Mutism: Origins in Stranger Anxiety and Selective AttentionChapter 12 Electively Mute Children: A Therapeutic ApproachPart 13 Part IV: Psychopharmacologic ApproachesChapter 14 Elective Mutism as a Variant of Social PhobiaChapter 15 Phenelzine Treatment of Elective Mutism: A Case ReportPart 16 Part V: Group and Family TherapyChapter 17 Elective Mutism in Children: A Family Systems ApproachChapter 18 Group Treatment for Elective Mute ChildrenChapter 19 Sibling Group Play Therapy: An Effective Alternative with an Elective Mute ChildPart 20 Part VI: Multimodal TreatmentChapter 21 Elective MutismChapter 22 "Speech Is Silvern, But Silence Is Golden": Day Hospital Treatment of Two Electively Mute ChildrenChapter 23 Case Study: Fluoxetine in the Multimodal Treatment of a Preschool Child with Selective Mutism
Refusal To Speak: Treatment of Selective Mutism in Children is of significant value to professionals working with children who present with this extraordinary behavioral pattern. The book pulls together the available literature and then goes one step further. The material is organized into chapters written from behavioral, psychodynamic, psychiatric, and family systems perspectives. This allows practitioners from a wide variety of philosophies to benefit from the material. I highly recommend this book to my colleagues who work with children.