PEDIATRICS Vol. 104 No. 2 August 1999, pp. 308-309
EXPERIENCE AND REASON:
Selective Mutism
The Child Who Doesn't Speak at School
Received Aug 21, 1998; accepted Jan 12, 1999.
New York University School of Medicine Syosset, New York 11791
Selective mutism is a syndrome in which there is a consistent failure to speak in social situations where speech is expected, despite speaking in other situations. The problem is most common in the child who speaks actively and well at home but who refuses to speak in school. This paper describes 2 young children from the author's practice who refuse to speak at school and a short summary of recent changes in the thinking about the cause and therapy of selective mutism. This is the first article on selective mutism to appear in an American pediatric journal.
Key words: selective mutism, speech, school.
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