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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.

Paul R. Joseph

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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Selective Mutism in Children
Journal Watch (General), August 24, 1999; 1999(824): 7 - 7.
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