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Childhood Is Selective Mutism ( Sm )

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Anxiety has a large spectrum of disorders that can effect different stages of life. A specific disorder within this scope that is relevant to early childhood is selective mutism (SM). Selective mutism is defined as, “a consistent failure to speak in social situations in which there is an expectation for speaking (e.g. at school) despite speaking in other situations” (American Psychiatric Association [DSM-IV-TR], 2000). This leads to a variety of criteria in order to be diagnosed for this disorder. Along with that, there are various research modules that have been associated with this disorder in terms of understanding and treating it.
Some of the measures to consider in diagnosis is that, selective mutism can disrupt educational and …show more content…

Hence the name, this disorder could be undiagnosed if the child’s mutism is away from home, and might not be recognized until the child enters a new continuous social setting. Though even in say, a school setting, the issue might be ignored, as educators tend to have more of a focus towards children with behavioral and conduct issues (Kumpulainen, 1998). Therefore, it can take up to four years before symptoms are recognized, if at all (Viana, 2009).
There are several ramifications of the problem for development in terms of the biological, psychological, and social domain. Biological consequences are genetic and neurologically based. Selective mutism and related anxiety conditions (e.g. social anxiety) can be passed through generations. For example, one longitudinal study found that amongst 45 children diagnosed with SM, between the years of 1964 and 1979, 9%, 18%, and 18% of their fathers, mothers, and siblings, had similar histories of selective mutism (Remschmidt, 2001). Some neuro-developmental delays as a result of selective mutism can include a later onset of communication disorders. In one sample of children with SM, it was found that 30.3% developed speech and language disorders (Steinhausen, 2006). Though these neurological delays were found to be not as severe as expected. Another biological result of selective mutism are auditory processing deficits. One study looked at issues in the ability

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