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Journal of Pediatric Psychology 7(1) pp. 85-93, 1982
© 1982 Society of Pediatric Psychology

research-article

Elective Mutism: Learning from the Analysis of a Successful Case History

Leo M. Croghan1 and Robin Craven

Developmental Evaluation Center Fayetteville, North Carolina, Albematle Mental Health Center Manteo, North Carolina

1All correspondence should be directed to Leo M. Croghan, Developmental Evaluation Center, 3403 Melrose Road, Fayetteville, North Carolina 28304.

A chronic case of elective mutism, extending over 5 years, eventually yielded to successful therapeutic intervention. An analysis of the case history highlights the importance of directing systematic desensitization to the anxiety attached to the very act of speaking. It also suggests that the omission of the use of stimulus fading may have prolonged the case unnecessarily. The case history cautions against the premature selection of specific behavioral techniques in working with cases of elective mutism.


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