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Language, Speech, and Hearing Services in Schools Vol.27 10-15 January 1996.
© American Speech-Language-Hearing Association
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Elective Mutism

A Tutorial

Holly F. Harris 1
1 The University of North Carolina at Chapel Hill, Chapel Hill

Elective mutism is a "persistent refusal to talk in one or more major social situations...despite [the] ability to comprehend spoken language and to speak" (American Psychiatric Association, 1987, p. 89). This article serves as a tutorial, providing information on elective mutism, a disorder potentially encountered by speech-language pathologists typically inexperienced in its diagnosis and management. It is the first article concerning elective mutism in a major speech-language pathology journal since the 1950s. The history, characteristics, classification, differential diagnosis, and treatment of elective mutism are discussed.

KEY WORDS: elective mutism, selective mutism, phonological disorder, language disorder

Submitted on March 18, 1994
Accepted on March 1, 1995


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