Selective Mutism Clinical Trial
Official title:
What Treatment Works for Children With Selective Mutism? A Treatment Pilot Study
The purpose of this pilot study is to explore the outcome of a manual based treatment for children with Selective Mutism
Objectives:
The main aim of this pilot study is to increase our knowledge on interventions for Selective
Mutism (SM), a childhood condition characterized by a persistent lack of speech in specific
situations despite the ability to comprehend and use language. A survey on the treatment
offered this group in Norway 1997-2000 showed great variations in therapeutic approach and
the overall outcome was poor. Correspondent with the notion of SM as a variant of social
anxiety, several case studies have described successful treatments using behaviour
techniques (BT's) such as stimulus fading and shaping. In addition, the author's clinical
experience is that "defocusing in communication" (e.g. regulation of gaze contact; sitting
beside instead of in front of the child, avoiding direct questioning, talking about
interesting but impersonal topics) represents another important toil in getting the mute
child to start talking. However, to date there are no randomized controlled SM treatment
studies, and in fact we know little of what works best to help these children. Our research
group has developed an assessment- and treatment manual for children with SM.
In this exploring pilot study referred children with SM aged 3-5 years (n=7) will be given
an intervention according to the treatment manual. The intervention is conducted at home and
in the kindergarten or at school and includes stimulus fading techniques with weekly
sessions. Therapists will be members of the research group or local therapist under
supervision.
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Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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