Jacobsen T
Department of Psychiatry, University of Illinois at Chicago, USA.
J Am Acad Child Adolesc Psychiatry. 1995 Jul;34(7):863-6. doi: 10.1097/00004583-199507000-00009.
Selective mutism is a rare psychiatric disorder that usually has its onset in early childhood. This case study describes a patient in whom selective mutism developed in adolescence. It was later discovered that he had dissociative identity disorder. The study documents his history, which included violence, abuse, and threats to keep silent. The study suggests that in cases presenting with significant trauma or abuse, selective mutism may be a manifestation of dissociative identity disorder.
选择性缄默症是一种罕见的精神障碍，通常在儿童早期发病。本病例研究描述了一名在青春期患上选择性缄默症的患者。后来发现他患有分离性身份障碍。该研究记录了他的经历，其中包括暴力、虐待以及保持沉默的威胁。该研究表明，在出现重大创伤或虐待的病例中，选择性缄默症可能是分离性身份障碍的一种表现。
