Wernitznig H
Institut für Heilpädagogik, Salzburg.
Prax Kinderpsychol Kinderpsychiatr. 1993 May-Jun;42(5):160-7.
The paper presents the case of a 10-year-old, electively mute boy, who had stopped talking with all persons outside his immediate family about four years ago. Therapeutic interventions had so far brought no change in his speech behavior. Within a short time (2 months) of residential treatment in a child care unit, his mutistic disorder and social behavior could be normalized and the child even managed to speak in this former school class where nobody had ever heard his voice. The multitude of possible reasons for the mutistic behavior and reinforcing environmental facts are reviewed, the symptom's meaning for the family system considered. The plan of treatment (mostly a combination of behavioral and systemic family therapy) is presented.
本文介绍了一名10岁选择性缄默症男孩的病例，该男孩大约在四年前就不再与直系亲属以外的任何人交谈。迄今为止，治疗干预措施并未改变他的言语行为。在儿童护理机构进行短期（2个月）住院治疗后，他的缄默症和社交行为得以正常化，这个孩子甚至能够在以前的学校班级里开口说话，而在那里从来没有人听到过他的声音。文章回顾了导致缄默行为的多种可能原因以及强化这种行为的环境因素，并考虑了该症状对家庭系统的意义。同时还介绍了治疗方案（主要是行为疗法和系统性家庭疗法的结合）。
