Overcoming mutism in adults with learning disabilities: A case study

The literature review looks at the range of studies on people with selective mutism, withspecial emphasis on the field of learning disabilities. It finds three particular references (LabbeandWilliamson 1984; PaniaguaandSaeed 1988; ClineandBaldwin 1994b) that may be particularly pertinent to those pe...

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Main Authors: Bell, D, Espie, C
Format: Journal article
Language:English
Published: 2003
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author Bell, D
Espie, C
author_facet Bell, D
Espie, C
author_sort Bell, D
collection OXFORD
description The literature review looks at the range of studies on people with selective mutism, withspecial emphasis on the field of learning disabilities. It finds three particular references (LabbeandWilliamson 1984; PaniaguaandSaeed 1988; ClineandBaldwin 1994b) that may be particularly pertinent to those people who appear to reduce their speech progressively over time in terms of both quantity of utterances and also who reduce the number of people to whom they will speak. This paper then considers the case of a woman of 36 years of age with Down's syndrome who had shown selective mutism for over 14 years, although this had become almost complete mutism for the last 8 years. The case was assessed and the woman was asked if she would be willing to participate in an attempt to reinforce communication and to gradually increase the number of words whispered or spoken in the presence of one person at first - the first author. Nonaversive behavioural methods were used and response initiation procedures were developed. Later, generalization of vocalizations to other people in other environments was encouraged. Sessions were carried out three times a week for about 2months with rapid success. The woman's quality of life at home and her social interactions at the resource centre were also reported to have improved.© 2003 BILD Publications, British Journal of Learning Disabilities.
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spelling oxford-uuid:b4a1ff9f-900e-44b5-927b-024406b6d4cd2022-03-27T04:27:36ZOvercoming mutism in adults with learning disabilities: A case studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b4a1ff9f-900e-44b5-927b-024406b6d4cdEnglishSymplectic Elements at Oxford2003Bell, DEspie, CThe literature review looks at the range of studies on people with selective mutism, withspecial emphasis on the field of learning disabilities. It finds three particular references (LabbeandWilliamson 1984; PaniaguaandSaeed 1988; ClineandBaldwin 1994b) that may be particularly pertinent to those people who appear to reduce their speech progressively over time in terms of both quantity of utterances and also who reduce the number of people to whom they will speak. This paper then considers the case of a woman of 36 years of age with Down's syndrome who had shown selective mutism for over 14 years, although this had become almost complete mutism for the last 8 years. The case was assessed and the woman was asked if she would be willing to participate in an attempt to reinforce communication and to gradually increase the number of words whispered or spoken in the presence of one person at first - the first author. Nonaversive behavioural methods were used and response initiation procedures were developed. Later, generalization of vocalizations to other people in other environments was encouraged. Sessions were carried out three times a week for about 2months with rapid success. The woman's quality of life at home and her social interactions at the resource centre were also reported to have improved.© 2003 BILD Publications, British Journal of Learning Disabilities.
spellingShingle Bell, D
Espie, C
Overcoming mutism in adults with learning disabilities: A case study
title Overcoming mutism in adults with learning disabilities: A case study
title_full Overcoming mutism in adults with learning disabilities: A case study
title_fullStr Overcoming mutism in adults with learning disabilities: A case study
title_full_unstemmed Overcoming mutism in adults with learning disabilities: A case study
title_short Overcoming mutism in adults with learning disabilities: A case study
title_sort overcoming mutism in adults with learning disabilities a case study
work_keys_str_mv AT belld overcomingmutisminadultswithlearningdisabilitiesacasestudy
AT espiec overcomingmutisminadultswithlearningdisabilitiesacasestudy