[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-596171-105":59,"doc-detail-596171-en":129},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":122,"head_meta":124,"extra_data":126,"updated_unix":128},105,"en","the-silent-response-selective-mutism-abstract-and-diagnosis-overview","The Silent Response - Selective Mutism - Abstract and Diagnosis Overview","","Selective mutism is a disorder that can significantly disrupt a student’s learning, with effective outcomes when it is understood as anxiety-related and diagnosed early. Intervention approaches are often complex for education practitioners, so a more practical sequence is proposed: address the child’s anxiety first, then apply video self-monitoring, fading, contingency management, and cognitive behavioral therapy. Clear explanations of diagnosis are provided, including how selective mutism differs from shyness and oppositional behavior, and why early treatment prevents lifelong academic and social impairment.",{"@graph":69,"@context":121},[70,84,104],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-silent-response-selective-mutism-abstract-and-diagnosis-overview/596171/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":98,"encodingFormat":97,"isAccessibleForFree":99,"interactionStatistic":100},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-silent-response-selective-mutism-abstract-and-diagnosis-overview/596171.png","ImageObject",300,407,{"name":92,"@type":93},"Guten tag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-15",true,{"@type":101,"interactionType":102,"userInteractionCount":4},"InteractionCounter",{"@type":103},"ViewAction",{"@type":105,"mainEntity":106},"FAQPage",[107,113,117],{"name":108,"@type":109,"acceptedAnswer":110},"Why is selective mutism described as anxiety-related rather than shyness?","Question",{"text":111,"@type":112},"Selective mutism reflects heightened anxiety in specific situations where speech is required, not simple shyness. Because the underlying cause is anxiety, the difficulty does not automatically disappear as the child develops.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"What is the impact on children if selective mutism is not treated?",{"text":116,"@type":112},"The document states repercussions are profound and lifelong, including deficits in academic performance, social connection, and personal communication. It also notes the communication difficulty and associated anxiety can contribute to depression.",{"name":118,"@type":109,"acceptedAnswer":119},"How can educators make intervention more practical for selective mutism?",{"text":120,"@type":112},"The proposed approach simplifies intervention by first addressing the child’s anxiety, then moving through video self-monitoring, fading, contingency management, and cognitive behavioral therapy. This sequence is intended to be easier for educators to implement and supports improved outcomes.","https://schema.org",{"og:url":83,"og:type":123,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":125,"canonical":83},"index,follow",{"doc_id":127,"site_id":62},596171,1792082576,{"code":4,"msg":5,"data":130},{"doc_id":127,"user_id":131,"nickname":92,"user_avatar":132,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":4,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":138,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":67,"update_tm":128,"read_time":142},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","REFEREED ARTICLE  \nThe Silent Response: Selective Mutism  \nKarl McDaniel  \nAbstract  \nSelective mutism is a disorder that can negatively impact a student’s learning. It can be treated effectively if it is understood as an anxiety related condition and if it is diagnosed early. Intervention strategies can be complex and are therefore difficult for educational practitioners to implement. Simplifying intervention by addressing the anxiety of the child and then moving to video self-monitoring, fading, contingency management, and cognitive behavioural therapy can make treatment more practical. By using these select methods, educators will have an easier time addressing a difficult problem, and children will benefit substantially.  \nVery few have ever encountered or heard of selective mutism (SM) . The prevalence of the disorder is variously reported; most agree that it affects between 0.03% and 1%(Muris et al. , 2016, p. 94) of the population. Since many individuals never encounter someone who is selectively mute, understanding how the terms selective and mutism define the disorder is confusing. The terms work together to describe a phenomenon that is related to the comfort and anxiety levels of those affected. SM, in contradiction to many assumptions, is not a manifestation of oppositional behaviour, and children do not simply outgrow it. Repercussions for children with SM who do not receive intervention are profound and lifelong (Kovac & Furr, 2019) . However, early intervention has been proven to be very successful. To deal effectively with SM, general treatment of anxiety through relaxation and breathing is essential. Other specific interventions are also necessary. However, many current interventions take a systematic approach, resulting in increased complexity and making application difficult (Zakszeski & DuPaul, 2017) . Video modelling, as one example of a specific and focused intervention, provides an approach that is more accessible to educators and facilitates treatment to reach students, freeing them so that their voices can be heard by all around instead of only a select few.  \nDiagnosis and Implications of the Disorder  \nUnderstanding how selective and mutism define the disorder is confusing due to the seemingly random partial or situation-specific environments in which the child chooses to speak. The child is not completely silent, a point which the history of the disorder’s name makes particularly clear. SM has been variously labeled voluntary mutism, partial mutism, situationspecific mutism, and elective mutism (Kearney, 2010) . “Selective” indicates that the child speaks in some situations and not in others, based on an appraisal of the anxiety the situation causes. However, because the child will talk in various familiar environments, many pediatricians unfamiliar with the disorder pronounce that the child is just shy, predicting that they will grow out of it (Kovac & Furr, 2019) . There is an assumption that speech in some situations will transfer to others as the child continues to develop. However, such a prognosis is incorrect because the underlying reason for the mutism is not that the child is shy but that the child feels heightened anxiety in certain situations where speech is required (Capozzi et al. , 2018) . If this anxiety is not addressed directly, the child may have difficulty communicating for the remainder of their life (Arigliani et al. , 2020) . To avoid confusion, selective mutism must be understood asan anxiety-related disorder in which speech occurs at certain times and not others.  \nSM is not shyness and in contradiction to many assumptions, neither is it a manifestation of oppositional behaviour. Some educators may misinterpret a lack of speech in the classroom as  \ndefiance or stubbornness. Accordingly, they may use behavioural strategies that demand or require speech and so unintentionally humiliate the child in class (Bergman, 2013) . These strategies would have the reverse of the desired ","cbCailYQe3Ntr4TF","https://ap.wps.com/l/cbCailYQe3Ntr4TF","pdf",220279,"English","# Abstract\n# Diagnosis and Implications of the Disorder\n## Selective mutism vs. shyness\n## Selective mutism vs. oppositional behavior\n# Anxiety","[{\"question\":\"Why is selective mutism described as anxiety-related rather than shyness?\",\"answer\":\"Selective mutism reflects heightened anxiety in specific situations where speech is required, not simple shyness. Because the underlying cause is anxiety, the difficulty does not automatically disappear as the child develops.\"},{\"question\":\"What is the impact on children if selective mutism is not treated?\",\"answer\":\"The document states repercussions are profound and lifelong, including deficits in academic performance, social connection, and personal communication. It also notes the communication difficulty and associated anxiety can contribute to depression.\"},{\"question\":\"How can educators make intervention more practical for selective mutism?\",\"answer\":\"The proposed approach simplifies intervention by first addressing the child’s anxiety, then moving through video self-monitoring, fading, contingency management, and cognitive behavioral therapy. This sequence is intended to be easier for educators to implement and supports improved outcomes.\"}]","The Silent Response - Selective Mutism - Abstract and Diagnosis Overview | PDF",13]