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If the cat ate his tongue... No worry, e-mails and WhatsApp help us! Treatment of adults’ selective mutism
Journal Title: TERAPIA FAMILIARE 
Author/s: Francesca Bravi 
Year:  2019 Issue: 119 Language: Italian 
Pages:  17 Pg. 63-79 FullText PDF:  87 KB
DOI:  10.3280/TF2019-119005
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The current evolution of communication methods can represent a great opportunity for therapists: thus it becomes necessary to update our procedures consistently with modernization. The present article reports the results of an individual therapy with an adult affected by serious selective mutism. Therapy sessions were supported first by e-mail exchanges, and later via mobile text messaging. This kind of integrated communication proved to be particularly fruitful, allowing the patient the possibility to express himself freely, avoiding obstacles caused by his problem, that would have probably hindered a more classic face to face session approach. In conclusion the use of modern technology was fundamental in treating this type of disease, producing objective advantages with regard both to efficacy and duration of treatment.
Keywords: Selective mutism, social anxiety disorder, WhatsApp, psychotherapeutic emails, online psychotherapy, psychotherapeutic sms.

  1. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washinton: American Psychiatric Association (trad. it.: Manuale Diagnostico Statistico dei Disturbi Mentali. Quinta Edizione. A cura di Biondi M., Milano: Raffaello Cortina, 2014).
  2. Anstendig K.D. (1999). Is selective mutism an anxiety disorder? Rethinking its DSM-IV classification. Journal of Anxiety Disorder, 13, 4: 417., 10.1016/S0887-6185(99)00012-DOI: 10.1016/S0887-6185(99)00012-
  3. Black B., Uhde T.W. (1992). Psychiatric characteristic of children with selective mutism. A pilot study. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 7: 847-856., 10.1097/00004583-199507000-0000DOI: 10.1097/00004583-199507000-0000
  4. Blasi S. (2010). La ricerca qualitativa in psicoterapia. Controversie, applicazioni e criteri di qualità. Ricerca in psicoterapia/Reserch in Psycotherapy, 1, 13: 23-60.
  5. Capobianco M. (2009). Il mutismo selettivo: diagnosi, eziologia, comorbilità e trattamento. Cognitivismo Clinico, 6, 2: 211-228.
  6. Chavira D.A., Shipon-Blum E., Hitchcock C., Cohan S., Stein M.B. (2007). Selective Mutism and Social Anxiety Disorder: All in the Family? Journal American Academy Child Adolescent Psychiatry, 46, 11: 1464-1472.
  7. Cohan S.L., Chavira D.A., Stein M.B. (2006). Practitioner Rewiew: Psychosocial interventions for children with selective mutism: a critical evaluation of the literature from 1990-2005. Journal of child Psychology and Psychiatry, 47, 11: 1085-1097.
  8. Cole-Lewis H., Kershaw T. (2010). Text Messaging as a tool for behavior change in disease prevention and management. Epidemiologic Reviews, 32, 1: 56-69.
  9. Compare A., Gorla C., Molinari E. (2006). Famiglia e mutismo selettivo: aspetti relazionali e patologici. Psicologia Clinica dello Sviluppo, X, 2: 225-239., 10.1449/2260DOI: 10.1449/2260
  10. Coplan R.J., Rubin K.H., Fox N.A., Calkins S.D., Steward S.L. (1994). Being alone, playing alone and acting alone: Distinguishing among reticence and passive and active solitude in young children. Child Development, 65, 1: 129-137.
  11. Cunningham C.E., McHolm A., Boyle M.H., Patel S. (2004) Behavioral and emotional adjustment, family functioning, academic performance, and social relationships in children with selective mutism. Journal of Child Psychology and Psychiatry, 45, 8: 1363-1372., 10.1111/1469-7610.2004.00327.DOI: 10.1111/1469-7610.2004.00327.
  12. Cunningham C.E., McHolm A.E., Boyle M.H. (2006). Social phobia, anxiety, oppositional behavior, social skill and self-concept in children with specific selective mutism, generalized selective mutism, and community controls. European Child and Adolescent Psychiatry, 15, 5: 245-255.
  13. D’Ambrosio M. (2015). Alle origini del mutismo selettivo: un'ipotesi di disfunzione autonomica. I Care, 40, 4: 137-144. -- Testo disponibile al sito: http://www.aimuse.it/wp/wp-content/uploads/2015/11/DAmbrosio-alle-origini-del-Mutismo-Selettivo.pdf. 16-02-2018.
  14. Haley J. (1976). Problem Solving Therapy. New strategies for effective family therapy. San Francisco: Jossey-Bass, Inc. (trad. it: La Terapia del Problem Solving. Nuove strategie per una nuova terapia familiare efficace. Roma: La Nuova Italia Scientifica, 1985).
  15. Kimhy D., Corcoran C. (2008). Use of Palm computer as an adjunct to cognitive-behavioural therapy with an ultra-high-risk patient: A case report. Early Intervention in Psychiatry, 2, 4: 234-241.
  16. Kristensen H. (2000). Selective mutism and comorbidity with developmental disorder/delay, anxiety disorder, and elimination disorder. Journal American Academy Child Adolescent Psychiatry, 39, 2: 249-256., 10.1097/00004583-200002000-0002DOI: 10.1097/00004583-200002000-0002
  17. Jainer A.K., Quasim M., Davis M. (2002). Elective Mutism: A case study. International Journal of Psychiatry in Clinical Practice, 6, 1: 49-51., 10.1080/13651500275348942DOI: 10.1080/13651500275348942
  18. Manfrida G. (2009). Gli sms in psicoterapia. Torino: Antigone.
  19. Manfrida G., Albertini V. (2014) Una professione per niente soft(ware). Considera-zioni sulla pratica relazionale attraverso nuovi canali di comunicazione. Psicobiettivo, XXXIV, 3: 15-32., 10.3280/PSOB2014-00300DOI: 10.3280/PSOB2014-00300
  20. Manfrida G., Eisenberg E. (2007). Scripta… volant! Uso e utilità dei messaggi sms in psicoterapia. Terapia Familiare, 85: 59-82., 10.1400/9424DOI: 10.1400/9424
  21. Manfrida G., Albertini V., Eisenberg E. (2017). Connected: Recommendations and techniques in order to employ Internet tools for the enhancement of online therapeutic relationships. Experiences from Italy. Contemporary Family Therapy, 39: 314-328.
  22. Rubin K.H., Asendorpf J.B. (1993). Social Withdrawal, inhibition and Shyness in childhood. New Jersey: Erlbaum.
  23. Rubin K.H., Mills R.S.L. (1988) The many faces of social isolation in childhood. Journal of Consulting and Clinical Psychology, 56, 6: 916-924., 10.1037/0022-006X.56.6.91DOI: 10.1037/0022-006X.56.6.91
  24. Sharkey L., McNicholas F. (2008). More than 100 years of silence, elective mutism. A review of the literature. European Child & Adolescent Psychiatry, 17, 5: 255-263.
  25. Shipon-Blum E. (2010). Comprendere il mutismo selettivo. Bari: La Meridiana.
  26. Vecchio J.L., Kearny C.A. (2005). Selective mutism in children: Comparison to youths with and without anxiety disorders. Journal of Psychopathology and Behavioral Assessment, 27, 1: 31-37.
  27. Verona V. (2015). Silenzi emotivi e terapia familiare. Psicobiettivo, 3, XXXV: 123-129., 10.3280/PSOB2015-00300DOI: 10.3280/PSOB2015-00300
  28. Wallace P. (2000). The psychology of the internet. Cambridge: Cambridge University Press (trad. it: La psicologia di internet. Milano: Raffaello Cortina, 2017.)
  29. Watzlawick P., Beavin J.H., Jackson D.D. (1967). Pragmatics of human comunication. New York: Norton & Co. (trad. it: La pragmatica della comunicazione umana. Roma: Astrolabio, 1971).
  30. Wilkens R. (1985). A comparison of elective mutism and emotional disorders in children. British Journal of Psychiatry, 146, 2: 198-203.

Francesca Bravi, If the cat ate his tongue... No worry, e-mails and WhatsApp help us! Treatment of adults’ selective mutism in "TERAPIA FAMILIARE" 119/2019, pp. 63-79, DOI:10.3280/TF2019-119005

   

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