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Suffering in silence: why a developmental psychopathology perspective on selective mutism is needed
Sharon L Cohan1, Joseph M Price, Murray B Stein
1Department of Psychology, San Diego State University, San Diego, CA, USA. scohan@ucsd.edu
Selective mutism (SM) is a childhood disorder where children don't speak in certain social settings. This study explores various genetic, temperamental, and environmental factors contributing to SM development.
Area of Science:
- Child Psychology
- Developmental Psychopathology
Background:
- Selective mutism (SM) is characterized by a child's consistent failure to speak in specific social situations, despite speaking normally in others.
- Understanding the etiology of SM is crucial for developing effective interventions.
Purpose of the Study:
- To organize existing literature on the causes of selective mutism (SM) from a developmental psychopathology viewpoint.
- To explore multiple pathways contributing to the development of SM in children.
Main Methods:
- Review of existing literature on selective mutism.
- Conceptualization of SM development through a developmental psychopathology framework.
- Focus on genetic, temperamental, psychological, and social/environmental systems.
Main Results:
- Proposes that SM arises from complex interactions between genetic predispositions (e.g., anxiety), temperamental factors, psychological traits, and social/environmental influences.
- Highlights specific examples, such as the interaction between genetic anxiety loading and communication disorders leading to SM.
Conclusions:
- Selective mutism is a complex disorder with multifactorial etiology.
- Future research should focus on longitudinal, twin/adoption, molecular genetic, and neuroimaging studies to validate the proposed pathways model.
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