Selective Mutism 選擇性不語症

A. Consistent failure to speak in specific social situations (in which there is an expectation for speaking, e.g., at school) despite speaking on other situations.
總是在特定的公眾場合說不出話來(應該說話的場合,比如學校)盡管可以在其他場合說話
B. The disturbance interferes with educational or occupational achievement or with social communication.
這種障礙影響到學習,工作和社會交往
C. The duration of the disturbance is at least 1 month (not limited to the first month of school).
持續至少一個月(不僅僅是入學的第一個月)
D. The failure to speak is not due to a lack of knowledge of, or comfort with, the spoken language required in the social situation.
說不出話的行為不是因為缺乏知識,不喜歡在某種公眾場合被要求說特定的語言
E. The disturbance is not better accounted for by a Communication Disorder (e.g., Stuttering) and does not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder.
這種障礙不能被診斷為某種交流障礙(如口吃)也不是發生在全身性發育障礙,精神分裂症或其它精神錯亂發作期.

我曾經遇到這種孩子,周圍人對她有偏見,認為她在操縱其他人的同情心.