決定選擇性緘默症孩子講話與否的四個條件

 Talking Formula: 講話公式

1. People 人物： Who is present? Has she been comfortably verbal with this person before? 誰在場？她以前跟這個人很舒服地講過話嗎？ Control the number of people attending and gauge Amy’s individual level of comfort with them. 根據艾米的情況，控製在場人數

2. Location 地點 Where is she? Is anyone passing by? Who is in the immediate area? 她在哪兒？有人經過嗎？附近有誰在？ Be in a comfortable/neutral location that Amy is either already comfortable with or is neutral. 選一個艾米感覺自在放鬆的地方， 至少她不緊張的地方

3. Environment 環境： Is the environment free of loud sounds or surprises (unexpected visitors, etc.)? 環境不要有嘈雜的噪音，或意外的事情 （意外出現的人，等等）？

4. Worry Level 焦慮水平 ：Fear and Scare Level (0-4): Identify her communication level and reaction stage

These conditions must be controlled 以下條件必須加以控製

The levels of these conditions will vary from person to person and from situation to situation, so it is important to be aware of what your child’s comfort zone is at the time of the interacting 這些條件的水平因人而異，因情況而不同，了解你的孩子講話時的舒適區十分重要

For example: 例子：

1. People: Amy, Mrs. Fry (Counselor) and Claire (her whisper buddy or talking buddy). 人物：艾米，弗萊太太（輔導員）和克萊爾 （悄悄話夥伴或說話夥伴）

2. Location: Counselor’s office. 地點：輔導員的辦公室

3. Environment: Quiet, no loud voices, familiar environment (she has been here before) and prior positive verbal interactions with everyone present in the room. 環境：安靜，沒有噪音，熟悉的環境（她以前來過），以前她成功地跟在場的所有人講過話。

4. Worry Level: 0  焦慮水平：零

 Case 1: Person knocks on door。 Person, environment, and comfort level are changed.  If the person is not a stranger, the talking will continue.  If they are, the talking will stop or turn to whispering. taling buddy and Whisper buddy may be present. 情景1：艾米和朋友老師在學校老師辦公室邊玩遊戲邊聊天。有人敲門。人物，環境，和舒適區改變了。如果來人不是陌生人，艾米和朋友老師可以繼續講話。如果是陌生人，艾米有可能停止講話或變成悄悄話。所以講話夥伴和悄悄話夥伴最好在場。

Case 2: Group walks out of counselor’s office and into the hallway.  Changed location, environment, and comfort level changed.  In a bigger and louder space, the talking will stop or turn to a whisper.情景2：艾米和老師和朋友幾個人一起走出輔導員辦公室， 走進走廊。地點，環境和舒適區改變了。在更大和更吵鬧的空間，講話可能會終止或變成悄悄話。

Case 3: Group walks to her homeroom. Changed people, location, environment and comfort level. Because she is familiar with people, place, and routine, she may continue talking but with lower voice or whisper. 情景3：艾米和老師和朋友幾個人一起走回到艾米的教室。人物，地點，環境和舒適區都改變了。因為艾米對教室裏的人物，地點和事情都很熟悉，她可能會繼續講話，但可能會降低聲量或變成講悄悄話。

作者俊華,艾米媽 。 如有需要，加微信：junwang08837，艾米媽邀你進 “選擇性緘默症家長分享群”。

選擇性緘默症包括語言恐 Speech Phobia，感知障礙 Sensory Disorder, 社交恐懼 Social Anxiety 。 關鍵詞： 孩子為什麽不說話，孩子在外麵不說話，孩子不敢說話，和陌生人不說話，社交恐懼，孩子在幼兒園和學校不說話，害羞，敏感，膽子小，懦弱，怕生，內向，沒自信，固執，不敢吃飯，不敢去廁所，不敢和小朋友玩，，在家講話，出門不講話。隻和爸爸媽媽說話， 不敢參加集體活動。