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Abstract
Periodically, children are seen in psychiatric facilities who refuse to speak in school and to strangers, but who can and do speak to certain specific people, usually one or both parents, and sometimes peers. Nearly always, these children speak to their siblings. Elective mutism is the diagnosic term that we have applied to this behavior. This definition excludes all other forms of mutism, including hearing loss, schizophrenia, hysterical aphonia, and aphasia. The children with elective mutism are characteristically immature; most of them have average or above average intelligence and do not seem to suffer from any organic disorder.
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