How Intense is This Silence? Developing a Theoretical Framework for the Use of Psychodynamic Music Therapy in the Treatment of Selective Mutism in Children with English as an Additional Language: A Heuristic Case Study

Abstract

Selective mutism (SM) is often referred to as a rare disorder affecting children when they first enter the education system. Current research suggests the prevalence of SM among children with English as an additional language (EAL) is under-reported due to a lack of awareness and resources within schools. Usual treatment of SM in schools in the UK combines a behavioural approach with speech and language therapy. There is a small amount of literature that suggests that music therapy might complement this approach. This article describes a heuristic research case study which aimed to develop theory about the way that music therapy can be used in the treatment of foundation stage (nursery and reception class) children with SM and EAL. Eleven sessions of music therapy with a four-year-old boy with SM and EAL in a UK nursery school were videotaped, and meaningful moments selected and analysed in order to generate themes informing a theoretical understanding of the therapeutic process. A creative synthesis of themes provided a theoretical framework which incorporated key elements of music therapy practice, suggesting that music therapy could be a useful intervention in the treatment of SM.