Selective Mutism 选择性不语症

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.
总是在特定的公众场合说不出话来(应该说话的场合,比如学校)尽管可以在其他场合说话
B. The disturbance interferes with educational or occupational achievement or with social communication.
这种障碍影响到学习,工作和社会交往
C. The duration of the disturbance is at least 1 month (not limited to the first month of school).
持续至少一个月(不仅仅是入学的第一个月)
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.
说不出话的行为不是因为缺乏知识,不喜欢在某种公众场合被要求说特定的语言
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.
这种障碍不能被诊断为某种交流障碍(如口吃)也不是发生在全身性发育障碍,精神分裂症或其它精神错乱发作期.

我曾经遇到这种孩子,周围人对她有偏见,认为她在操纵其他人的同情心.