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KMID : 0368819750140030315
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Journal of the Korean Neuropsychiatr Association
1975 Volume.14 No. 3 p.315 ~ p.319
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A CASE OF LONG-STANDING MUTISM
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金碩大/Kim, seok-Dae
金明正/張煥一/Kim, Myung-Jung/Chang, Hwan-Il
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Abstract
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The authors reported a case of chronic schizophrenia manifested, among many other schizophrenicsymptoms, by complete mutism and aphonia persisted for 14 years.
A course of E. C. T. and a trial of Amytal Interview did not prove effective in bringing him to verbal communication. After 3 months of total push method including psychotropic drugs, E. C. T. , milieu therapies and individual and group therapies, a series of speech training was started to which the patient showed an immediate response of vocalization and a gradual restoration of verbal communication.
Subsquently the improvement of overall schizophrenic symptoms were more or less promoted by establishment of verbal communication and it´s facilitation of supportive psychotherapeutic efforts. The authors suggest further studies of such behavioral therapeutic approach for chronic schizophrenics.
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