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KMID : 1037320080010010055
Korean Journal of Infant Mental Health
2008 Volume.1 No. 1 p.55 ~ p.75
A Case Study on Play Therapy for a Child with Selective Mutism
Shim Hae-Won

Abstract
The child was referred by the child¡¯s mother who said that her child did not speak at school or in church and was very nervous and introverted. A total of 29 play therapy sessions were administered individually or in group. From the beginning of the sessions, the child talked very well to the therapist and expressed competitive and impulsive emotions while playing games. The child clearly expressed hostile and negative emotions, such as anger, irritancy, and unwillingness, etc. At the middle stage of the sessions, the child was treated with group therapy to provide an opportunity to interact with other children and express herself. The child interacted with other children positively and expressed her ideas and emotions properly. The mother was administered with STEP education and tried to establish a close relationship with her child by carrying out weekly tasks. At the end of the therapy, it was determined that the child cultivated self-confidence through the group therapy experiences. Therefore, we tried to address the child¡¯s cognitive problem that she did not speak in classroom, and she finally talked to her teacher. Although she didn¡¯t speak in front of her classmates at school, we ompleted the therapy after the child promised to speak to her classmates before school vacation. Later, we received a phone call from her mother that the child talked to other students at school. One limitation of this study is that the mother-child attachment was not completely resolved because the mother achieved a certain level of cognitive changes but emotional and behavioral changes were not accompanied.
KEYWORD
play therapy, selective mutism, fear
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