Research Article
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Examination of Self-sufficiency and Knowledge levels of Speech and Language Therapists’ in Turkey Related to Selective Mutism

Year 2022, , 274 - 293, 30.12.2022
https://doi.org/10.58563/dkyad-2022.53.3

Abstract

Purpose: Selective mutism is a multidimensional childhood disorder in which, according to the most recent studies, biologically mediated temperament and anxiety components seem to play a major role (Kumpulainen, 2002). Children with selective mutism usually speak to family members at home but do not speak in kindergarten or school. When another condition exists that accounts better for the failure to speak, such as pervasive developmental disorder, retardation, psychosis, or a lack of language skills, then the child is not considered to have selective mutism. (Perednik, 2016). Selective mutism is an anxiety state disorder that is often confused with shyness. Speech and language therapists are consulted for the therapy of individuals diagnosed with selective mutism. This study aims to examine the awareness of speech and language therapists about therapy by describing their self-efficacy and knowledge levels about selective mutism. For this purpose, it is also aimed to contribute to the more active role of speech and language therapists in selective mutism therapies. Method: 207 people who participated in the study answered the demographic information part of the questionnaire, but only 152 people who filled out the whole questionnaire were included in the data. Continuing an undergraduate education in speech and language therapy and working as a speech and language therapist abroad were determined as exclusion criteria. During the data collection phase, a questionnaire developed by the researchers by scanning the literature was used for the study. There are 11 demographic information questions, 12 true-false questions and 11 Likert-type questions in the questionnaire. The questionnaire aims to measure the knowledge level of speech and language therapists about selective mutism and to describe the therapists' self-efficacy perceptions. The questionnaire was delivered to the participants from online platforms. Results: When the findings of the study were examined, it was observed that speech and language therapists did not feel self-sufficient about selective mutism and their level of knowledge was also not sufficient. Conclusion: It has been concluded that speech and language therapists, who have an important role in selective mutism therapies, should increase their awareness in this area. However, it is thought that selective mutism should be included more in the course contents. The fact that speech and language therapists are one of the most important professionals in selective mutism therapies is important in terms of their high level of knowledge and self-efficacy in this field. When the results are examined, inadequacies and deficiencies were observed both according to the latest graduation degree and according to the institution.

References

  • Alyanak, B., Kılınçaslan, A., Harmancı, H. S., Demirkaya, S. K., Yurtbay, T., & Vehid, H. E. (2013). Parental adjustment, parenting attitudes and emotional and behavioral problems in children with selective mutism. Journal of Anxiety Disorders, 27(1), 9–15.
  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (Fifth Edition). Washington, DC.
  • Black B, Uhde T.W. (1992). Elective mutism as a variant of social phobia. Journal of the American Academy of Child & Adolescent Psychiatry , 31, 1090-1094.
  • Black, B., & Uhde, T. W. (1995). Psychiatric characteristics of children with selective mutism: A pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 847–856.
  • Brown J. B., Lloyd H. (1975). A controlled study of children not speaking at school. Journal of the Association of Workers for Maladjusted Children; 3, 49-63.
  • Dow S. P, Sonies B. C, Scheib D., et al. (1995). Practical guidelines for the assessment and treatment of selective mutism. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 836-846.
  • Dummit E. S., Klein R. G., Tancer N. K., et al. (1996). Fluoxetine treatment of children with selective mutism: An open trial. Journal of the American Academy of Child & Adolescent Psychiatry , 35, 615-621.
  • Fundudis T, Kolvin I, Garside R. F. (1979). Speech retarded and deaf children: their psychological development. Academic Press.
  • Gerçek, E., & Seçkin-Yılmaz, Ş. (2022). Dil ve konuşma terapistlerinin selektif mutizme ilişkin farkındalıklarının incelenmesi. Dil, Konuşma ve Yutma Araştırmaları Dergisi, 5(1), 23-41.
  • Giddan, J., Ross, G., Sechler, L., & Becker, B. (1997). Selective mutism in elementary schools: Multidisciplinary interventions. Language, Speech and Hearing Services in the Schools, 28, 127-133.
  • Golwyn D. H., Selvie C. P. (1999). Phenelzine treatment of selective mutism in four prepubertal children. Journal of Child and Adolescent Psychopharmacology 9, 109-13.
  • Hua, A., & Major, N. (2016). Selective mutism. Current opinion in pediatrics, 28(1), 114–120.
  • Karakaya, I., Sismanlar, S. G., Oc, O. Y., Memik, N. C., Coskun, A., Agaoglu, B., & Yavuz, C. I. (2008). Selective mutism. A school-based cross-sectional study from Turkey. European Child and Adolescent Psychiatry, 17, 114–117.
  • Kızılboğa, V. (2009). Selektiver Mutismus im Kindesalter; Entwicklung und Evaluation eines Ratgebers für Eltern, Ärzte und Therapeuten in der Türkei. [Yayımlanmamış Yüksek Lisans Tezi]. TU Dortmund. Almanya.
  • Kopp, S., & Gillberg, C. (1997). Selective mutism: A population-based study: A research note. Journal of Child Psychology and Psychiatry, 38(2), 257–262.
  • Kumpulainen, K., Rasanen, E., Raaska, H., & Somppi, V. (1998). Selective mutism among second-graders in elementary school. European Child and Adololescent Psychiatry, 7, 24–29.
  • Kumpulainen,K. (2002). Phenomenology and treatment of selective mutism. CNS Drugs, 16 (3), 175-180.
  • Lamsa, T., Erkolahti, R. (2013). Selective mutism. Duodecim; Laaketieellinen Aikakauskirja, 2641-2646.
  • Melfsen, S., & Warnke, A. (2007). Überblick zur behandlung des selektiven mutismus. Zeitschrift Für Kinder- Und Jugendpsychiatrie Und Psychotherapie, 35(6), 399–409.
  • Oerbeck, B., Overgaard, K. R., Stein, M. B., Pripp, A. H., & Kristensen, H. (2018). Treatment of selective mutism: a 5-year follow-up study. European Child & Adolescent Psychiatry, 27(8), 997–1009.
  • Perednik, R. (2016). The selective mutism treatment guide: Manuals for parents, teachers, and therapists. (Second Edition). Oaklands Publishing.
  • Rye M. S., Ullman D. (1999). The successful treatment of long-term selective mutism: A case study. Journal of Behavior Therapy and Experimental Psychiatry, 30, 313-323.
  • Toland, S. M. (1998). A Survey of Illinois Speech-language Pathologists and School Psychologists Regarding Selective Mutism. [Yayımlanmamış Yüksek Lisans Tezi]. Eastern Illinois University.
  • Wright H. H., Cuccaro M. L., Leonhardt TV, et al. (1995). Case study: fluoxetine in the multimodal treatment of a preschool child with selective mutism. Journal of the American Academy of Child & Adolescent Psychiatry, 32, 857-862.

Türkiye’deki Dil ve Konuşma Terapistlerinin Selektif Mutizme İlişkin Özyeterlik ve Bilgi Düzeylerinin İncelenmesi

Year 2022, , 274 - 293, 30.12.2022
https://doi.org/10.58563/dkyad-2022.53.3

Abstract

Amaç: Selektif mutizm, sıklıkla çekingenlikle karıştırılan bir kaygı durum bozukluğudur. Selektif mutizm tanılı bireylerin terapisi için dil ve konuşma terapistine de başvurulmaktadır. Bu çalışmada dil ve konuşma terapistlerinin selektif mutizme ilişkin özyeterlik ve bilgi düzeylerini betimleyerek terapiye dair farkındalıklarının incelenmesi amaçlanmıştır. Bu amaçla beraber selektif mutizm terapilerinde dil ve konuşma terapistlerinin daha aktif rol almasına katkıda bulunmak hedeflenmiştir. Yöntem: Çalışmaya katılan 207 kişi anketin demografik bilgi kısmını yanıtlamıştır ancak sadece tüm anketi dolduran 152 kişi verilere dahil edilmiştir. Verilerin toplanması aşamasında araştırmacılar tarafından çalışma için alanyazın taranarak geliştirilen “Türkiye’deki Dil ve Konuşma Terapistlerinin Selektif Mutizme İlişkin Özyeterlik ve Bilgi Düzeylerinin İncelenmesi” anketi kullanılmıştır. Ankette demografik bilgi, doğru-yanlış sorusu ve Likert tipi yanıtlı sorular yer almaktadır. Anket katılımcılara çevrimiçi platformlardan ulaştırılmıştır. Bulgular: Çalışmanın bulguları incelendiğinde dil ve konuşma terapistlerinin selektif mutizm hakkında kendilerini yeterli hissetmediği ve bilgi düzeylerinin yeterli olmadığı gözlenmiştir. Sonuç: Selektif mutizm terapilerinde önemli bir role sahip olan dil ve konuşma terapistlerinin bu alanda farkındalıklarını arttırması gerektiği sonucuna varılmıştır. Bununla beraber selektif mutizmin ders içeriklerinde daha fazla yer alması gerektiği düşünülmektedir.

References

  • Alyanak, B., Kılınçaslan, A., Harmancı, H. S., Demirkaya, S. K., Yurtbay, T., & Vehid, H. E. (2013). Parental adjustment, parenting attitudes and emotional and behavioral problems in children with selective mutism. Journal of Anxiety Disorders, 27(1), 9–15.
  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (Fifth Edition). Washington, DC.
  • Black B, Uhde T.W. (1992). Elective mutism as a variant of social phobia. Journal of the American Academy of Child & Adolescent Psychiatry , 31, 1090-1094.
  • Black, B., & Uhde, T. W. (1995). Psychiatric characteristics of children with selective mutism: A pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 847–856.
  • Brown J. B., Lloyd H. (1975). A controlled study of children not speaking at school. Journal of the Association of Workers for Maladjusted Children; 3, 49-63.
  • Dow S. P, Sonies B. C, Scheib D., et al. (1995). Practical guidelines for the assessment and treatment of selective mutism. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 836-846.
  • Dummit E. S., Klein R. G., Tancer N. K., et al. (1996). Fluoxetine treatment of children with selective mutism: An open trial. Journal of the American Academy of Child & Adolescent Psychiatry , 35, 615-621.
  • Fundudis T, Kolvin I, Garside R. F. (1979). Speech retarded and deaf children: their psychological development. Academic Press.
  • Gerçek, E., & Seçkin-Yılmaz, Ş. (2022). Dil ve konuşma terapistlerinin selektif mutizme ilişkin farkındalıklarının incelenmesi. Dil, Konuşma ve Yutma Araştırmaları Dergisi, 5(1), 23-41.
  • Giddan, J., Ross, G., Sechler, L., & Becker, B. (1997). Selective mutism in elementary schools: Multidisciplinary interventions. Language, Speech and Hearing Services in the Schools, 28, 127-133.
  • Golwyn D. H., Selvie C. P. (1999). Phenelzine treatment of selective mutism in four prepubertal children. Journal of Child and Adolescent Psychopharmacology 9, 109-13.
  • Hua, A., & Major, N. (2016). Selective mutism. Current opinion in pediatrics, 28(1), 114–120.
  • Karakaya, I., Sismanlar, S. G., Oc, O. Y., Memik, N. C., Coskun, A., Agaoglu, B., & Yavuz, C. I. (2008). Selective mutism. A school-based cross-sectional study from Turkey. European Child and Adolescent Psychiatry, 17, 114–117.
  • Kızılboğa, V. (2009). Selektiver Mutismus im Kindesalter; Entwicklung und Evaluation eines Ratgebers für Eltern, Ärzte und Therapeuten in der Türkei. [Yayımlanmamış Yüksek Lisans Tezi]. TU Dortmund. Almanya.
  • Kopp, S., & Gillberg, C. (1997). Selective mutism: A population-based study: A research note. Journal of Child Psychology and Psychiatry, 38(2), 257–262.
  • Kumpulainen, K., Rasanen, E., Raaska, H., & Somppi, V. (1998). Selective mutism among second-graders in elementary school. European Child and Adololescent Psychiatry, 7, 24–29.
  • Kumpulainen,K. (2002). Phenomenology and treatment of selective mutism. CNS Drugs, 16 (3), 175-180.
  • Lamsa, T., Erkolahti, R. (2013). Selective mutism. Duodecim; Laaketieellinen Aikakauskirja, 2641-2646.
  • Melfsen, S., & Warnke, A. (2007). Überblick zur behandlung des selektiven mutismus. Zeitschrift Für Kinder- Und Jugendpsychiatrie Und Psychotherapie, 35(6), 399–409.
  • Oerbeck, B., Overgaard, K. R., Stein, M. B., Pripp, A. H., & Kristensen, H. (2018). Treatment of selective mutism: a 5-year follow-up study. European Child & Adolescent Psychiatry, 27(8), 997–1009.
  • Perednik, R. (2016). The selective mutism treatment guide: Manuals for parents, teachers, and therapists. (Second Edition). Oaklands Publishing.
  • Rye M. S., Ullman D. (1999). The successful treatment of long-term selective mutism: A case study. Journal of Behavior Therapy and Experimental Psychiatry, 30, 313-323.
  • Toland, S. M. (1998). A Survey of Illinois Speech-language Pathologists and School Psychologists Regarding Selective Mutism. [Yayımlanmamış Yüksek Lisans Tezi]. Eastern Illinois University.
  • Wright H. H., Cuccaro M. L., Leonhardt TV, et al. (1995). Case study: fluoxetine in the multimodal treatment of a preschool child with selective mutism. Journal of the American Academy of Child & Adolescent Psychiatry, 32, 857-862.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Veysel Kızılboğa

Afife Türker

Yeliz Kaya

Publication Date December 30, 2022
Published in Issue Year 2022

Cite

APA Kızılboğa, V., Türker, A., & Kaya, Y. (2022). Türkiye’deki Dil ve Konuşma Terapistlerinin Selektif Mutizme İlişkin Özyeterlik ve Bilgi Düzeylerinin İncelenmesi. Dil Konuşma Ve Yutma Araştırmaları Dergisi, 5(3), 274-293. https://doi.org/10.58563/dkyad-2022.53.3