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ERIC Number: ED656251
Record Type: Non-Journal
Publication Date: 2020
Pages: 262
Abstractor: As Provided
ISBN: 979-8-5825-9042-2
ISSN: N/A
EISSN: N/A
Available Date: N/A
Treatment-Resistant Selective Mutism, Resiliency, and Early Adulthood Transitions: A Single-Subject Case Study
Flora S. Joachim-Milosavljevic
ProQuest LLC, Ed.D. Dissertation, La Sierra University
There is a lack of research available on how students with selective mutism transition from secondary school to a university setting and beyond. This suggests a need for further study as it relates to students on the verge of completing their undergraduate studies and preparing to move into a career. This researcher used a qualitative single-subject case design to specifically focus on one subject's experience with treatment-resistant selective mutism. Three research questions were identified and guided this study. First, "How does an individual with treatment-resistant and pervasive selective mutism successfully cope with the numerous demands in a particular environmental setting (i.e., the final year of her undergraduate program)?" Second, "What are the resilience factors that lead to successful transitions? Why do these resiliency variables work?" Finally, "What are the psychological adjustments that must be made in order for successful transitions to occur? More specifically, what variables might contribute to being able to speak with a much wider range of individuals?" It was evident in this study that this subject's success was related to several variables. Despite her personal challenges in life, most notably selective mutism, she possessed positive self-esteem, valued a strong internal desire to succeed in life, nurtured meaningful relationships, and highly valued her faith system. It was also evident that although she remained nonverbal in all but a very few social situations, she never retreated into a world of invisibility. Instead, she continued to expose herself over the years to anxiety-producing social situations as well as reframe her social discomfort in positive ways throughout her entire life. That is, she leaned into the discomfort (perhaps not unlike prolonged exposure therapy), continued to define her personal struggles positively, and persevered in her attempts to remain a meaningful force in other people's lives. In the end, when she entered a new social environment where no one knew her or had already defined her, she redefined herself and never looked back. Even when she returned to a world where previous definitions of her still existed, she refused to allow those previous definitions to stand. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]
ProQuest LLC. 789 East Eisenhower Parkway, P.O. Box 1346, Ann Arbor, MI 48106. Tel: 800-521-0600; Web site: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml
Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: Higher Education; Postsecondary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Author Affiliations: N/A