Bridge to the Silence—Integrative Dramatherapy with Selective Mutism

Abstract

This article is presented as a clinical case study in research and the arts that explores the journey of a 7-year-old girl with selective mutism, and her growth through an integrative intervention that combined dramatherapy, systemic, behavioral, and attachment-informed approaches. Sessions took place in Shanghai, China. Gorla et al. (2017) [Without words. Different children in different contexts (Trans.). A.G. Editions] and Perednik (2016) [The selective mutism treatment guide: Manuals for parents, teachers, and therapists: Still waters run deep. Oaklands] propose that the significant others of a person with selective mutism can become therapeutic agents of change, and through this lens, the child’s family, peers, and school staff became involved. Through the use of play and the therapeutic relationship and the coming together of specialties and community, it is posited that the client found her voice again, enhancing her relationships and embarking on a journey of lasting change. The dramatherapy-based, multimodal intervention provides an example of clinical practice intended to assist therapists, parents, schools, and practitioners looking to support an individual with selective mutism.

Keywords

• selective mutism
• dramatherapy
• systemic
• behavioral
• attachment
• family
• school/education