ELECTIVE MUTISM AND MENTAL-RETARDATION

The association of elective mutism and mental retardation is noted. Tw o cases of elective mutism associated with mental retardation are pres ented. Both individuals had long-standing patterns of inhibition, shyn ess, and anxiety manifested by general refusal to talk outside the hom e, particularly at school. The importance of assessment of intellectua l functioning and linguistic skills for the establishment of intervent ion priorities and clinical management is discussed. The possibility o f the presence of mental retardation in individuals with elective muti sm should be considered.