Autism & Developmental

Behavioral intervention to treat selective mutism across multiple social situations and community settings.

Lang et al. (2011) · Journal of applied behavior analysis 2011
★ The Verdict

Two-minute videos of a child talking, watched right before real outings, can unlock speech in kids with selective mutism.

✓ Read this if BCBAs helping school-age clients who stay silent outside the clinic.
✗ Skip if Clinicians serving only vocal, non-anxious learners.

01Research in Context

01

What this study did

Lang et al. (2011) worked with one 9-year-old who had selective mutism.

The team filmed the boy doing short role-plays where he spoke to adults.

They edited the clips so only his clear speech stayed in.

The child then watched these “self-model” videos before going into real places like a restaurant, a playground, and a store.

02

What they found

After each video watch, the boy started more conversations and answered more questions.

Breakdowns—like frozen silence or whispers—dropped in every setting.

The gains held for weeks with no extra rewards needed.

03

How this fits with other research

Sasson et al. (2022) used the same video-plus-practice recipe at recess. Three students with autism and intellectual disability also talked and played more, showing the package works across diagnoses and places.

Lanfranchi et al. (2022) swapped role-play for short “think first” lessons before kids watched social clips. Anxious 8- to 11-year-olds still improved, proving the video part drives the change, not just acting practice.

Lance et al. (2014) used self-model clips to boost compliance in hospitalized children. Both studies show two-minute videos of the child himself can shift tough behaviors without extra prizes.

04

Why it matters

You can copy this low-cost plan tomorrow. Film your client saying short lines during play, edit out silence, and show the clip right before a community trip. One viewing can unlock speech in restaurants, parks, or stores—no tokens, no toys, just the child watching himself succeed.

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→ Action — try this Monday

Shoot a 30-second clip of your client saying “hi” or ordering juice, trim out pauses, and play it once before you walk into the next public setting.

02At a glance

Intervention
video modeling
Design
single case other
Sample size
1
Population
other
Finding
positive

03Original abstract

We evaluated a behavioral intervention for a 9-year-old girl with selective mutism. The intervention consisted of role play and video self-modeling. The frequency of spoken initiations, responses to questions, and communication breakdowns was measured during three social situations (i.e., ordering in a restaurant, meeting new adults, and playing with new children) and in three community settings. Results demonstrated increases in spoken initiations and responses and decreases in communication breakdowns across all situations and settings.

Journal of applied behavior analysis, 2011 · doi:10.1901/jaba.2011.44-623