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Answer for the clue "Refusal to speak ", 6 letters:
mutism

Alternative clues for the word mutism

Word definitions for mutism in dictionaries

Douglas Harper's Etymology Dictionary Word definitions in Douglas Harper's Etymology Dictionary
"state of being mute," 1824, from French mutisme (1741), from Latin mutus (see mute (adj.)).

The Collaborative International Dictionary Word definitions in The Collaborative International Dictionary
Mutism \Mut"ism\, n. The condition, state, or habit of being mute, or without speech. --Max M["u]ller.

Wiktionary Word definitions in Wiktionary
n. A psychological disorder in which the sufferer cannot speak in certain situations.

WordNet Word definitions in WordNet
n. the condition of being unable or unwilling to speak

Usage examples of mutism.

Predictors, akinetic mutism was very rare, a result of damage to the anterior cin-gulate region of the brain.

The fact that some individuals descend into akinetic mutism whereas others do not just highlights the importance of making a choice.