By Peter Butcher, Annie Elias, Lesley Cavalli
This e-book offers a step by step advisor to realizing and treating psychogenic voice illness through combining speech and language remedy with talents drawn from the sector of cognitive behaviour treatment (CBT).Beginning with a brand new category of psychogenic voice disease, the authors then supply an outline of the CBT version and provides worthwhile and systematic directions on utilizing this process together with speech and language remedy abilities. they supply necessary assistance on easy methods to expand the normal voice case background to incorporate a psychosocial overview, and the way to use symptomatic voice remedy ideas and strategies for this sufferer population.Later chapters exhibit the right way to examine and paintings with sufferers struggling with signs of hysteria and diminished temper, and the way to appreciate and reply to quite a few varieties of psychopathology which may found in organization with voice affliction. eventually, specified case experiences illustrate how an skilled therapist may well reply to person evaluate and remedy demanding situations.
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Additional resources for Understanding and Treating Psychogenic Voice Disorder: A CBT Framework (Wiley Series on Human Communication)
Example text
Secondary gains exist as a consequence of the voice disorder, for example, avoiding responsibilities or gaining the solicitous and caring behaviour of others. There are some partial primary gains for Type 2, namely the person avoids the feared consequences of expressing true feelings. However, because the conflict is only inhibited or suppressed, the person continues to experience the anxiety. Furthermore, the voice disorder itself tends to cause additional anxiety and any secondary gains rarely provide significant compensation.
He reported improvements in his singing immediately; he no longer felt vocal strain or discomfort and was able to negotiate pitch changes in his music more easily. There continued to be features of harshness and slightly increased loudness in Jim’s speaking voice but he felt further improvement was down to him practising. The therapist felt that a true resolution of the dysphonia was unlikely since Jim was not keen to commit to more voice therapy sessions. A laryngostroboscopic review in the voice clinic, three months after Jim’s initial voice therapy assessment revealed a marked improvement with almost normal vocal folds.
2 ¼ suppressing but can only assume something very conflicting is occurring for the person to be caught up in the act of repression. It must be stressed here – as an extension of Freud’s initial formulation – that modern day psychoanalysts believe that the conflict may involve unacceptable feelings other than sex and aggression. The case of Joan (see earlier case study, page 10 and Chapter 10, pages 178–80) is a good example. The evidence indicated that what she was repressing when the dysphonia began was not sexual or aggressive feelings.
