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CSD 316 - Psychogenic Voice Disorders
Test 2
22
Communication
Undergraduate 3
02/20/2013

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Term
psychogenic disorders are generated by what?
Definition
the psyche
Term
what psychological factors contribute to voice problems?
Definition
fear, anxiety, depression, or ambivalence
Term
what is the obvious physical cause of a psychogenic voice disorder?
Definition
there is no obvious cause because it is driven more by the psyche than the structures
Term
when looked at endoscopically, what does the larynx look like in a patient with functional dysphonia?
Definition
normal
Term
what are non-communicative functions like in a patient with functional dysphonia? (ie: coughing, clearing throat, swallowing)
Definition
normal
Term
what is somatization dysphonia?
Definition
reflects a complex disorder requiring multidisciplinary intervention -- this person has a lot going on and needs a lot of people from several specialties to be involved
Term
what is the reason for symptoms in a patient with somatization dysphonia?
Definition
there is no identifiable cause, although they're not inventing the symptoms
Term
what does the larynx look like endoscopically in a patient with functional aphonia?
Definition
normal
Term
what are non-communicative functions like in a person with functional aphonia?
Definition
normal
Term
what does a person with functional aphonia complain about?
Definition
that he/she can't use the voice for communication
Term
how do we treat functional aphonia?
Definition
quick fix - start out by having the patient cough and stretch it out into a vowel and then go from there
Term
functional aphonia can arise from what?
Definition
a long time of laryngitis or after long periods of vocal rest
Term
some cases of functional aphonia may represent what?
Definition
more serious hidden conflicts
Term
when someone is hiding more serious conflicts through functional aphonia, what does the SLP need to do?
Definition
gentle probing followed by referral to psychology or psychiatry which may be important for recovering voice use
Term
is conversational aphonia malingering?
Definition
no!!
Term
does functional aphonia affect more men or women?
Definition
women
Term
what is puberphonia or mutational falsetto?
Definition
a male with an adult sized larynx using an inappropriately high pitched voice for speech
Term
what causes puberphonia?
Definition
psychological concerns/underlying issues - (EG: abused as a child
Term
what are non-communication functions like in a person with puberphonia?
Definition
normal
Term
how do we treat puberphonia?
Definition
we extend the client's cough to show them that their voice can be in the normal range -- this is a short term treatment
Term
functional disorders include what two things?
Definition
muscular tension dysphonia and psychogenic dysphonia
Term
what three types of voice disorders can overlap?
Definition
organic, functional, and neurogenic
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