Psychogenic Voice Disorders Literature Review, Personal Experiences with Opera Singers and Case Report of Psychogenic Dysphonia in Opera Singer

Clarós Pedro,Karlikowska Agata,Clarós-Pujol Astrid

doi:10.23937/2643-4059/1710015

Abstract

Psychogenic Voice Disorders Literature Review, Personal Experiences with Opera Singers and Case Report of Psychogenic Dysphonia in Opera Singer

Highlights

IntroductionA voice disorder is diagnosed when quality of voice, loudness or pitch of sound is insufficient for communication or inappropriate for person’s age, gender or cultural background [1].According to American Speech-Language-Hearing Association (ASHA) voice disorder is present when the patient is having concerns about his voice even if others do not perceive it as abnormal [2].Organic speech or voice disorder has structural or neurological components that cause the speech disturbance (e.g. vocal nodules, polyps, hematoma of vocal folds, structural changes in the larynx due to aging, vocal tremor, spasmodic dysphonia, or paralysis of vocal folds, among others).On the contrary, a functional speech disorder is a voice impairment that is caused by underlying psychological process with no organic pathology (or a non-severe one which doesn’t justify the intensity of the symptoms) of the vocal folds not associated with neurological illness, or if the vocal folds lesions are secondary to the functional disorder.This group could be divided into two subgroups of pathologies: Muscle tension voice disorder (MVD) and psychogenic voice disorder (PVD) [3].Muscle tension voice disorder ( called hyperfunctional voice disorder) is a phonation impairment which develops over time due to psychological process which causes disbalance of phonatory muscles
A functional speech disorder is a voice impairment that is caused by underlying psychological process with no organic pathology of the vocal folds not associated with neurological illness, or if the vocal folds lesions are secondary to the functional disorder
This group could be divided into two subgroups of pathologies: Muscle tension voice disorder (MVD) and psychogenic voice disorder (PVD) [3]

Summary

Introduction

A voice disorder is diagnosed when quality of voice, loudness or pitch of sound is insufficient for communication or inappropriate for person’s age, gender or cultural background [1].According to American Speech-Language-Hearing Association (ASHA) voice disorder is present when the patient is having concerns about his voice even if others do not perceive it as abnormal [2].Organic speech or voice disorder has structural or neurological components that cause the speech disturbance (e.g. vocal nodules, polyps, hematoma of vocal folds, structural changes in the larynx due to aging, vocal tremor, spasmodic dysphonia, or paralysis of vocal folds, among others).On the contrary, a functional speech disorder is a voice impairment that is caused by underlying psychological process with no organic pathology (or a non-severe one which doesn’t justify the intensity of the symptoms) of the vocal folds not associated with neurological illness, or if the vocal folds lesions are secondary to the functional disorder.This group could be divided into two subgroups of pathologies: Muscle tension voice disorder (MVD) and psychogenic voice disorder (PVD) [3].Muscle tension voice disorder ( called hyperfunctional voice disorder) is a phonation impairment which develops over time due to psychological process which causes disbalance of phonatory muscles. A functional speech disorder is a voice impairment that is caused by underlying psychological process with no organic pathology (or a non-severe one which doesn’t justify the intensity of the symptoms) of the vocal folds not associated with neurological illness, or if the vocal folds lesions are secondary to the functional disorder. This group could be divided into two subgroups of pathologies: Muscle tension voice disorder (MVD) and psychogenic voice disorder (PVD) [3].

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