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Psychogenic voice disorder unresponsive to speech therapy: Psychological characteristics and cognitive‐behaviour therapy
Author(s) -
Butcher Peter,
Elias Annie,
Raven Ruth,
Yeatman Jenny,
Littlejohns David
Publication year - 1987
Publication title -
international journal of language and communication disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.101
H-Index - 67
eISSN - 1460-6984
pISSN - 1368-2822
DOI - 10.3109/13682828709088690
Subject(s) - psychology , psychogenic disease , anxiety , psychotherapist , speech therapy , psychosocial , feeling , assertiveness , voice therapy , cognitive restructuring , cognition , clinical psychology , interpersonal communication , muscle tension , cognitive therapy , psychiatry , physical therapy , audiology , medicine , social psychology
An exploration was undertaken of the psychological characteristics of 19 patients with psychogenic voice disorders who failed to respond to standard methods of speech therapy. Excessive anxiety, musculoskeletal tension and difficulties in expressing feelings or being assertive were common, usually associated with unsatisfactory interpersonal relationships, especially with members of the family. Fifteen were offered psychological therapy, 14 being offered joint therapy with a speech therapist and a psychologist employing a cognitive‐behavioural approach. Of the 12 who participated in the co‐therapy programme, six improved both in their voice and psychosocial adjustment.