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    Reduction or Elimination of Specific Hyperfunctional Vocal Behaviours

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    This document discusses voice disorders associated with vocal hyperfunction. It notes there is debate around whether effective treatment requires counseling or psychotherapy in addition to voice therapy techniques. While a supportive therapeutic relationship is important, research evidence for the efficacy of counseling and psychotherapy is limited. The document advises clinicians to be alert to potential psychological contributors like personality traits, stress, dysfunctional relationships, or emotional disturbances that could prevent a client from changing vocal behaviors. In such cases, addressing the underlying psychological factors may be necessary, possibly through referral to a mental health professional. Traditional voice therapy approaches aim to reduce or eliminate specific hyperfunctional vocal behaviors through identification, education, self-monitoring, and positive reinforcement.

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    Reduction or Elimination of Specific Hyperfunctional Vocal Behaviours

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    This document discusses voice disorders associated with vocal hyperfunction. It notes there is debate around whether effective treatment requires counseling or psychotherapy in addition to voice therapy techniques. While a supportive therapeutic relationship is important, research evidence for the efficacy of counseling and psychotherapy is limited. The document advises clinicians to be alert to potential psychological contributors like personality traits, stress, dysfunctional relationships, or emotional disturbances that could prevent a client from changing vocal behaviors. In such cases, addressing the underlying psychological factors may be necessary, possibly through referral to a mental health professional. Traditional voice therapy approaches aim to reduce or eliminate specific hyperfunctional vocal behaviors through identification, education, self-monitoring, and positive reinforcement.

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    This document discusses voice disorders associated with vocal hyperfunction. It notes there is debate around whether effective treatment requires counseling or psychotherapy in addition to voice therapy techniques. While a supportive therapeutic relationship is important, research evidence for the efficacy of counseling and psychotherapy is limited. The document advises clinicians to be alert to potential psychological contributors like personality traits, stress, dysfunctional relationships, or emotional disturbances that could prevent a client from changing vocal behaviors. In such cases, addressing the underlying psychological factors may be necessary, possibly through referral to a mental health professional. Traditional voice therapy approaches aim to reduce or eliminate specific hyperfunctional vocal behaviors through identification, education, self-monitoring, and positive reinforcement.

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    37 views1 page

    Reduction or Elimination of Specific Hyperfunctional Vocal Behaviours

    Uploaded by

    San
    This document discusses voice disorders associated with vocal hyperfunction. It notes there is debate around whether effective treatment requires counseling or psychotherapy in addition to voice therapy techniques. While a supportive therapeutic relationship is important, research evidence for the efficacy of counseling and psychotherapy is limited. The document advises clinicians to be alert to potential psychological contributors like personality traits, stress, dysfunctional relationships, or emotional disturbances that could prevent a client from changing vocal behaviors. In such cases, addressing the underlying psychological factors may be necessary, possibly through referral to a mental health professional. Traditional voice therapy approaches aim to reduce or eliminate specific hyperfunctional vocal behaviors through identification, education, self-monitoring, and positive reinforcement.

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    Voice disorders associated with hyperfunction 123

    versy as to whether effective management of hyperfunctionally related


    voice problems requires approaches such as affective counselling or
    psychotherapy. It is widely accepted that a therapeutic relationship charac-
    terized by empathy, active listening, and encouragement on the part of the
    clinician is associated with effective intervention (Rollin, 1987; Wilson,
    1987; Aronson, 1990; Stemple et al., 1995a), but whether or not successful
    intervention requires a psychological approach is not clear. Research
    evidence which demonstrates the efficacy of counselling and
    psychotherapy for clients with hyperfunctional voice disorders is scarce
    (see for example, Mosby, 1970, 1972) and the majority of authors focus on
    voice therapy techniques rather than psychological interventions in their
    recommendations for management of clients with these voice disorders
    (e.g. Boone and McFarlane, 1994; Stemple et al., 1995a; Colton and Casper,
    1996). Nevertheless, clinicians are advised to be alert to the possibility that
    personality characteristics, emotional reactions to life stressors, dysfunc-
    tional interpersonal relationships and emotional disturbances may prevent
    the client from being able to change their vocal behaviours (Brodnitz, 1981;
    Rollin, 1987; Roy et al., 1997a). This may occur, for example, when a child’s
    vocal hyperfunction is a response to disturbed family relationships (Wilson,
    1987; Andrews, 1991; Morrison and Rammage, 1994). In such cases, the
    clinician will need to address the psychological contributors underlying
    vocal hyperfunction and referral to mental health professionals may be
    required. A more extensive discussion of the role of the psychological
    approach to voice therapy is provided in Chapter 8 of this book.

    Reduction or elimination of specific hyperfunctional vocal


    behaviours
    A traditional intervention approach for voice disorders related to vocal
    hyperfunction has been to employ a behaviour modification programme
    to eliminate specific hyperfunctional behaviours such as yelling, loud
    talking and speaking with hard glottal attack. Such programmes typically
    involve identification of hyperfunctional behaviours and the situations in
    which those behaviours occur, educating the client about the rationale for
    reduction of hyperfunction, teaching the client to recognize when they are
    using hyperfunctional voicing, collecting baseline data on the frequency of
    each behaviour, self-monitoring and regular charting or graphing of the
    incidence of hyperfunctional behaviours, and providing positive reinforce-
    ment or rewards for reductions in those behaviours. Examples of such
    behavioural programmes include Boone’s ‘Voice Program for Children’
    (Boone, 1993), Johnson’s ‘Vocal Abuse Reduction Program’ (Johnson,
    1985a) and Wilson’s ‘10-step Outline for Voice Abuse’ (Wilson, 1987).

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