Working With Voice Disorders

An essential resource for clinicians of varying levels of experience from student to very specializer, "Working with Voice Disorders" provides practical insight and direction into all aspects of voice disorders from assessment and diagnosis to intervention and case management. This second edition retains the successful format of mixing theory and practice, a melding of scientific knowledge with clinical art, which was such a feature of the first edition. In recognition of changes in practice and theory over the past decade, it contains a wealth of new, up-to-date, evidence based material. This blends with a practical approach to clinical efficiencies and management of the voice service. The second edition of "Working with Voice Disorders" provides a sound theoretical framework to this specialism and also offers a rich variety of tried and tested, practical and photocopiable resource material, which is the result of the authors' wide experience, accumulated over several decades in the field of voice therapy. The multi-dimensional structure of the manual allows the clinician to look, not only at specific aspects of patient management, but also at aspects such as clinical effectiveness, clinical efficiencies and service management. The authors' aim is that this resource should provide clinicians with a pragmatic, patient-centred, easy to use and accessible resource, facilitating and informing decision-making along the clinical journey from referral to discharge. The contents of this title include: Anatomy overview; The Spectrum of Voice Disorders; The Case History; Assessment; Treatment Strategies; Management Strategies; Service Provision; Over 50 pages of practical, photocopiable exercises. Photocopiable Appendices: Voice Care Advice; Voice Disorders Summary Chart; Voice Assessment Sheet; Voice Record Sheet; and, Voice Diary.

Drawing on more than ten years' experience with children's voice disorders, the authors five practical advice onthe nature of children's voice problems, ideas for therapy, the aims of intervention and how best to achieve them, as well as an overview of the relevant literature.# Contains ideas for setting up treatment groups, together with case studies and suggestions on how to evaluate therapy and measure outcomes.# Includes ideas for working with groups as well as individuals.# Easily accessible and user-friendly# Contains photocopiable resources for setting up voice groups, including all essential paperwork.Contents:Introduction; Laryngeal and Voice Development in Children; The Origins of Paediatric Dysphonia; Assessment and Evaluation; principles of Therapy and Management; Developing a Programme of Vocal Hygiene for Children; Relaxation and Posture Modification; Breathing for Voice; Voice Therapy techniques; the Group Approach to Therapy and Therapy Evaluation; Appendices.

Now in a fully revised and updated third edition, Working with Voice Disorders offers practical insight and direction into all aspects of voice disorders, from assessment and diagnosis to intervention and case management. Using evidence-based material, it provides clinicians with pragmatic, accessible support, facilitating and informing decision-making along the clinical journey, from referral to discharge. Key features of this resource include: A wealth of new, up-to-date practical and theoretical information, covering topics such as the prevention, assessment, intervention and treatment of a wide spectrum of voice disorders. A multi-dimensional structure, allowing the clinician to consider both specific aspects of patient management and aspects such as clinical effectiveness, clinical efficiencies and service management. Photocopiable clinical resources, from an at-a-glance summary of voice disorders to treatment and assessment protocols, and practical exercises and advice sheets for patients. Sample programmes for voice information groups and teacher workshops. Checklists for patients on topics such as the environmental and acoustic challenges of the workplace. Self-assessed personalised voice review sheets and weekly voice diaries encourage patients to monitor their voice quality and utilise strategies to prevent vocal misuse. Combining the successful format of mixing theory and practice, this edition offers a patient-centred approach to voice disorders in a fully accessible and easy-to-read format and addresses the challenges of service provision in a changing world. This is an essential resource for speech and language therapists of varying levels of experience, from student to specialist.

This book provides a step-by-step guide to understanding and treating psychogenic voice disorder by combining speech and language therapy with skills drawn from the field of cognitive behaviour therapy (CBT). Beginning with a new classification of psychogenic voice disorder, the authors then provide a description of the CBT model and give helpful and systematic guidelines on using this approach in combination with speech and language therapy skills. They provide invaluable guidance on how to extend the standard voice case history to include a psychosocial assessment, and how to apply symptomatic voice therapy principles and techniques for this patient population. Later chapters show how to assess and work with patients suffering from symptoms of anxiety and lowered mood, and how to understand and respond to various forms of psychopathology that may present in association with voice disorder. Finally, detailed case studies illustrate how an experienced therapist might respond to individual assessment and treatment challenges.

The voice is a central part of identity, connection, and communication. As such, the psychological effects of a voice disorder, especially for individuals who use their voices professionally, can be profound and wide-reaching. The second edition of Psychology of Voice Disorders is a guide for healthcare professionals who care for patients dealing with vocal issues, including mental health professionals, speech-language pathologists, physicians, and other members of the medical team. Psychology of Voice Disorders was the first book to offer insights into the psychology of patients with voice disorders, including the interaction between the disorder, treatment, and patient self-esteem. The revised edition builds on the features of the original to provide comprehensive support for professionals treating voice disorders. New to the Second Edition • New coauthor, Johnathan Brandon Sataloff, MD • Three new chapters: o Research Approaches in the Intersection of Voice Disorders and Psychology o Psychiatric Manifestations of Medications Prescribed Commonly in Otolaryngology o Trauma in Voice • A completely rewritten chapter on psychoactive medications and their effects on the voice, providing the most comprehensive overview of the topic available • Updated information on psychological assessment for patients with voice disorders • Revised and expanded chapters covering common medical diagnoses, comorbid psychopathology, special considerations for voice professionals, and psychogenic dysphonia • Added materials on current approaches to assessment and treatment

The "VIP" is a user-friendly, point-in-time assessment tool which provides an 'at a glance' vocal profile for the clinician, voice coach and client. It examines the potential impact of a number of specific factors on the voice: general health; vocal history; vocal health; voice care; vocal status; voice genogram; anxiety and stress; social functioning; vocal demand; and environmental factors, and offers an overview of the theory to support this choice. The questions have been carefully designed to elicit easily-recorded information from the client about a range of factors that are known to affect vocal quality. The tick-box answers then translate into the Vocal Impact Profile, a visual presentation of the areas of greatest impact on voice. In addition to offering a point-in-time profile, the "VIP" may also be used as a template for achieving change in a specific area of vulnerability and provide a robust visual reinforcement of that change over time. It is, therefore, helpful as a therapy-monitoring tool and as an evaluation of client awareness, behavioural change and clinical effectiveness. Self-administered by the client, the questionnaire should take approximately ten to fifteen minutes to complete. The clinician or voice coach enters the responses into the computer programme (supplied on downloadable resources) or transfers them manually on to the hard copy thus offering a clear visual representation of the results. Worked examples of the VIP are included, presenting six clients with very different aetiologies and with a range of vocal problems. These examples clearly demonstrate the value of the Profile and its visual impact. As a clinical tool the "VIP" provides a subjective qualitative measure, which may be used as an adjunct to other assessment procedures. In addition, it provides a concrete method of determining and ordering the factors to be targeted in terms of therapy or voice work. Using the "VIP" should shorten the time necessary for completion of case history in the case of a voice therapy client, and, when used by a voice coach, the profile will identify areas for further discussion. The Profile is not time-sensitive so it may be repeated to evaluate client awareness of vocal change and implementation of agreed strategies. The "VIP" provides the clinician or voice coach with an efficient and effective means of auditing the therapy or coaching process and promotes a holistic partnership model of intervention.

Since this book was first published, four years ago, there has been a considerable upsurge of interest in the field of both normal and abnormal voice production. Tangible evidence of this lies in the publication of the Journal of Voice in the United States, and in the UK the formation of the British Voice Association. This organization has attracted an increasing membership from professionals involved in all aspects of voice care and use - actors and singers, laryngologists and speech therapists, teachers and phoneticians. The Association holds regular study days, holds an annual two-day symposium, and publishes a Newsletter which attracts entries from this broad spectrum of professionals. We have also seen an increase in the number of specialist voice clinics, and in the two final chapters in this book a contrast is presented between such a specialist setting and the more typical clinic that operates in the majority of general hospitals. This last chapter now contains a breakdown of voice referrals over an eight-year period, which must represent a unique published study in this country. There still remains, however, little research into the management of voice disorders. There is clearly a need for more efficacy studies into specific treatment methods, and the single case-study designs developed in the field of aphasia would seem to be appropriate here.