| Term | Definition |
|---|
| Psychogenic Voice Disorder | Largely caused or perpetuated by emotional conflict. This emotional conflict is converted into physical symptoms. It manifests through musculskeletal tension and hyperkinetic behaviours. Untreated it can give rise to laryngeal pathology |
| Aronson (1990) | The extrinsic and intrinsic laryngeal muscles are exquisitely sensetive to emtional stress and their hyper contraction is the common denomenator in virtually all PVDs |
| Simple definition of PVD | A dysphonia or an aphonia where the causative and perpetuating factors are largely psychological or emotional conflict |
| Why psychological Evalutaion | Diagnosis not solely on exclusion of laryngeal pathology, psychological, causative and perpetuating factors can be identified, can guage the degree to which psychological factors influence muscle tension |
| Common features in PVD | Female, family, Helplessness, Expression, Responsibility, Psychological (not acute) Supression, Stress |
| Three different types of PVD | Classic hysterical conversion, cog. behav. conversion, psychogenic habitutated |
| The most common type of PVD | Type 2: Cognitive behavioural conversion - Stress converted into a physical symptom, created and retained by supression (so still relatively close to the surface) primary gains - avoids consequence of expressing thoughts and feelings, secondary gains -rarely provide significant compensation. Approx 95% of PVDs are type 2. This type of PVD responds well to both SLT and CBT |
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