Diagnosis and Treatment for the Professional Singer

2013 ◽  
Vol 23 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Brian E. Petty

Experts use the term “professional voice users” to denote the segment of the population for whom the voice is used as a primary tool of their occupation. In the United States, this term applies to a staggering 25–35% of the national workforce (Titze, Lemke, & Montequin, 1997; Wingate, Brown, Shrivastav, Davenport, & Sapienza, 2007). Professional singers are a highly visible and specialized cohort within the population of professional voice users and can present an unusual but not insurmountable challenge for physicians and speech-language pathologists charged with their voice care.

Author(s):  
Melissa A. Pierce

In countries other than the United States, the study and practice of speech-language pathology is little known or nonexistent. Recognition of professionals in the field is minimal. Speech-language pathologists in countries where speech-language pathology is a widely recognized and respected profession often seek to share their expertise in places where little support is available for individuals with communication disorders. The Peace Corps offers a unique, long-term volunteer opportunity to people with a variety of backgrounds, including speech-language pathologists. Though Peace Corps programs do not specifically focus on speech-language pathology, many are easily adapted to the profession because they support populations of people with disabilities. This article describes how the needs of local children with communication disorders are readily addressed by a Special Education Peace Corps volunteer.


2020 ◽  
Vol 09 ◽  
Author(s):  
Nataly S. Beck ◽  
Melanie L. Lean ◽  
Kate V. Hardy ◽  
Jacob S. Ballon

Background: The typical age of onset for psychotic disorders is concurrent with the typical age of enrollment in higher education. College and graduate students often experience new academic and social demands that may leave them vulnerable to substance use and mental health problems, including the initial onset of a psychotic episode. Objective: To provide a current overview of the guidelines and literature for the diagnosis and treatment of first-onset psychosis with special consideration for the college and graduate student population in the United States. To highlight areas of need and provide recommendations for clinicians who work at educational institutions and their health services, along with general psychiatrists and psychologists who work with post-secondary education populations, to help close the treatment gap. Method: A review of interventions and best practice for the treatment of early psychosis in college students was conducted, informed by the authors’ current experience as clinicians with this population at a United States university. Results: Thorough psychiatric interviews and screening tools can help in the early identification of individuals at clinical high risk for and at first onset of psychosis. Coordinated specialty care services are the gold standard for early psychosis services, including psychotherapy (such as cognitive behavioral therapy and individual resiliency training), as well as support for a student to return to school or work. Individuals experiencing a first episode of psychosis in general respond better to lower doses of antipsychotics and may also experience more adverse effects. Conclusion: Return to a high level of functioning is possible in many cases of first onset of psychosis, and early identification and treatment is essential.


Author(s):  
Celine Parreñas Shimizu

Transnational films representing intimacy and inequality disrupt and disgust Western spectators. When wounded bodies within poverty entangle with healthy wealthy bodies in sex, romance and care, fear and hatred combine with desire and fetishism. Works from the Philippines, South Korea, and independents from the United States and France may not be made for the West and may not make use of Hollywood traditions. Rather, they demand recognition for the knowledge they produce beyond our existing frames. They challenge us to go beyond passive consumption, or introspection of ourselves as spectators, for they represent new ways of world-making we cannot unsee, unhear, or unfeel. The spectator is redirected to go beyond the rapture of consuming the other to the rupture that arises from witnessing pain and suffering. Self-displacement is what proximity to intimate inequality in cinema ultimately compels and demands so as to establish an ethical way of relating to others. In undoing the spectator, the voice of the transnational filmmaker emerges. Not only do we need to listen to filmmakers from outside Hollywood who unflinchingly engage the inexpressibility of difference, we need to make room for critics and theorists who prioritize the subjectivities of others. When the demographics of filmmakers and film scholars are not as diverse as its spectators, films narrow our worldviews. To recognize our culpability in the denigration of others unleashes the power of cinema. The unbearability of stories we don’t want to watch and don’t want to feel must be borne.


1991 ◽  
Vol 19 (2) ◽  
pp. 38-48
Author(s):  
David S. Wiley

Late in the 1980s, several major U.S. private foundations concluded that the concern for Africa in the country was weak. This weakness was reflected in the faint focus on U.S. foreign policy toward Africa in all three branches of government, in the halting voice for Africa or for U.S. interests there in the non-governmental organizations (think-tanks, religious organizations, lobbies), and in the small concern for U.S. policy or for affecting it in the African studies scholarly community. Indeed, the voice for Africa in the United States was neither strong nor effective.


2006 ◽  
Vol 13 ◽  
pp. 1-16 ◽  
Author(s):  
David J. Silva

Abstract. Acoustic data elicited from 34 native speakers of Korean living in the United States pro-vide evidence for diachronic change in the voice onset time (VOT) of phrase-initial aspirated and lax stop phonemes. While older speakers produce aspirated and lax stops with clearly differentiated average VOT values, many younger speakers appear to have neutralized this difference, producing VOTs for aspirated stops that are substantially shorter than those of older speakers, and comparable to those for corresponding lax stops. The data further indicate that, within each age group, older speakers manifest sex-based differences in VOT while younger speakers do not. Despite this appar-ent shift in VOT values, the acoustic evidence suggests that all speakers in this study, regardless of age, continue to mark underlying differences between aspirated and lax stops in terms of stop closure and the fundamental frequency of the following vowel. It is concluded that the data point to a recent phonetic shift in the language, whereby VOT no longer serves as the primary cue to differentiate between lax and aspirated stops. There is not, however, evidence of any reorganization of the lan-guage as the phonemic level: the language's underlying lax ~ aspirated ~ tense contrasts endure.


Author(s):  
Michael Root

Racial categories are used in the biomedical sciences both at the population and individual level. At the population level, race is used in fields like epidemiology, to describe and explain variations in the rate or risk of morbidity and mortality within the United States, and at the individual level, race is used in the hospital and clinic, in the diagnosis and treatment of disease. Both uses are controversial and raise questions about the nature and importance of racial categories, such as which uses benefit individuals and which benefit groups.


2018 ◽  
Vol 36 (5) ◽  
pp. 483-491 ◽  
Author(s):  
Paul D. Brown ◽  
Manmeet S. Ahluwalia ◽  
Osaama H. Khan ◽  
Anthony L. Asher ◽  
Jeffrey S. Wefel ◽  
...  

An estimated 20% of patients with cancer will develop brain metastases. Approximately 200,000 individuals in the United States alone receive whole-brain radiotherapy (WBRT) each year to treat brain metastases. Historically, the prognosis of patients with brain metastases has been poor; however, with new therapies, this is changing. Because patients are living longer following the diagnosis and treatment of brain metastases, there has been rising concern about treatment-related toxicities associated with WBRT, including neurocognitive toxicity. In addition, recent clinical trials have raised questions about the use of WBRT. To better understand this rapidly changing landscape, this review outlines the treatment roles and toxicities of WBRT and alternative therapies for the management of brain metastases.


2012 ◽  
Vol 45 (02) ◽  
pp. 343-345
Author(s):  
Sebastian Bruns

On a foggy Monday morning in late September 2010 in Kiel, Germany, I received a phone call from Berlin. “Do you have any plans for November through summer of next year?” the voice inquired. One of the two German Marshall Fund congressional fellows for the 2010–2011 round had suddenly dropped out and a replacement was needed. The call came five months after I had been initially rejected for the fellowship, and while my life had certainly moved on (I had begun work on my PhD dissertation at the University of Kiel and had expected to stay in Northern Germany for two or three years), I quickly regained my composure, asked for time to discuss this with my dissertation director as well as with my parents, and shortly thereafter accepted the selection. Exactly how I managed to cram the amount of work required for moving overseas into four weeks instead of the usual four to six months remains blurry. Eventually, however, I was able to tie up the loose ends in Germany, get the appropriate work visa for the United States, and even participate in a prestigious, long-planned naval reserve exercise that the German Navy's chief of naval operations had invited me to attend.


Prospects ◽  
1992 ◽  
Vol 17 ◽  
pp. 459-473
Author(s):  
Patrick O'Donnell

The facts are these: some time on the early morning of July 20, 1976, Gary Gilmore, barely three months after his release from a twelveyear sentence for armed robbery served in the federal penitentiary at Marion, Illinois, drove into a gas station in Provo, Utah, robbed Max Jensen, the station attendant, and demanded that he lie facedown on the ground. Gilmore then fired twice into Jensen's head at point-blank range with an automatic pistol; Jensen died immediately. In the evening, fourteen or fifteen hours after the first murder, Gilmore drove into a motel situated next door to the house of his relatives, Vern and Ida Damico, who had given Gilmore refuge and found him a job upon his release from prison. Gilmore demanded money from Benny Bushnell, the owner of the motel, asked him to lie face-down on the floor, and then pumped one bullet into his head; Gilmore had intended to shoot him twice, but his gun jammed, and it was several hours before Bushnell would die of his wounds. One day later, Gilmore was arrested for the murder of Benny Bushnell. He was tried and found guilty of murder in the first degree and sentenced to death: his choice of death was by firing squad. Though his mother and the American Civil Liberties Union attempted to block the execution, Gilmore demanded that the state of Utah carry out the sentence. On January 17, 1977, he was shot to death by a team of four handpicked riflemen, in the first public execution to have taken place in the United States in over a decade.


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