Psychotherapy versus Voice Therapy for a Child with a Deviant Voice, a Case Study

1970 ◽  
Vol 30 (3) ◽  
pp. 887-891 ◽  
Author(s):  
Doris P. Mosby
Keyword(s):  
Social Interactions ◽  
Vocal Cord ◽  
Voice Therapy ◽  
Voice Change ◽  
Personality Functioning ◽  
The Voice ◽  
Voice Problem ◽  
Insight Into

A case study is presented of a boy, age 10–11, who had a “severe voice problem” characterized by hoarseness, stridency, tension, low pitch and the presence of vocal cord nodules. He proved resistive to traditional voice therapy techniques in two separate blocks of voice therapy. Only minimal changes were made initially in psychotherapy alone. Nodules continued to recur. However, the modest gains initiated in psychotherapy became more marked in a second block of psychotherapy. The voice therapy alone did not produce such consistent gains. A discernible voice change in the range of normal quality was noted. Behavior became characterized by less manifest tension and diminished aggression in overt acts. Self-insight into how the voice was used aggressively in social interactions was developed. At an ENT examination 4 mo. after termination of psychotherapy, no vocal-cord nodules were found. At an interview follow-up 13 mo. after psychotherapy, personality functioning appeared to be adequate. It is suggested that (1) psychotherapy may be the preferred method of treatment for functional voice deviations which are resistive to the “usually successful” voice therapy and (2) voice therapy in conjunction with psychotherapy seems to yield lasting improvement in both the voice and the behavior of a client.

scholarly journals The Implementation of Visual Comfort Evaluation in the Evidence-Based Design Process Using Lighting Simulation

2021 ◽  
Vol 11 (11) ◽  
pp. 4982
Author(s):  
Anahita Davoodi ◽  
Peter Johansson ◽  
Myriam Aries
Keyword(s):  
Performance Metrics ◽  
Analysis Data ◽  
Evidence Based ◽  
Visual Comfort ◽  
Simulation Tools ◽  
Post Occupancy Evaluation ◽  
Lighting Simulation ◽  
Insight Into

Validation of the EBD-SIM (evidence-based design-simulation) framework, a conceptual framework developed to integrate the use of lighting simulation in the EBD process, suggested that EBD’s post-occupancy evaluation (POE) should be conducted more frequently. A follow-up field study was designed for subjective–objective results implementation in the EBD process using lighting simulation tools. In this real-time case study, the visual comfort of the occupants was evaluated. The visual comfort analysis data were collected via simulations and questionnaires for subjective visual comfort perceptions. The follow-up study, conducted in June, confirmed the results of the original study, conducted in October, but additionally found correlations with annual performance metrics. This study shows that, at least for the variables related to daylight, a POE needs to be conducted at different times of the year to obtain a more comprehensive insight into the users’ perception of the lit environment.

scholarly journals Using Compassionate Mind Training as a Resource in EMDR: A Case Study

2013 ◽  
Vol 7 (4) ◽  
pp. 186-199 ◽  
Author(s):  
Elaine Beaumont ◽  
Caroline J. Hollins Martin
Keyword(s):  
Depression Scale ◽  
Self Report ◽  
Discussion Section ◽  
Self Compassion ◽  
Compassion Scale ◽  
Mind Training ◽  
Current Signature ◽  
Insight Into

This case study examines the contribution of compassionate mind training (CMT) when used as a resource in the eye movement desensitization and reprocessing (EMDR) treatment of a 58-year-old man, who presented after a recent trauma with psychological distress and somatic symptoms—an inability to sign his name. Self-report questionnaires (Hospital Anxiety and Depression Scale [HADS], Impact of Events Scale-R [IES-R], and Self-Compassion Scale [SCS]) were administered at pretherapy, midtherapy, posttherapy, and 9-month follow-up. EMDR with CMT facilitated recall of forgotten memories about his sister’s traumatic death decades previously, with related emotions of shame and grief, creating insight into how these past events linked to his current signature-signing phobia. Eight sessions of therapy resulted in an elimination of the client’s signature-signing phobia and a reduction in trauma-related symptoms, elevation in mood, and increase in self-compassion. Effects were maintained at 9-month follow-up. The “Discussion” section highlights the value of working collaboratively with clients to best meet their individual needs.

EMDR in the Treatment of Adolescent Obsessive-Compulsive Disorder: A Case Study

2018 ◽  
Vol 12 (4) ◽  
pp. 242-254
Author(s):  
Angela Cusimano
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Stress Disorder ◽  
Current Level ◽  
Practice Setting ◽  
Large Effect Size ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Insight Into

Most of the empirical evidence supporting the efficacy of eye movement desensitization and reprocessing (EMDR) has been with individuals suffering from posttraumatic stress disorder (PTSD). This case study reports on the successful treatment of obsessive-compulsive disorder (OCD) in a 13-year-old male using the standard three-pronged approach of EMDR in a private practice setting. The current protocol addressed the initial touchstone event, the current level of distress related to that event, as well as anticipation and planning for future feared events. The participant received 15 sessions of EMDR. At 90-day posttreatment follow-up, there was a substantial decrease in OCD symptoms (from moderate to subclinical) as measured by the Children’s Yale-Brown Obsessive–Compulsive Scale, indicating a large effect size (d = 0.81). The current study provides insight into treating OCD in adolescence and how using the three-pronged approach (past, present, and future) of EMDR can be an effective tool. Study limitations and suggestions for future clinical research are discussed.

scholarly journals Early Diagnosis of Autism in the United Arab Emirates: Autism Knowledge and Attitudes Among Primary Healthcare Providers in Ras Al Khaimah

2020 ◽  
Author(s):  
Agata Wentz
Keyword(s):  
Social Interactions ◽  
United Arab Emirates ◽  
Neurodevelopmental Disorder ◽  
Healthcare Providers ◽  
Repetitive Behaviors ◽  
Warning Signs ◽  
Pediatric Healthcare ◽  
Primary Healthcare Providers ◽  
Insight Into

Autism is a lifelong neurodevelopmental disorder that is characterized by impaired social interactions, verbal and nonverbal communication, and stereotyped, repetitive behaviors. While the Autism prevalence in the United Arab Emirates (UAE) is comparable to that observed in other countries, children in the UAE are being diagnosed later as their conditions are not being detected by the available pediatric healthcare oversight protocols or being reported by parents. Pediatricians and parents are at the best vantage point to spot the earliest warning signs of autism. If the disorder is detected in its infancy, early intervention programs can help ameliorate the symptoms significantly. This study provides insight into the important issues impacting autism’s early detection in the UAE, using the emirate of Ras Al Khaimah as a case study to better understand and mitigate local phenomena that might be delaying diagnosis, negatively impacting the future of autistic children and their families.

scholarly journals A study of the voice therapy of vocal cord nodules.

1987 ◽  
Vol 90 (9) ◽  
pp. 1387-1401 ◽  
Author(s):  
YOSHIE YOTSUKURA
Keyword(s):  
Vocal Cord ◽  
Voice Therapy ◽  
The Voice

scholarly journals Ayurvedic Management of Subepithelial Vocal Cord Cyst: A Case Study

2020 ◽  
Author(s):  
Sundara Raman ◽  
S Aswathy Krishna ◽  
BN Ashwini ◽  
K Sivabalaji
Keyword(s):  
Vocal Cord ◽  
Vocal Fold ◽  
Single Case ◽  
Medical Science ◽  
Surgical Excision ◽  
Vocal Folds ◽  
Voice Therapy ◽  
High Pitch ◽  
Repeat Endoscopy

Vocal fold cysts, otherwise called as vocal cord cyst, are benign masses formed on the membranous vocal folds. Present line of treatment in contemporary medical science is surgery followed by supplementary voice therapy. There are high chances of recurrence of the cyst after surgical excision. This report deals with a single case which was effectively managed with ayurvedic intervention. A 38-year-old female patient presented with hoarseness of voice, difficulty to produce high pitch notes, variations in pitch while talking. Rigid endoscopy was done and there was presence of solitary subepithelial vocal fold cyst in the middle of larynx. Treatment was done with Amapachana with Swasamrutam capsule and gorochanadi, two tablets twice daily after food. Snehapana with Varanadighrita + Guggulutikthaka ghrita in arohana matra for 4 days; Abhyanga and bashpasweda for 1 day; Virechana with TrivrtChurna 20 gm given at 7 am; Nasya with Anuthaila for 7 days; Matravasti with Sahacharadi Mezhukupakam 60 mL for 5 days. The hoarseness of voice and voice clarity improved on completion of the treatment. A repeat endoscopy showed that the cyst was no longer present. Subepithelial vocal cord cyst can be effectively managed with ayurvedic intervention principles of amapachana, agnideepana and ojovardhana.

scholarly journals University’s Catalytic Effect in Engendering Local Development Drives: Insight into the Instrumentality of Community-Based Service Learning

2019 ◽  
Vol 12 (3) ◽  
pp. 22
Author(s):  
Marcellus Mbah ◽  
Charles Fonchingong
Keyword(s):  
Service Learning ◽  
Local Development ◽  
Short Term ◽  
Community Based ◽  
Instrumental Case Study ◽  
Depth Interviews ◽  
Insight Into ◽  
Relevant Education

The context of this paper is Africa, where communities have historically looked up to universities within their locality to maximize their intellectual capital and knowledge creation to foster regional development. How well these universities are actively responding to the demands of economic and social development require attention. This paper reports an instrumental case study involving in-depth interviews and focus groups within a bounded locality in Cameroon to address what universities can do to enhance their contribution to local development. Findings suggest that whilst a university’s community-based service learning (CBSL) scheme can be ascertained as an instrument that can engender local development, this requires the fostering of relevant education for informed participation of different stakeholders in the framing but also firming up of CBSL objectives and processes. Furthermore, in order to optimize the prospect for local development instigated by CBSL activities, relevant stakeholders should go beyond short-term planning and adopt futuristic sustainable strategies. There is need to promote deeper dissemination, as well as follow-up on field findings for sustained implementation and outcomes.

scholarly journals Stroboscopy: an evolving tool for voice analysis in vocal cord pathologies

2017 ◽  
Vol 3 (4) ◽  
pp. 927 ◽  
Author(s):  
Sneha D. Rajput ◽  
Mittal J. Poriya
Keyword(s):  
Vocal Cord ◽  
Preoperative Evaluation ◽  
Neck Surgery ◽  
Significant Difference ◽  
Reinke’S Edema ◽  
Common Causes ◽  
Almost All ◽  
Laryngeal Anatomy ◽  
The Voice

<p class="abstract"><strong>Background:</strong> Benign vocal fold disease, such as vocal polyp, vocal nodule, intracordal cyst or Reinke’s edema is one of the most common causes which deteriorate the voice. Since 1854 when Manuel Garcia first observed the movement of his own vocal cords using a laryngeal mirror and sunlight as the light source, a number of techniques for demonstrating laryngeal anatomy have evolved. Preoperative evaluation of these lesions initially by indirect laryngoscopy or direct rigid laryngoscopy, gave way to the use of transnasal flexible fibreoptic endoscopy in the eighties. The introduction of the video stroboscope into Otorhinolaryngology practice has revolutionized the assessment of vocal cord pathology.</p><p class="abstract"><strong>Methods:</strong> The present study includes a 50 cases of subjects with complain of change of voice coming at department of E.N.T and Head and Neck surgery, at our hospital. A detailed history was taken following which a thorough examination of larynx using appropriate techniques were carried out. Further investigations were done as and when required.  </p><p class="abstract"><strong>Results:</strong> On stroboscopic examination patients were analyzed on four parameters like, symmetry, amplitude, periodicity and mucosal wave. Observations of periodicity and mucosal wave were significantly different in preoperative and post-operative analysis. Stroboscopic evaluation suggested that preoperatively 50% of the patient were having asymmetricity, decreased amplitude, aperiodicity and absent mucosal wave. On postoperative follow-up at 15 days and 2 months interval almost all the patients got all the parameters near normal.</p><p><strong>Conclusions:</strong> It was observed that statistical significant difference in pre and postoperative findings of different parameters of voice evaluated using it. We can draw the probable conclusion that video stroboscope proved to be useful and reliable tool for evaluation of the patients with benign vocal cord pathologies as it reflects the change in the all the parameters of voice postoperatively most accurately and promptly. </p>

scholarly journals A study of phonosurgeries in vocal dysfunction in Salem district

2020 ◽  
Vol 6 (10) ◽  
pp. 1783
Author(s):  
K. Mahendran ◽  
M. Praveen Kumar
Keyword(s):  
Vocal Cord ◽  
Vocal Fold ◽  
Surgical Intervention ◽  
Benign Lesion ◽  
Vocal Cord Palsy ◽  
Voice Therapy ◽  
Vocal Polyp ◽  
Study Population ◽  
The Voice ◽  
Medialization Laryngoplasty

<p class="abstract"><strong>Background: </strong>Phonosurgery essentially is surgery defined to improve or restore the voice. The objective of the study was to analyze and categorize the various benign lesions of the vocal cord causing vocal dysfunction requiring phonosurgeries, to analyze the incidence and distribution of cases according to age, sex, and etiology among the patients who require intense medical and voice therapy with surgical intervention.<strong> </strong></p><p class="abstract"><strong>Methods: </strong>This prospective study was conducted in fifty patients with vocal dysfunction from the ear, neck and throat (ENT) outpatient department of Otorhinolaryngology, Mohan Kumaramangalam Government General Hospital, Salem in the year September 2018 to October 2019 who failed conservative medical and voice therapy requiring phonological procedure were included in this study. Phonomicrosurgery was done for the patients with benign vocal fold mucosal disorders and medialization laryngoplasty using Gore-Tex was done for the patients with unilateral vocal cord palsy causing vocal dysfunction.</p><p class="abstract"><strong>Results: </strong>The present study on phono surgery concludes vocal polyp is the commonest benign lesion of the vocal cord that constitutes 40% in our study population. Males are affected more than females. Proper investigation of voice and larynx provides the exact pathological nature of the lesion and determines the timing of surgical intervention.<strong></strong></p><p class="abstract"><strong>Conclusion: </strong>Most of the patients who underwent medialization laryngoplasty using Gore-Tex also had a good outcome at the end of the voice therapy.</p><p> </p>

scholarly journals Vocal cord surgery and pharmacological treatment of a patient with HPV and recurrent respiratory papillomatosis

2019 ◽  
Vol 12 (11) ◽  
pp. e231117 ◽  
Author(s):  
Francesco Galletti ◽  
Francesco Freni ◽  
Francesco Gazia ◽  
Andrea Gallo
Keyword(s):  
Human Papillomavirus ◽  
Surgical Technique ◽  
Vocal Cord ◽  
Anterior Commissure ◽  
Free Edge ◽  
Respiratory Epithelium ◽  
Recurrent Respiratory Papillomatosis ◽  
Vocal Cords ◽  
The Voice

Recurrent respiratory papillomatosis (RRP) is caused by persistent infection of the respiratory epithelium by human papillomavirus (HPV), especially HPV 6 and 11. We present a case of surgically treated RRP. The main purpose of our protocol is to remove the lesions with a non-aggressive surgical technique and prevent recurrences with the use of cidofovir for local infiltrations in multiple sessions. We use low-power energy CO2 laser, directed towards the upper part of the vocal cord, to determine a retraction of the mucosa with consequent coverage of the epithelium of the free edge. The aim of this technique is to treat and stop the formation of synechia of the anterior commissure and the free margin of the vocal cords in the anterior commissure. After 8 years follow-up, there are no signs of recurrence of the disease. The voice had a net improvement confirming the effectiveness of the protocol.

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