van Harten P N, Schutte H K
Psychiatrische Inrichting Dr. David Ricardo Capriles Kliniek, Curaçao, Nederlandse Antillen.
Ned Tijdschr Geneeskd. 1992 Apr 18;136(16):790-3.
Psychogenic aphonia is a conversion symptom which is quite annoying to the patient. This article concentrates on the treatment of psychogenic aphonia. The literature contains only few articles on this subject. We present in detail a very efficient way of treatment with directive and biofeedback aspects. Central to the treatment is a direct approach of the symptom, based on the idea that due to the time factor the aphonia has become dissociated from the unconscious psychological conflict. The treatment starts with a double cough so that the vocal chords close. At the same time the ear, nose and throat specialist looks with the laryngoscope and corrects directly which gives an optimal learning effect. In 1988 and 1989, 23 patients were treated with this method. The duration of the aphonia varied from two weeks to two years. In eight of the patients the aphonia recurred. Patients were treated for a total of 45 episodes of aphonia. In all cases the voice returned within an hour.
心因性失音是一种转换症状，这对患者来说相当恼人。本文着重于心因性失音的治疗。关于这个主题，文献中仅有少数几篇文章。我们详细介绍一种兼具指导性和生物反馈方面的非常有效的治疗方法。该治疗的核心是对症状采取直接的处理方式，其依据的理念是由于时间因素，失音已与无意识的心理冲突相分离。治疗从一次双重咳嗽开始，以使声带闭合。与此同时，耳鼻喉科专家通过喉镜观察并直接进行纠正，这能产生最佳的学习效果。在1988年和1989年，有23名患者接受了这种治疗方法。失音的持续时间从两周到两年不等。其中8名患者失音复发。患者总共接受了45次失音治疗。在所有病例中，声音在一小时内恢复。
