Sudhir Paulomi M, Chandra Prabha S, Shivashankar N, Yamini B K
Department of Mental Health and Social Psychology, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore 560029, Karnataka, India.
J Commun Disord. 2009 Sep-Oct;42(5):305-12. doi: 10.1016/j.jcomdis.2009.04.003. Epub 2009 May 4.
Psychogenic dysphonia refers to the loss of voice, in the absence of apparent structural or neurological pathology. It is a disorder seen more often in women and is usually associated with significant life events and emotional difficulties that may lead to conflict over speaking. Therapeutic interventions in voice disorders recommend the adoption of a multidisciplinary approach to treatment. The following is a case illustration of a 50-year-old married lady with dysphonia and significant marital difficulties.
The case demonstrates the psychological issues in the onset and maintenance of psychogenic voice disorders. It also emphasizes the use of a multidisciplinary approach consisting of cognitive behavioural strategies, pharmacological inputs and voice therapy. The case illustration will also help the reader to focus on cultural issues relevant in the development of problems and the need to address these in psychotherapeutic interventions, as well as difficulties that are likely to be encountered in therapeutic interventions.
精神性发声障碍是指在没有明显结构或神经病理学病变的情况下出现的声音丧失。这种疾病在女性中更为常见，通常与重大生活事件和情绪困扰有关，这些可能导致言语方面的冲突。嗓音障碍的治疗干预建议采用多学科方法进行治疗。以下是一个案例，讲述一位50岁已婚女士患有发声障碍及严重婚姻问题。
该案例展示了精神性嗓音障碍发病和维持过程中的心理问题。它还强调了采用由认知行为策略、药物治疗和嗓音治疗组成的多学科方法。该案例说明也将帮助读者关注与问题发展相关的文化问题，以及在心理治疗干预中解决这些问题的必要性，还有治疗干预中可能遇到的困难。
