Hartman D E, Aronson A E
Arch Otolaryngol. 1983 Jun;109(6):415-6. doi: 10.1001/archotol.1983.00800200061017.
Aphonia, originally due to laryngeal inflammation, became psychogenic and superimposed on the unstable pitch of adolescent voice change. We presumed that the aphonia was adopted as a means of dealing with peer pressure to maintain a high preadolescent pitch as well. Voice therapy was effective in alleviating both the aphonia and mutational falsetto. Clinicians should be alert to underlying mutational falsetto when confronted with an aphonic or dysphonic adolescent patient with no organic laryngeal pathologic condition.
失音最初是由喉部炎症引起的，后来转变为心理性的，并叠加在青少年嗓音变化时不稳定的音高上。我们推测，失音被用作应对同伴压力的一种方式，以维持青春期前较高的音高。嗓音治疗在减轻失音和变声期假声方面均有效果。当面对无喉部器质性病变的失音或发声困难的青少年患者时，临床医生应警惕潜在的变声期假声。
