The so-called functional disorders of the voice are presumably of psychic origin, with no organic involvement. However, it has slowly been realized that biologically one can never classify a disorder as purely functional or purely organic. It is always a question of considering the organism as a whole, that is, considering all the phases of the person's makeup—mental, physical and emotional.
While it is important to know how mature a person is physically and mentally, it is equally—if not more important—to know how mature he is emotionally. This is particularly true when one considers that an innate tendency toward emotional and nervous instability underlies the neuroses and that, to a greater or lesser degree, the dormant seeds of a neurosis are present in all human beings. That is, all persons are liable to peculiar states of tension or irritability of the nervous system.
These states, which underlie the neuroses, are
GREENE JS. PSYCHIATRIC THERAPY FOR DYSPHONIA: APHONIA; PSYCHOPHONASTHENIA; FALSETTO. Arch Otolaryngol. 1938;28(2):213–221. doi:10.1001/archotol.1938.00650040221005
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: