Further study of spastic dysphonia.

Seven women and two men with spastic dysphonia, ranging in age from 20 to 59 years, were studied to determine the cause and the means of development of the condition. The patients were examined by a laryngologist and, when feasible, by a psychiatrist or other medical specialist for coordination and corroboration of the diagnosis. Psychiatric observations were significant. A background of conflict with a parent or spouse was frequent and typical. In almost every case there were deep guilt feelings associated with something the patient had said to the person with whom he was in conflict. Similarities with the psychic elements in these cases and in cases of stuttering were noted. The results of vocal reeducation and psychotherapy together were comparatively successful. Hypnosis and the use of tranquilizing drugs did not help.