The four major classifications of voice disorders (etiological, perceptual, kinesiologic, and mass and approximation classifications) are reviewed and the use of classifications to communicate with other professionals and to make management decisions is addressed. (CL)

The paper presents an approach to voice therapy programing for young children who are hypernasal. Some general principles underlying the approach are presented and discussed, including use of language patterns appropriate to the child's age and cognitive and linguistic development. (Author/CL)

A teacher points out the occupational hazard that can result from the misuse of the voice and ensuing vocal cord damage. Presents discussion of ways to avoid misusing the voice and prevent vocal cord damage. (MD)

Laryngectomized patients using esophageal speech or an electronic artificial larynx have difficulty producing correct voicing contrasts between homorganic consonants. This paper describes a therapy technique that emphasizes "pushing harder" on voiceless consonants to improve alaryngeal speech intelligibility and proposes focusing on the…

Discussion of supplemental speech sampling for in-depth phonological analysis in the assessment of children with phonological disorders focuses on how to evaluate a given word list in terms of a set of criteria for a detailed phonological analysis. Suggestions are provided for sample supplementation for two frequent areas of difficulty. (Contains…

This paper offers practical suggestions for vocal hygiene programs designed to prevent, identify, and treat vocal abuse by young children. Suggestions include construction of homemade instructional materials and use of commercially available resources. (DB)

This paper presents an approach to voice therapy with adolescents, emphasizing the importance of psychosocial and family influences as they relate to vocal behavior. The goals of therapy for the adolescent with dysphonia usually follow an orderly sequence, first dealing with individual behavior and later with family and peer group influences. (JDD)

Preadolescents with hyperfunctional voice disorders may respond readily to behavioral voice therapy based on education, voice conservation strategies, direct vocal function exercises, family and peer support, and relaxation. Treatment should focus on integration of health respiration, phonation, and vocal tract resonance to achieve improved…

The treatment of adolescent clients with hyperfunctional voice disorders is discussed from a developmental perspective. Facilitating techniques, treatment strategies, and materials is suggested. The recommended treatment approach focuses on enhanced awareness of the relationship between voice use and interpersonal skills in addition to behavioral…

This article examines possible causes or intensifications of vocal fatigue in adolescent singers. Factors considered include the adequacy of the singing technique, the strenuousness of the musical task, the physical singing environment, the singer's general condition, and the expectations imposed by the musical leader. Possible management…

This article discusses the construction of tasks used to elicit vocal responses from preschool children with and without communication disorders. Procedures to elicit valid and reliable responses are proposed, and a sample assessment protocol is presented. (Author/DB)

Methods to explore and modify adolescents' vocal self-perception in clinical intervention are presented. These methods include an attitudinal questionnaire, procedures for audiotaping and videotaping in vocal self-confrontation, and vocal self-assessment of magnitude change in voice production. (Author/JDD)

Children with laryngeal pathologies or alterations in laryngeal structure and/or function often present with complex medical profiles. This article presents case studies for the speech-language pathologist that provide information regarding management decisions and specific treatment options. (Author/DB)

Resonance disorders can have a variety of causes but the appropriate evaluation includes a speech pathology evaluation and may require a videofluoroscopic speech study or nasopharyngoscopy assessment. Treatment may include surgery or the use of prosthetic devices, and usually speech therapy. An interdisciplinary approach is best. (Author/DB)

Voice programing for preschool children with communication disabilities is discussed, including suggestions for enriching the child's auditory environment, selecting target goals, and providing consistency of target presentations by caregivers. Sample vocal awareness and production goals and strategies are offered. (Author/DB)