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)

Speech-language pathologists planning intervention programs for high school students with voice disorders are faced with the problems of changing student attitudes and dealing with general societal apathy concerning the importance of effective voice use. This article introduces a series of papers addressing the unique developmental needs of the…

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)

Adolescent students with voice disorders need information concerning the physiological, environmental, and psychosocial aspects of voice production. This paper describes a multiple-choice quiz format that has been used effectively as part of the awareness phase of vocal reeducation. (Author)

This paper describes a voice therapy program for adolescent vocal abusers that utilizes a varying signal-to-noise ratio to deal with varying environmental noises. The 10-session program teaches vocal abusers to maintain an appropriate fundamental frequency and vocal intensity in their speaking voice. (Author/JDD)

This paper emphasizes the importance of listening to the feelings of the adolescent with a voice disorder before beginning an action-oriented approach to creating voice changes. Use of a "behavioral contract" between therapist and student to reduce vocal abuse and excessive vocal use is suggested. (JDD)