{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T04:46:04Z","timestamp":1771476364333,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,3,24]],"date-time":"2011-03-24T00:00:00Z","timestamp":1300924800000},"content-version":"vor","delay-in-days":5653,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[1995,10]]},"abstract":"<jats:title>ABSTRACTS<\/jats:title><jats:p>Using Freud's hysterical conversion model as a basis for reviewing the psychological features in psychogenic voice disorder, this paper describes research findings which show that individuals with this condition are not usually suffering from severe psychopathology but tend to be women who are experiencing high levels of stress (commonly associated with interpersonal relationship conflicts, low self\u2010esteem, the burden of responsibility and feelings of powerlessness), and have above\u2010average musculoskeletal tension as well as difficulties in voicing their feelings or views. The review indicates that the psychoanalytic interpretation of psychogenic voice loss continues to have relevance. However, it is suggested that in most cases Freud's hysterical conversion model should be reformulated, reducing the core focus to unconscious conflicts, repression, denial and secondary gains, in order to emphasise the psychosocial causes and maintenance of intrapsychic conflict and physical dysfunction. It is also suggested that a reformulated psychoanalytic interpretation of psychogenic voice loss has a lot in common with a cognitive\u2013behavioural conceptual model. A psychoanalytic approach may be valuable when focused on early trauma and repressed experiences or feelings, whereas cognitive\u2013behavioural treatment strategies, such as stress management and assertiveness training, appear to be particularly relevant in this condition. The paper concludes by briefly considering some areas of future research.<\/jats:p><jats:p>Partant du mod\u00e8le de conversion hyst\u00e9rique freudien pour passer en revue les facteurs psychologiques des troubles vocaux psychog\u00e9niques, nous d\u00e9crivons les r\u00e9sultats de recherches qui montrent que le plus souvent, au lieu d'\u00eatre atteints de psychopathologies graves, les individus affect\u00e9s de cette condition tendent plut\u00f4t \u00e0 \u00eatre des femmes souffrant de niveaux consid\u00e9rables de stress (ce qui va souvent avec des conflits de relations interpersonnels, \u00e0 un manque de confiance en soi, \u00e0 de lourdes responsabilit\u00e9s et \u00e0 des sentiments d'impuissance); de surcroit ces femmes sont sujettes \u00e0 des tensions musculo\u2013squelettiques excessives, et elles ont du mal \u00e0 exprimer leurs sentiments ou leurs opinions. Notre passage en revue indique que l'interpr\u00e9tation psychanalytique de la perte de voix psychog\u00e9nique est encore valable \u00e0 l'heure actuelle. Nous sugg\u00e9rons cependant que dans la plupart des cas le mod\u00e8le de conversion hyst\u00e9rique freudien gagnerait \u00e0 r\u00e9ajust\u00e9, en ce qu'il faudrait r\u00e9duire l'accent central sur les aspects subconscients des conflits, r\u00e9pressions, refoulements et gains secondaires, et insister sur l'aspect psychosocial des origines et du maintien des conflits intrapsychiques et des dysfonctionnements physiques. Nous proposons \u00e9galement qu'une fois r\u00e9ajust\u00e9e l'interpr\u00e9tation psychanalytique de la perte de voix psychog\u00e9nique a beaucoup de points communs avec un mod\u00e8le conceptuel cognitif\u2013behavioriste. Une approche psychanalytique peut servir si l'on s'int\u00e9resse tout particuli\u00e8rement aux traumatismes et r\u00e9pressions des exp\u00e9riences et sentiments de la petite enfance, cependant que des strat\u00e9gies th\u00e9rapeutiques cognitives\u2013behavioristes, telles que la gestion du stress et les s\u00e9minaires de motivation, semblent particuli\u00e8rement adapt\u00e9es \u00e0 la perte de voix psychog\u00e9nique. L'article s'ach\u00e8ve en examinant bri\u00e8vement quelques champs de recherche future.<\/jats:p><jats:p>Unter Verwendung des hysterischen Konversionsmodells von Freud als Basis f\u00fcr einen \u00dcberblick \u00fcber psychologische Merkmale bei psychogenen Stimmst\u00f6rungen werden in diesem Aufsatz Forschungsergebnisse pr\u00e4sentiert, die darauf hinweisen, da\u00df Menschen mit solchen St\u00f6rungen selten unter starken Psychopathologien leiden, sondern eher Frauen in extremen Stre\u00dfsituationen sind (h\u00e4ufig in Verbindung mit Konflikten in pers\u00f6nlichen Beziehungen, niedriger Selbstachtung, schweren Verantwortungslasten und Gef\u00fchlen der Machtlosigkeit), die \u00fcberdurchschnittliche skeletale Muskelspannung aufweisen und die auch Probleme haben, ihre Gef\u00fchle und Gedanken auszudr\u00fccken. Der \u00dcberblick zeigt, da\u00df die psychoanalytische Interpretation psychogenen Stimmverlustes weiterhin relevant ist. Es wird jedoch postuliert, da\u00df in den meisten F\u00e4llen Freuds hysterisches Konversionsmodell umformuliert werden sollte, um das Gewicht auf unbewu\u00dften Konflikten, Repression, Verweigerung und Sekund\u00e4rgewinn zu reduzieren und Faktoren der psychosozialen Ursachen, der Erhaltung intrapsychischer Konflikte sowie physischer Dysfunktion zu verst\u00e4rken. Es wird ebenfalls postuliert, da\u00df eine neuformulierte psychoanalytische Interpretation psychogenen Stimmverlustes viel mit einem kognitiv\u2010verhaltensbezogenen konzeptuellen Modell gemeinsam hat. Ein psychoanalytischer Ansatz kann wertvoll sein, wenn der Fokus auf fr\u00fches Trauma und unterdr\u00fcckte Erfahrungen und Gef\u00fchle liegt. Dagegen erscheinen kognitiv\u2010verhaltensbezogene Behandlungsstrategien wie Stre\u00dfmanagement und Selbstbehauptungstraining in diesem Fall besonders relevant. Zum Abschlu\u00df werden einige Bereiche zuk\u00fcnftiger Forschungsarbeit identifiziert.<\/jats:p>","DOI":"10.3109\/13682829509087245","type":"journal-article","created":{"date-parts":[[2007,11,23]],"date-time":"2007-11-23T10:07:36Z","timestamp":1195812456000},"page":"467-474","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Psychological processes in psychogenic voice disorder"],"prefix":"10.1111","volume":"30","author":[{"given":"Peter","family":"Butcher","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,3,24]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Clinical Voice Disorders","author":"Aronson AE","year":"1990"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.3102.115"},{"key":"e_1_2_1_4_1","first-page":"411","article-title":"Perceived self\u2010efficacy in the exercise of personal agency","volume":"2","author":"Bandura A.","year":"1989","journal-title":"The Psychologist"},{"key":"e_1_2_1_5_1","volume-title":"Comprehensive Textbook of Psychiatry","author":"Barsky AJ","year":"1989"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348946006900113"},{"key":"e_1_2_1_7_1","first-page":"1244","article-title":"Functional aphonia","volume":"78","author":"Brodnitz FS","year":"1969","journal-title":"Annals of Otolaryngology"},{"key":"e_1_2_1_8_1","first-page":"1","article-title":"Cognitive\u2014behavioural therapy with dysphonic patients: An exploratory investigation","volume":"377","author":"Butcher P.","year":"1983","journal-title":"The College of Speech Therapists' Bulletin"},{"key":"e_1_2_1_9_1","volume-title":"Psychogenic Voice Disorders and Cognitive\u2014Behaviour Therapy","author":"Butcher P.","year":"1993"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682828709088690"},{"key":"e_1_2_1_11_1","volume-title":"The Voice and its Disorders","author":"Greene M.","year":"1989"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(87)90006-7"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(88)90073-6"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0092976"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8341.1972.tb02208.x"},{"key":"e_1_2_1_16_1","volume-title":"Helplessness","author":"Seligman MED","year":"1975"}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F13682829509087245","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/13682829509087245","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T13:33:50Z","timestamp":1698240830000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.3109\/13682829509087245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,10]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1995,10]]}},"alternative-id":["10.3109\/13682829509087245"],"URL":"https:\/\/doi.org\/10.3109\/13682829509087245","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,10]]},"assertion":[{"value":"2011-03-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}