Учебники / Voice Disorders and Their Management Freeman 2000

Voice Disorders

and their

Management,

Third edition

MARGARET FREEMAN MARGARET FAWCUS, Editors

WHURR PUBLISHERS

Voice Disorders and their Management

Third Edition

Voice Disorders

and their

Management

Third edition

Edited by

MARGARET FREEMAN

DipLCST, MPhil, MRCSLT (Reg)

University of Sheffield

and

MARGARET FAWCUS

DipLCST, MSc, MRCSLT (Reg), FRCSLT

lately City University, London

W

W H U R R P U B L I S H E R S

L O N D O N A N D P H I L A D E L P H I A

© 2000 Whurr Publishers Ltd

19b Compton Terrace, London N1 2UN, England and

325 Chestnut Street, Philadelphia PA 1906, USA

First published by Croom Helm Ltd 1986

Second edition published by Chapman & Hall 1991

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of Whurr Publishers Limited.

This publication is sold subject to the conditions that it shall not, by way of trade or otherwise, be lent, resold, hired out, or otherwise circulated without the publisher’s prior consent in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed upon any subsequent purchaser.

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library.

ISBN: 1 86156 186 5

Printed and bound in the UK by Athenaeum Press Ltd, Gateshead, Tyne & Wear

Contents

The speech and language therapist’s assessment of the dysphonic patient

Paul Carding

v

Preface to the third edition

Like the previous editions, this book contains contributions from clinicians who have special interest and expertise in voice disorders and their management. Again like the previous editions, the main aim of the book is to consider how current knowledge, research and practice can enable all voice care professionals to meet the needs of people with voice disorders.

In the introduction to the first edition, nearly fifteen years ago, Margaret Fawcus emphasized the need for changes in all aspects of diagnosis and management for voice disorders. At that time, laryngologists, therapists and other voice care workers generally had very little professional contact, and clinical diagnosis and therapy were predominantly based on perceptual judgements. Therapists placed great emphasis on the art of therapy, although, in some cases, the therapy for voice disorders did not match the theory. Margaret made a strong case for more rigorous approaches to diagnosis, better application of theory in practice and greater emphasis on the need to evaluate the efficacy of treatment methods.

The contributions to this new edition show that we are now addressing some of these key issues. Many more specialist voice clinics have been established, and the technology which enables us to evaluate many aspects of vocal dysfunction is available in the clinic, as well as in the research laboratories. There has also been a massive explosion of information about voice and voice disorders; research findings and clinical information on voice disorders can be found in a wide range of journals and books, as well as in the electronic media. Whereas we once had difficulties locating the occasional useful journal article, clinicians and students can now feel overwhelmed by the vast body of information on both diagnosis and treatment. At the same time, we know that many clinicians do not have (and some may be hoping to avoid!) access to the information superhighway or to computer-based equipment. Despite all the changes, it can still be difficult to see how theory and therapy come together for a particular patient in a specific clinical setting.

ix