Alison Behrman - Speech and Voice Science

Speech and Voice Science

FOURTH EDITION

Speech and Voice Science

FOURTH EDITION

Alison Behrman, PhD, CCC-SLP

With a Contribution by Donald Finan, PhD

5521 Ruffin Road

San Diego, CA 92123

e-mail:

Website: https://www.pluralpublishing.com

Copyright 2023 by Plural Publishing, Inc.

Typeset in 11/13 Garamond Book by Flanagans Publishing Services, Inc.

Printed in the United States of America by McNaughton & Gunn, Inc.

All rights, including that of translation, 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, recording, or otherwise, including photocopying, recording, taping, Web distribution, or information storage and retrieval systems without the prior written consent of the publisher.

For permission to use material from this text, contact us by

Telephone: (866) 758-7251

Fax: (888) 758-7255

e-mail:

Every attempt has been made to contact the copyright holders for material originally printed in another source. If any have been inadvertently overlooked, the publisher will gladly make the necessary arrangements at the first opportunity.

Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.

Library of Congress Cataloging-in-Publication Data

Names: Behrman, Alison, author. | Finan, Donald, author.

Title: Speech and voice science / Alison Behrman, with a contribution by Donald Finan.

Description: Fourth edition. | San Diego, CA: Plural Publishing, Inc., [2023] | Includes bibliographical references and index.

Identifiers: LCCN 2021011279 (print) | LCCN 2021011280 (ebook) | ISBN 9781635503227 (paperback) | ISBN 9781635503234 (ebook)

Subjects: MESH: Speech--physiology | Voice--physiology | Case Reports

Classification: LCC QP306 (print) | LCC QP306 (ebook) | NLM WV 501 | DDC 612.7/8--dc23

LC record available at https://lccn.loc.gov/2021011279

LC ebook record available at https://lccn.loc.gov/2021011280

Contents

!

Chapter 4. Breathing

Clinical Case 1: Breath-Holding Speech

An adult bilingual woman is having difficulty making herself heard in a noisy work environment and feels that talking is hard work. The evaluation by the speech-language pathologist (SLP) reveals inefficient speech breathing strategies. Features of speech breathing are addressed.

Clinical Application: Disorders Related to Breathing

An overview of breathing disorders that can impact speech production is presented, including categories of etiology, symptoms, diagnostic strategies, and therapeutic approaches. The connection between speech breathing problems and the anatomy and physiology of breathing is emphasized.

Chapter 5. Phonation I: Basic Voice Science

Clinical Case 2: Running Out of Breath

An adult woman with a functional voice disorder is seen for a voice evaluation. Factors that contribute to inefficient voice production are addressed.

Clinical Application: Disorders Related to Voice Production

An overview of voice disorders is presented, including categories of etiology, symptoms, diagnostic strategies, and therapeutic approaches. The connection between voice disorders and the anatomy and physiology of voice production is emphasized.

Chapter 6. Phonation II: Measurement and Instrumentation

Clinical Case 3: Camp Voice

A fourth grader with a voice disorder due to excessive voice use is seen for voice therapy. The relationship between voice production and voice quality is addressed.

Clinical Case 4: Persistent Mutational Falsetto

A teenage boy with persistence of prepuberty pitch and voice quality is seen for voice therapy. Differences in pre- and postpuberty vocal characteristics in boys are addressed.

Chapter 7. The Production and Perception of Vowels

Clinical Case 5: Accent Management

An adult whose first language is Spanish wants to improve his pronunciation in English for his job as a reading specialist. An SLP conducted accent management therapy with a focus on differences in tense-lax vowel production. Acoustic features of tense and lax vowels are referenced.

Clinical Case 6: Ataxic Dysarthria

A man with Friedreichs ataxia, a progressive disease, had difficulty coordinating the movements for articulation and voice production. The combined effects of both a speech and voice disorder are addressed.

Chapter 8. The Production and Perception of Consonants

Clinical Case 7: Facial Nerve Trauma

An adult with trauma to the facial nerve has speech and swallowing difficulties. The therapy included strategies to increase oral articulatory movements for improved phoneme production. Acoustic cues for consonant production and the effect upon prosody are addressed.

Clinical Application: Speech Sound Disorders

An overview of disorders of articulation of consonants is presented, including categories of etiology, symptoms, diagnostic strategies, and therapeutic approaches. The connection between articulation problems and the physiology and acoustics of consonant production is emphasized.

Clinical Case 8: Articulation Errors

A boy with articulation errors receives speech therapy in school. The SLP includes feedback on the differences in pitch between correct and incorrect production of /s/. Acoustic cues for fricative production are addressed.

Chapter 9. Prosody

Clinical Case 9: Parkinsons Disease

A bilingual (Mandarin/English) adult with Parkinsons disease receives speech therapy to work on the decreased speech intensity and prosody that has increasingly interfered with his ability to make himself easily understood. Prosody is addressed within the context of a tonal (Mandarin) and nontonal (English) language.

Clinical Case 10: Gender-Diverse Speech and Voice

An adult in the process of transitioning from male to female receives speech therapy to help her express the voice and speech characteristics that help her to feel authentic. Those characteristics and the therapeutic approach are discussed.

Chapter 10. Theories and Models of Speech Production

Clinical Case 11: Spastic Cerebral Palsy

A child with spastic cerebral palsy receives speech therapy to decrease the extra effort of speaking and increase speech clarity. Rate of speech and coarticulation are addressed within the context of the dysarthria (motor speech disorder).

Clinical Case 12: Oral Motor Exercises

A teenager with head trauma and subsequent right-sided weakness receives speech therapy to improve her articulation. The controversial topic of nonspeech oral motor exercises is addressed within the context of motor learning theory.