functional/psychogenic speech disturbances Flashcards
1
Q
functional speech disorders
A
- 4.9% of all patients with acquired communication disorders (Mayo Clinic 2009-2016)
- Associated conditions: Conversion disorder
and Somatization disorder
2
Q
types of FSDs
A
- Stuttering-like dysfluencies
- Prosodic abnormalities
- Articulation abnormalities
- Voice
- Language/cognitive abnormalities
breathing abnormalities
3
Q
Stuttering-like dysfluencies
A
- Excessive variability—irregular patterns of dysfluency that vary widely across different
- Excessive consistency—Persistent dysfluency patterns that remain consistent across various contexts or speaking situations
- Speech struggle behavior
- Absence of aphasia, AOS, and dysarthria
4
Q
conversion disorder
A
- Involves physical symptoms that suggest a medical or neurologic cause but for which there is no demonstrable organic cause
- Loss or alteration of volitional muscle control or sensation that is not consciously motivated
- Can be associated with secondary gain
5
Q
conversion disorder- patient characteristics
A
- May occur in healthy individuals when in a stressful situation
- Psychological disorders frequently present
- May have history of drug or alcohol abuse
- May have history of sexual abuse or poor relationships
- women > men
6
Q
somatization disorder
A
- Chronic illness characterized by recurrent, multiple physical complaints and a belief that one is ill
- Usually develops < age 25
- May be accompanied by interpersonal problems, impulsivity, and antisocial personality traits
- Wide variety of complaints
- Lack of acute conflict, stress, or anxiety
7
Q
questions to ask
A
- Can the speech disorder be classified neurologically?
- Are oral mechanism examination findings consistent with the speech disorder and patterns of abnormality found in neurologic disease?
- Is the speech deficit consistent?
- Is the speech deficit susceptible?
- Is the speech deficit susceptible to distractibility?
- Does speech fatigue in a lawful manner?
