Posts Tagged ‘spasmodic dysphonia’
If you’ve seen the movie, The King’s Speech, you will immediately recognize that the king suffered from a form of Mind Body Syndrome. He had a very difficult childhood, despite (or because of) being a prince. His parents were not present (as was the custom for those days and that class) and his major source of “parental” affection was from his nanny. Unfortunately, his nanny favored his older brother who tormented him and therefore George grew up feeling less worthy, unloved, and unable to assert himself. All of this eventually led to the expression of his underlying emotional conflicts in his stammer. The origin of his stammer was clear (it was the physical manifestation of underlying psychological issues). Why did it persist for so many years? The answer is that it became a learned nerve pathway. That pattern of speech became ingrained into his nervous system over time and that was the natural way that his brain processed the signals when he was required to speak. Of course, the stammer would be more severe under times of stress, but it couldn’t be reversed until he had treatment that helped to uncover the underlying conflicts and conscious application of methods to reverse the nerve pathways.
Stuttering (or stammering, I believe these can be used interchangeably) is quite common in children. I don’t recall this, but my mother told me that I started to stutter right after my sister was born. I guess I was used to being the “prince” in my household until she came along to usurp my parents attention. Fortunately, it didn’t last too long. My mother got me to sing songs (the stutter disappeared during singing) much of the time, gave me extra attention, and the nerve pathways reversed over time.
Stuttering typically begins in childhood, but there is another form of stress-induced speech disorder that usually begins later in life that is similar to stuttering, spasmodic dysphonia. This condition occurs primarily in young adults (ages 30-50) and is more likely to affect women, which is similar to the demographics of those who suffer from Mind Body syndromes, such as headaches, fibromyalgia, back and neck pain, and irritable bowel and bladder syndromes. There is no known abnormality of the vocal cords, per se. The difficulty in speaking is variable, can be made worse with stress, and may not occur during singing or speaking in high pitched voices (when slightly different nerve pathways are activated, as apparently my mother figured out when trying to help my stuttering). Some professional singers suffer from this condition and can have difficulty in singing.
When I have conducted detailed interviews with people with spasmodic dysphonia, the typical pattern emotional events that create MBS are present. We find childhood priming events (such as emotional, physical or sexual abuse, or situations similar to those experienced by the later King George) and triggering events later in life (such as losses, situations that trigger the “danger” signals, etc.) that produce the nerve pathways leading to the characteristic speech pattern of spasmodic dysphonia.