Therapeutic interventions for a client with aphonia persisting over a long period: “Let’s talk in a whisper,” and “let’s talk about your daily behaviors to yourself”

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  • 長期に持続した失声症への介入：ひそひそ声で話し合い，独り言で暮らしましょう

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<p>A client with aphonia was examined to investigate factors related to the improvement of symptoms that had persisted for over two and a half years. The therapist suggested that the client talk in voiceless sounds (whisper), and that she also talk to herself about her daily behaviors (soliloquy). As a result, the client recovered the ability to speak in a normal voice in approximately ten months. An examination of the factors related to her improvement indicated that “utilization,” and “distraction” were useful interventions for this client. “Utilization,” including whispering, may have been useful in maintaining her willingness to improve her voice. Soliloquy may have functioned as a “distraction” that was effective in teaching the client to talk unconsciously.</p>

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