Safia Nazeer Khan
Clinical Psychologist
RBT/ABA Certified
SafiaSpeechPsych provides individualized assessment and early intervention support. For various people with communication delays, SSP offers Speech, Language, and Psychological therapy to help them overcome challenges and improve their quality of life. SSP provides a collection of digital health management for promoting well-being and treating everyday communication and mental health issues and also enhances the study and practice of digital health globally.
Safia Nazeer Khan
Safia Nazeer Khan
Defense mechanisms are psychological processes that operate unconsciously and are employed by individuals to protect themselves from uncomfortable or distressing thoughts, feelings, or situations. They serve as a means of reducing anxiety, managing internal conflicts, and preserving one's psychological well-being.
There are numerous defense mechanisms, and each operates in
its unique way. Some of the commonly recognized defense mechanisms include:
Repression involves blocking or pushing away
threatening or unacceptable thoughts, memories, or desires from conscious
awareness.
Example: A person who experienced a traumatic event in
childhood may have no conscious recollection of the event later in life.
Denial is the refusal to accept or acknowledge reality to
avoid discomfort or anxiety.
Example: A person diagnosed with a terminal illness may deny
the seriousness of their condition and continue to believe they will recover.
3. Projection
Projection involves attributing one's unacceptable thoughts, feelings, or motives to someone else.
Example: A dishonest person may accuse others of being dishonest, claiming that everyone else lies.
Displacement involves redirecting one's feelings or impulses
from their source to a less threatening substitute target.
Example: After being reprimanded by their boss, a person may
go home and take out their frustration on their spouse or children.
Sublimation involves
channeling unacceptable impulses or emotions into socially acceptable
activities.
A person with
aggressive tendencies may become a successful professional boxer, channeling
their aggression into a sport.
Rationalization is the use of logical and plausible
explanations to justify or make acceptable one's thoughts, feelings, or
behaviors.
Example: A student who fails an exam might rationalize it by
saying that the questions were unfair or that they didn't have enough time to
study.
Regression involves
reverting to a childlike or earlier stage of functioning to cope with stress or
anxiety.
Example: An adult
may start sucking their thumb or engage in other childish behaviors during
times of extreme stress.
Reaction formation
involves expressing feelings or attitudes that are the opposite of one's true
thoughts or emotions.
Example: A person who harbors unconscious feelings of
hostility towards someone may overtly display exaggerated friendliness towards
them.
Intellectualization
is the excessive use of rational thinking or abstract reasoning to avoid or
minimize the emotional impact of a situation.
Example: After the
death of a loved one, a person may focus on the scientific aspects of death and
mortality rather than experiencing grief.
Undoing involves engaging in behavior or thoughts to
counteract or negate previous unacceptable thoughts, actions, or impulses.
Example: A person who feels guilty about having harmful
thoughts may engage in excessive acts of kindness or charity to
"undo" those thoughts.
Escaping from reality by creating an imaginary world or engaging in daydreaming to cope with stress or fulfill unmet desires.
Example: An individual who feels dissatisfied with their current job and longs for a more fulfilling career may frequently daydream about becoming a successful artist or starting their own business, creating elaborate scenarios and envisioning a happier and more rewarding life.
Downplaying the significance or importance of a situation, event, or one's own
emotions to avoid discomfort or anxiety.
Example: After receiving critical feedback on a project they
worked hard on, a person may downplay the significance of the feedback, telling
themselves that it was just one person's opinion and that it doesn't matter.
Overemphasizing or excelling in one area to make up for perceived deficiencies
or failures in another area.
Example: A person who feels insecure about their physical
appearance may invest significant effort into developing exceptional skills in
a particular area, such as academics or sports, to compensate for their
perceived shortcomings and gain a sense of self-worth.
Mentally detaching oneself from a
distressing or traumatic event to avoid experiencing its full emotional impact.
Example: A survivor of a traumatic event may describe their
experience as if they were an observer, detached from the situation, and
lacking emotional involvement. This detachment allows them to protect
themselves from the overwhelming emotions associated with the trauma.
Converting emotional distress into
physical symptoms or ailments without any apparent medical cause.
Example: A person who is experiencing high levels of stress
and anxiety but is unable to express their emotions directly may develop
physical symptoms such as headaches, stomachaches, or muscle tension, which
serve as a way to channel their emotional distress into physical sensations.
Self-observation
involves consciously observing and reflecting on one's thoughts, emotions, and
behaviors without judgment or defensiveness.
Example: A person who notices recurring patterns of anxious
thoughts may engage in self-observation to gain insight into the triggers and
underlying causes of their anxiety.
Anticipation involves proactively considering potential
future challenges or stressful situations and preparing oneself mentally and
emotionally to effectively cope with them.
Example: An individual who is about to start a new job may
anticipate the stress and challenges that come with it and take proactive
steps, such as learning new skills or seeking advice, to ease the transition.
Altruism refers to
selflessly helping or supporting others, often with a genuine concern for their
well-being.
Example: A person who
witnesses a colleague struggling with a heavy workload may offer assistance and
support, helping to alleviate their burden and contribute to a more positive
work environment.
Affiliation involves seeking and maintaining social
connections and support from others to enhance well-being and cope with stress.
Example: A person
going through a difficult time may actively seek out social activities or
groups where they can connect with others who share similar interests or
experiences, fostering a sense of belonging and support.
20: Self-Assertion
Self-assertion
involves expressing one's needs, desires, or opinions respectfully and
assertively while considering the rights and feelings of others.
Example: Instead of passively accepting unfair treatment, a
person may assertively communicate their boundaries and express their needs
calmly and assertively, seeking a mutually beneficial resolution.
Compensation involves emphasizing and developing strengths
in response to perceived weaknesses or shortcomings.
Example: An individual who feels insecure about their
artistic abilities may compensate by focusing on and excelling in other areas,
such as writing or public speaking, to boost their self-confidence.
Sublimation involves
channeling socially unacceptable impulses or emotions into socially acceptable
activities.
Example: A person who experiences intense anger or
frustration may channel those emotions into intense workouts or physical
activities, effectively releasing tension and promoting emotional well-being.
These are just some examples of defense mechanisms, and there may be additional variations or subcategories proposed by different psychological theories. These examples demonstrate how these mature defense mechanisms can be applied in various situations to promote self-awareness, personal growth, and effective coping. It's important to note that the use of these defense mechanisms may require conscious effort and practice. Seeking therapy or counseling can provide valuable guidance and support in developing and strengthening these adaptive coping mechanisms, and individuals may employ a combination of mechanisms depending on the situation or their psychological makeup.
Safia Nazeer Khan
Voice disorders are conditions that affect the production or quality of voice, including changes in pitch, volume, or quality of sound. They can result from a variety of causes, including vocal misuse or abuse, neurological conditions, structural abnormalities, or psychological factors.
There are several types of voice disorders, each with its own unique characteristics and causes.
Dysphonia: This is a broad term that refers to any disorder
that affects the quality of voice. Dysphonia can result from vocal cord
nodules, polyps, or other structural abnormalities, as well as neurological
conditions, such as Parkinson's disease or multiple sclerosis.
Vocal cord paralysis: This occurs when the nerves that
control the vocal cords are damaged, resulting in weakened or paralyzed vocal
cords. This can cause difficulty speaking, breathiness, and hoarseness.
Spasmodic Dysphonia: This is a neurological disorder that
causes involuntary spasms of the vocal cords, resulting in a strained or
strangled-sounding voice.
Laryngitis: This is an inflammation of the larynx (voice
box) that can cause hoarseness, difficulty speaking, and sometimes a complete
loss of voice.
Puberphonia: This is a disorder in which an adult male
continues to speak with a high-pitched voice, similar to that of a prepubescent
boy. It is usually caused by a failure to develop a deeper voice during
puberty.
Muscle tension dysphonia: This occurs when the muscles used
for speaking become tense or strained, resulting in a strained or hoarse voice.
This can be caused by vocal misuse or abuse, such as yelling or singing
incorrectly.
Benign vocal cord lesions: This refers to non-cancerous
growths on the vocal cords, such as nodules, polyps, or cysts. These can cause
hoarseness, breathiness, and difficulty speaking.
Assessing Voice Disorder
Voice Disorders Assessment
Case History: A comprehensive case history is an essential
part of assessing a voice disorder. It includes gathering information about the
patient's medical history, vocal habits, and current voice use. It also
includes information about the onset, duration, and progression of the voice
disorder.
Perceptual Assessment: A perceptual assessment of voice
quality involves listening to the patient speak and rating the voice quality based on several parameters such as hoarseness, breathiness, strain, and
pitch breaks. This assessment can be done by a speech-language pathologist,
otolaryngologist, or voice specialist.
Acoustic Analysis: An acoustic analysis of the patient's voice can provide objective voice quality measurements. This analysis involves recording the patient's voice and using specialized software to measure several parameters, such as fundamental frequency, jitter, shimmer intensity, and spectral characteristics of their voice
Aerodynamic Assessment: An aerodynamic assessment involves
measuring the pressure and airflow during speech. This assessment can help
determine if there are any underlying respiratory problems that are
contributing to the voice disorder.
Imaging Studies: Imaging studies such as laryngoscopy, video stroboscopy, or CT scan of the larynx may be performed to visualize the
vocal cords and assess any structural abnormalities, such as nodules, polyps,
or tumors.
Patient Self-Assessment: Patients can provide valuable insights into their own voice and the impact of their voice disorder on their quality of life. Self-assessment tools such as the Voice Handicap Index can be used to evaluate the patient's perception of their voice and how it affects their daily activities.
Vocal Fold Assessment
2. Palpation: The examiner uses their fingers to feel the patient's thyroid cartilage and cricoid cartilage for any masses or nodules. They may also palpate the patient's larynx and trachea for any tenderness or masses.
3. Phonation: The patient is asked to speak or sing to assess the quality of their voice. The examiner may also use a tuning fork to assess the patient's voice.
4. Laryngeal Manipulation: The examiner uses a laryngeal mirror or fiberoptic scope to visualize the patient's vocal folds. They may also use a strobe light to observe the movement of the vocal folds during speech or singing.
5. Acoustic Analysis: The patient's speech or singing may be recorded and analyzed to assess the fundamental frequency, intensity, and spectral characteristics of their voice.
6. Aerodynamic Analysis: The examiner may use a pressure transducer to measure the airflow and pressure during speech or singing. This can help to assess the patient's glottal closure and vocal fold vibration.
7. Special Tests: Additional tests such as video stroboscopy, capillary microscopy, or laryngeal electromyography may be performed if necessary.
8. Diagnosis and Treatment: After the examination, the examiner will provide a diagnosis and recommend appropriate treatment options, which may include speech therapy, medication, or surgery.
Conclusion
Assessing and treating voice disorders requires a multidisciplinary approach that involves a team of specialists, including otolaryngologists, speech-language pathologists, and voice specialists. By conducting a thorough assessment and diagnosis, clinicians can develop an individualized treatment plan to help patients improve their voice quality and overall quality of life.
Treatment for voice disorders depends on the underlying cause and severity of the condition. In some cases, simple changes in vocal technique, such as speaking more slowly or taking breaks during speaking, can improve symptoms. In other cases, surgery or medication may be necessary.
It is important to seek treatment for voice disorders, as untreated conditions can lead to further complications, including chronic hoarseness, vocal fatigue, and even loss of voice. If you are experiencing any changes in your voice, such as hoarseness, breathiness, or difficulty speaking, it is important to consult with a healthcare professional who specializes in voice disorders.
Safia Nazeer Khan Speech & Language Pathologist Clinical Psychologist RBT/ABA Certified M eaning of life and the purpos...