Ａｎ Ｉｎｔｒｏｄｕｃｔｉｏｎ ｔｏ Ｇｕｉｄａｎｃｅ ｉｎＥｓｏｐｈａｇｅａｌ Ｓｐｅｅｃｈ Ｔｒａｉｎｉｎｇ

社団法人　銀鈴会

平成11年度

CONTENTS

FRONT'S PIECES

INTRODUCTION

A.　Key Points in the Guidance of Initiates

1.　What Is Expected of Instructors

2.　Explanation to New Students

3.　Discussing Individual Operations

4.　Types of Postlaryngectomy Speech

5.　Principles of Esophageal Speech

6.　Mental and Physical Conditions of Students

7.　Advantages to Learning Esophageal Speech

8.　Encouraging Beginners to Vocalize

9.　Dealing with Different Levels of Skill

10.　Good Posture

B.　Practical Program for Beginners

1.　Practice Producing the Basic Sound

2.　Tea-Drinking Method

3.　Structure and Functions of the Esophagus

4.　Function of the Diaphragm and Abdominal Respiration

5.　How to Ingest and Expel Air

○　Injection

○　How to expel air

○　Inhalation

○　Mixed method

6.　Hyperventilation Syndrome

7.　Sequence and Steps of Exercises

C.　Training in Esophageal Speech and Notes for New Students

1.　Breathing Practice and Speech Production in Conversation

2.　Concerns During Practice

(1)　Noises from the tracheostoma

(2)　Speaking under tension

(3)　Avoiding injected or inspirated sound

(4)　Avoiding sounds caught in saliva

(5)　Other undesirable sounds

3.　Nasal Resonance (Reforming of Nasal-Congested Speech)

4.　Oral Whispering

5.　Producing "Ha" Sounds

6.　People on the Right Track to Fluency

7.　Speech Training for Those Undergoing Esophageal Reconstruction

D. Questions and Answers for New Students

Summing Up

　

Program of the esophageal speech training

−How to Speak again−

I. INTRODUCTION

II.　HOW TO PRACTICE ESOPHAGEAL SPEECH SOME ADVICE

III.　WHEN YOU PRACTICE

IV.　PRACTICAL EXERCISES

V.　EXERCISES IN VOWELS

VI.　EXERCISES IN CONSONANTS

VII.　POLYSYLLABIC WORDS; SIMPLE CONVERSATION

VIII.　EXERCISES IN ACCENT (STRESS AND PITCH)

IX.　SYNTHETIC TRAINING

(1)　Clearness (High Intelligibility)

(2)　Loudness (Volume)

(3) Fluency

(4)　General harmony

X.　PERIODS OF PRACTICE

XI.　CONCLUSION

　

ADVICE FOR IMPROVING ESOPHAGEAL SPEECH

PREFACE

I.　THE REGION OF VOCALIZATION

II.　THE VERIFICATION OF THE REGION OF UTTERANCE

III.　INHALATION METHOD

IV.　ABOUT HIGH TONES

V.　SPECIFIC TECHNIQUES OF HIGH TONE VOCALIZATION

VI.　A VIEW ON HIGH TONE VOCALIZATION

VII.　TO SING A SONG

VIII.　POINTS ON ESOPHAGEAL SPEECH

IX.　POINTS ADVANCED TRAINEES SHOULD BE AWARE OF

X.　INSTRUCTION TO CORRECT WRONG ESOPHAGEAL SPEECH

XI.　CASE STUDIES