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An interference with vocal fold vibration often resulting from vocal misuse such as excessive laryngeal tension: often caused by yelling, shouting or other forms of vocal abuse. The vocal quality is perceived to be a combination of a harsh and breathy quality. Pitch breaks are common and the pitch is frequently too low and restricted in range.

Definition reprinted with permission from Hood, Stephen B. (editor) available from Stuttering Foundation of America: Stuttering Words (Publication No 2: Speech Foundation of America)

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