Psychology of Laryngectomized Patients

Abstract

From the earliest writings to the most recent literature concerning cancer of the larynx, the operation of total laryngectomy is ofttimes described as a mutilating procedure leaving its victim in a pitiable condition\p=m-\acondition that is worse than death. The psychic reaction to the loss of the power of speech, it is said, frequently leads to suicide or to insanity.The medical profession and the public are familiar with the blind, with the deaf and with the cripple. Neither the public nor the vast majority of physicians are familiar with the patient who has lost his larynx and consequently normal speech. It is a human failing to dread the unknown. There is need of educating the medical profession as well as the laity to an understanding that the laryngectomized patient is not a pitiable object, a woebegone creature who has given up all that life holds dear. It is hard properly to evaluate human suffering. The blind say they would rather be blind than deaf ; the deaf, that they would rather be deaf than blind ; the patient without a voice considers himself fortunate that he is neither blind nor deaf.

An Investigation of Vocational Rehabilitation Among Northwest Laryngectomees

“…(N=34) ~~swered ~and 13% (N=5) n2-Thus, in this popula tiou r employment appears to be the most motivating factor encouraging patients to learn esophageal speech. Snidecor (1969), Greene (1947), Locke (1966), Schall (1938, Reed (1961) (Horn, 1962) indicated that the average medical and surgical expense of more than 3,000 laryngectomized patients was $1,700 but some paid more than $5,000. Figure 11).…”

Adjusting to Laryngectomy

“…When a person hears that the diagnosis is cancer and that a laryngectomy is recommended, he may react in varying ways. Most clinicians who work with large numbers of laryngectomees know of two or three patients who have committed suicide rather than submit to surgery (Schall, 1938;Webb and Irving, 1964). A few patients may reject the recommendation for surgery or deny the cancer.…”

“Practical Suggestions On Counseling How I Do It”

“…1 Schall was one of the first physicians to indicate that the mental outlook of the patient must be given serious consideration. 2 Greene took the thought a step further, saying that "emotional reactions may determine future rehabilitation success" with laryngectomees. 1 Monteiro, a nurse, urged better planned "emotional preparation" for prospective laryngectomees.…”