Speech characteristics of VPI include hypernasality (too much sound in the nasal cavity during speech) and/or audible nasal emission of air during speech. Nasal emission can also cause the consonants to be very weak in intensity and pressure. The patient may develop compensatory productions for consonants, where the sounds are produced in the pharynx (throat area) where there is adequate airflow. Nasometry
Nasometry is a method of measuring the acoustic correlates of resonance and velopharyngeal function through a computer-based instrument. Nasometry testing gives the speech pathologist a nasalance score, which is the percentage of nasal sound of the total (nasal plus oral) sound during speech. This score can be compared to normative values for the speech passage. Nasometry is useful in the evaluation of hypernasality because it provides objective measurements of the function of the velopharyngeal valve. As such, it is often used for pre-and post-surgical comparisons and to determine speech outcomes as a result of certain surgical interventions. Nasopharyngoscopy
Nasopharyngoscopy is endoscopic technique in which the physician or speech pathologist passes a small scope through the patients nose to the nasopharynx. The nasal cavity is typically numbed before the procedure, so there is minimal discomfort. Nasopharyngoscopy provides a view of the velum (soft palate) and pharyngeal walls (walls of the throat) during nasal breathing and during speech. The advantage of this technique over videofluoroscopy is that the examiner can see the size, location, and cause of the velopharyngeal opening very clearly and without harm (e.g., radiation) to the patient. Even very small openings can be visualized.
Cultural explorations
During the Renaissance, Edmund Spenser in The Faerie Queene endorsed sadness as a marker of spiritual commitment.In The Lord of the Rings, sadness is distinguished from unhappiness, to exemplify J. R. R. Tolkiens preference for a sad, but settled determination, as opposed to what he saw as the shallower temptations of either despair or hope.Julia Kristeva considered that "a diversification of moods, variety in sadness, refinement in sorrow or mourning are the imprint of a humanity that is surely not triumphant but subtle, ready to fight and creative". See also
Joie de vivre
Melancholia
Mood (psychology)

References


== Further reading ==