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PART ONE INTRODUCTION: Life events and measurement, George W. Brown. PART TWO LIFE EVENTS AND PSYCHIATRIC ILLNESS: Depression, George W. Brown and Tirril O. Harris Anxiety, Robert Finlay-Jones Schizophrenia, Richard Day Endocrine changes and clinical profiles in depression, Paul Calloway and Raymond Dolan Diseases Adversity and psychiatric disorder - a decay model, Paul G. Surtees. PART THREE LIFE EVENTS AND PHYSICAL ILLNESS: Physical illness - an introduction, Tirril O. Harris Appendectomy, Francis Creed Abdominal pain, Tom K.J. Craig Disorders of menstruation, Tirril O. Harris Multiple sclerosis, Igor Grant et al Myocardial infarction, Eileen Neilson Outset, George W. Brown and Michael Marmot Functional dysphonia, Harry Andrews Interlude - the origins of life events and difficulties, George W. Brown and Tirril O. Harris. PART FOUR EPILOGUE: The LEDS findings in the context of other research - an overview, Tirril O. Harris and George W. Brown Summary and conclusions, George W. Brown and Tirril O. Harris.

Reports of functional dysphonia in children and adolescents under 16 years of age are few. Approximately a dozen cases have been reported in the English literature over the past 35 years. Most of the articles appear in journals related to the fields of speech, hearing and communication with a few in the Otorhinolaryngologic journals. Published papers in psychiatric journals dealing with voice or speech disorders are virtually nonexistent. In children and adolescents the two most common varieties are the Whispering Syndrome, which occurs predominantly in girls, and the Hysterical High Pitched Voice seen mostly in boys. This paper discusses these two varieties of functional dysphonia and presents a case example of each.