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Profiles and Interviews - Vocal Health



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An Interview with Pamela Harvey, M.A., CCC by Sarah Whitten*


When we spoke in mid-October Pam Harvey and I talked mostly about her background in voice pathology, and her current research interests both of which make her a veritable gold mine for singers – both those who are healthy and those in need of care. Harvey refers to herself as a voice pathologist (rather than the traditional term, Speech Language Pathologist), working only with professional voice users such as Clergy members, Teachers, Singers and Actors, experiencing difficulty with their voice. She serves as the Director of Voice Pathology Services at Brigham and Women’s Hospital where she works with Dr. Jo Shapiro, Chief ENT and first woman to run a division, and Dr. Seth Dailey, who trained in both NY and here in Boston with Dr. Steven Zeitels.


Background

Harvey’s work is one example of the way the medical and artistic worlds are beginning to work together to bridge the gap between science and the arts. Harvey began her undergraduate career in musical theater but after taking one voice disorders class she realized she was more interested in treating professional voice users than in being one. In her masters degree Harvey focused her research on a comparison of the primary voice use techniques advocated by Linklatter, Lessac and Skinner in spoken theater with the rehabilitative techniques used in vocal pathology. Since that time Kittie Verdonlini has developed what is called Lessac Based Resonant Voice Therapy (LBRVT) which uses many of the same principles of voice study to rehabilitate an injured voice. Any singer who has sat in on a voice therapy session can tell you the exercises are very similar to what is taught in Bel Canto style singing.

After doing clinical work for a few years, Harvey was invited to do a vocal coaching internship at the American Repertory Theater. It was here that she worked with Bonnie Raphael, who is now on the faculty at University of North Caroline, Chapel Hill. Following that Harvey connected with Keith Saxon, Chief research laryngologist a NIH and Walter Reed Army Medical Hospital. After finding themselves frequently presenting at the same conferences with subjects that overlapped, the two decided to team up. The resulting program, “From Center to Surface Assessing Peak Performance”, was presented to university populations and at NATS conferences. The workshop, meant for singers and actors, deals with everything from centering and mindfulness to vocal and physical exercise, sleep, diet and nutrition. (Saxon has trained with Deepak Chopra on the mind-body connection.) Currently, the pair gives the workshop only by invitation.

Harvey is a member of the Voice Foundation, and the Voice and Speech Trainers Association. She is on the editorial board at the Journal of Voice and has authored many articles on the performing voice.


Current Research

Harvey’s interest as a voice pathologist lies in seeing the larynx as part of a greater whole. In her current research she looks at laryngeal disorders as they relate to concomitant conditions such as GERD, asthma, allergies and general physical care that influence the throat. She is particularly interested in how sleep affects the voice (singers may have seen the sleep survey in the May/June 2003 NATS journal presented by Harvey, Saxon and Dr. Robert Sataloff). Harvey indicates that recent research shows that it is not only important to be well rested going into an event, but it is the first sleep received after learning a new task hat will help in succeeding in mastering the new information. Fatigue, Harvey points out, is a biochemical event, which can be measured in the blood. In singing one way fatigue is detected in is the changes that occur to breathing, which inevitably effects sung tones.

If you are interested in seeing Pam Harvey for help with a voice problem, she recommends visiting your primary care physician, obtaining a referral to an ENT, and then a referral to her via the ENT.

Pam Harvey’s Recommendations to maintain a healthy voice:

Value Sleep - develop a way to get enough of it.

Engage in regular muscle training and exercise

Keep a healthy diet

Training is maximized in a state of optimal nutrition

Take a multivitamin/multimineral on a daily basis

Look for USP standards – means a higher quality of vitamin/mineral

Know about Ester-C – it is pH neutral and won’t aggravate reflux

Focus on Stress Reduction

Meditation, Yoga


For a healthy Larynx:

Keep it moist

Don’t smoke

Use steam inhalation, especially when traveling

Warm up adequately

Cover:

Breathing, alignment, and laryngeal relaxation

Use vocalizes specific to the music you will sing

Focus on resonance building and pulling it all together



Cool down after singing:

Humming

Stretching of body

Deep breathing



When should you send a student to see and ENT

When a change in the voice persists for more than 3 weeks

When a voice is aberrant in conversational speaking

Anytime a person is in an acute state of illness but has to perform anyway

A singer has an insurmountable roadblock (EX: restricted pitch range)



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EDITOR, SARAH WHITTEN

 

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