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Talkativeness Scale

At our practice, we use a 7-point interval scale upon which the patient and family will rate the patient’s degree of talkativeness.

(1) signifies an individual who is unusually quiet and uncommunicative;

(4) represents an averagely talkative person;

(7) describes someone who is unusually extroverted and even a “life of the party” type.

Notably, persons with mucosal injuries (e.g., vocal nodules) are almost invariably (6) or (7); the exception might be a person whose occupational demands on the voice are truly extreme.

Seven point talkativeness scale, with one through 3 being a vocal underdoer, and six through seven being a vocal overdoer

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Vocal Underdoer – Overdoer Continuum | Understanding Proper Voice Use

What is the Vocal Under-Doer and Vocal Over-Doer Continuum? Why is it an important concept for everyone interested in the voice (voice teachers, speech pathologists, voice doctors, singers, actors, etc.)? Because it provides critical insights into understanding and responding to potential voice disorders or risk of developing voice disorders.

Dr. Bastian’s 7-point “talkativeness scale” allows individuals to rate and become self-aware of their level of talkativeness and sociability.

“Vocal under-doers” may currently have, or eventually develop conditions such as vocal weakness, vocal inconfidence, and vocal fatigue.

On the other hand, “vocal over-doers” are more at risk than the average person of vocal cord injuries such as nodules and polyps. A “curriculum” is suggested by Dr. Bastian for persons on each end of the under-doer / over-doer continuum.