In order to estimate the significance of the psychogenic factor in the
etiology of functional voice disorders on the basis of relevant psych
ological dimensions we compared patients with functional dysphonia, ap
honia and a normal control group by means of an empirical-psychologica
l test procedure. Psychogenic conditions proved to be a major factor i
n the etiology of aphonia, whereas such an interrelation turned out on
ly partially in patients with functional dysphonia. The conclusion can
be that psychogenic aspects are not necessarily of exceeding importan
ce in the etiology of functional dysphonia. If no differentiation is m
ade between the two kinds of voice disorders an overestimation of psyc
hogenic genic influence might occur.