This case study of globus hyster icus documents the vocal problems, adjustments to university life, and the career ambivalence of a first-year voice major enrolled at a large university school of music. The case was investigated using data obtained from (a) subject's self-perceptions; (h) evaluation by the subject's voice teacher; (c) interview with the subject's mother; (d) medical diagnosis; (e) evaluations of a voice clinician and clinical supervisor; (I) behavioural data obtained in ten voice therapy sessions; (g) psychological measures of motivation, self concept and personality; and (h) academic records. The case was studied within the context of ten one-hour voice therapy sessions that occurred across one term and two follow-up interviews that occurred during the second term. Therapy involved modification of targeted vocal behaviours and counselling. Counselling focused on psychosocial factors related to the client's vocal problems and cognitive restructuring associated with her transition from secondary school music student to first-year voice major. Results were discussed in relation to factors influencing persistence of university music majors.
