“…Further, speech elicited in specific phonetic contexts, such as those used in the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V; Kempster, Gerratt, Verdolini Abbott, Barkmeier-Kraemer, & Hillman, 2009), can reveal the existence and nature of some voice disorders (e.g., vocal tremor [Lederle et al, 2012] and adductory spasmodic dysphonia) that may occur more commonly under certain circumstances (at voicing onsets and/or offsets, for example, Awan et al, 2010;Roy, Gouse, Mauszycki, Merrill, & Smith, 2005). However, most acoustic studies of quality assessment from continuous speech use means and/or standard deviations for acoustic measures calculated across the entire sample of speech, and perceptual studies usually assess the overall extent of dysphonia (e.g., Awan, Roy, & Dromey, 2009;de Krom, 1994;Halberstam, 2004;Lederle et al, 2012;Lowell, Colton, Kelley, & Hahn, 2011;Maryn et al, 2010a;Maryn & Roy 2012;Moon et al, 2012;Parsa & Jamieson, 2001;Revis, Giovanni, Wuyts, & Triglia, 1999;Watts & Awan, 2011;Zraick et al, 2005;see Lowell, 2012, or Maryn, Roy, De Bodt, Van Cauwenberge, & Corthals, 2009 This approach limits the extent to which such measures can index quality variations in continuous speech rather than simply overall levels of dysphonia.…”