The unique vocal timber of politicians, especially one as prominent as Robert F Kennedy Jr, sometimes raises questions among the audience. What might seem like an unusual manner of voice projection for Kennedy is actually a consequence of a neurological disorder known as spasmodic dysphonia. This condition played an audible role during his campaign trail, making his voice sound more grating and harsh, particularly when amplified through microphones or broadcasted on television.
While currently showing resilience as he goes through confirmation hearings for the position of leading the Department of Health and Human Services under President Donald Trump, Kennedy’s journey has been daunting. His struggle with spasmodic dysphonia is a story that began in 1996 when he was diagnosed with this infrequent neurological disorder at the tender age of 42.
While people may have been quick to attribute Kennedy’s distinct voice to a possible respiratory or infectious disease, this couldn’t be further from the truth. Spasmodic dysphonia has no roots in common infection or respiratory issues. Rather, it’s a condition that results in muscular spasms affecting the opening and closing of the vocal cords.
This involuntary muscle activity often leads to a voice that sounds strained or potentially like strangulation, and can even cause trembles in the voice. In severe cases, spasmodic dysphonia poses the risk of voice loss. The reasons behind this lasting affliction are yet to be completely understood. However, current beliefs lean towards abnormal activity in the brain cells located in the motor control area or a high level of psychological stress as plausible causes.
Although there is currently no definitive cure, multiple potential treatments can provide relief. Among them are relaxation techniques aimed at soothing the vocal muscles, surgical interventions, botulinum toxin (Botox) injections, and specific medication. These remedies, while not eliminating the condition, could alleviate some of the challenging symptoms presented by this disorder.
The revelation of his medical diagnosis had a profound impact on Kennedy, a staunch environmental lawyer known for his substantial oratory skills. Once confident with a commanding voice that resonated during public appearances and speeches, his oratory strength was unexpectedly challenged by spasmodic dysphonia.
Reminiscing about the implications this posed during his presidential campaign, Kennedy shared his narrative with authenticity and candor. He reflected on how he was capable of addressing massive crowds without needing sound amplification, a talent significantly hindered by his affliction. After turning 42, he found himself grappling with spasmodic dysphonia, a disorder that caused his voice to exhibit tremors.
One of the most profound challenges, he confessed, was the difficulty he believed others had when listening to him. Furthermore, he personally found it hard to hear his voice on TV. The condition made his voice tremble, presenting itself as a real test of stamina and resilience for him.
Displaying vulnerability, Kennedy expressed his ongoing struggle with accepting the sound of his own voice, a struggle that began almost three decades ago with the diagnosis. He showed empathy for his listeners, recognizing that his voice, while not exhausting to use, can be tough to listen to due to the disorder.
Spasmodic dysphonia, while responsible for Kennedy’s struggles, is unique in its rarity as a disorder. It falls under the umbrella of conditions known as dystonia, a family of disorders affecting motor control. The UK-based organization, Dystonia UK, suggests that these types of disorders impact around 100,000 individuals.
The organization has highlighted that spasmodic dysphonia may present itself at first as a simple case of hoarseness or a sore throat that doesn’t respond to typical treatments. This symptom may often be overlooked, but for those affected, it can indicate the onset of this complex disorder. From here on, the symptoms only tend to escalate, resulting in more noticeable changes in the voice and potential difficulties in vocal loudness and clarity.