This is not a theoretical statement; we can easily see with the laryngoscope the great amount of congestion of the vocal ligaments immediately caused by thus forcing up a register; and not only are these affected by the strain put upon them, but the whole interior of the throat becomes blood-red, and looks irritated and inflamed. As soon as the change to the right register is made the vocal apparatus returns to its normal state. Now we all know the effects of undue strain on muscles in other parts of the body, and have felt the pain and weakness arising therefrom; but far worse results follow the damage to the throat caused by the strain of forcing up the registers, by both speakers and singers. The quality of the voice becomes impaired, and actual loss of notes follows. In some extreme cases which I have had under my care, there has been entire absence of voice both in speaking and in singing, and much suffering has been experienced from granular inflammation of the throat brought on by this faulty voice use. Another method of forcing the voice is the almost universal endeavour to acquire "top notes" which do not belong to the singer's compass. Because of the high notes in some voices exceptionally endowed by nature, it seems as though all singers, no matter what their natural range, have made it the one object of their training to strive after a vocal attainment whose rarity appears to be almost its only justification to be considered as an artistic merit. Why should these ever vanishing "top notes" be so much craved and striven for? Can it be said that, as regards each individual voice, these notes are higher in a scale of excellence than the rest? What merit does their acquisition promise as a set-off to the deterioration of the voice and its inevitable ultimate failure? A high note, _per se_, is not necessarily "a thing of beauty" to the listener, while the result of its attainment is often the converse of a "joy for ever" to the singer; for in those cases of forcing up the voice above its natural compass, violence is done to the throat, which in time results in some of the many ailments peculiar to singers who use faulty methods. The middle range of the voice becomes proportionately weaker and thinner as the cult of the extra "top notes" becomes greater, until the anomalous position is reached of a voice with two ends and no middle; while these superadded, artificial, high notes are wanting in timbre, in purity, in strength, and in ease. It is easily demonstrable by the laryngoscope that the forced and strained action of the vocal ligaments, and of other laryngeal and throatal muscular action, exercises an injurious influence upon the voice. The endeavour to sing notes beyond the extreme of the compass, or notes which do not naturally lie within any one register--particularly the chest register--causes great fatigue of the tensor muscles of the vocal ligaments, and serious congestion, extending to the windpipe and pharynx