AI Article Synopsis
- The study highlights the lack of understanding regarding transgender and gender-diverse clients' perceptions and goals in gender-affirming voice therapy, emphasizing the need to consider their individual experiences.
- Through interviews with 15 clients, three main themes emerged: the impact of voice on gender dysphoria, the desire for personalized vocal expression, and the challenges faced in achieving voice goals.
- The findings advocate for a person-centered approach in therapy that aligns with clients' motivations and addresses potential obstacles, suggesting these themes should guide discussions between clients and speech-language pathologists.
Article Abstract
Purpose: To date, transgender and gender-diverse voice clients' perceptions and individual goals have been missing in discussions and research on gender-affirming voice therapy. Little is, therefore, known about the client's expectations of therapy outcomes and how these are met by treatments developed from views of vocal gender as perceived by cisgender persons. This study aimed to explore clients' individual motives and perceived barriers to undertaking gender-affirming voice therapy.
Method: Individual, semistructured interviews with 15 transgender and gender-diverse voice clients considering voice therapy were conducted and explored using qualitative content analysis.
Results: Three themes were identified during the analysis of the participants' narratives. In the first theme, "the incongruent voice setting the rules," the contribution of the voice on the experienced gender dysphoria is put in focus. The second theme, "to reach a voice of my own choice," centers around anticipated personal gains using a modified voice. The third theme, "a voice out of reach," relates to worries and restricting factors for not being able to reach one's set goals for voice modification.
Conclusions: The interviews clearly indicate a need for a person-centered voice therapy that starts from the individuals' expressed motives for modifying the voice yet also are affirmative of anticipated difficulties related to voice modification. We recommend that these themes should form the basis of the pretherapy joint discussion between the voice client and the speech-language pathologist to ensure therapy goals that are realistic and relevant to the client.
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| http://dx.doi.org/10.1044/2023_JSLHR-23-00042 | DOI Listing |
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