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Exploring motives and perceived barriers for voice modification: the views of transgender and gender-diverse voice clients
Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS). Umeå University, Faculty of Medicine, Department of Clinical Sciences, Speech and Language Therapy.ORCID iD: 0000-0001-8618-4987
Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS). Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0001-6401-889X
Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden; Medical Unit Speech-Language Pathology, Karolinska University Hospital, Stockholm, Sweden.ORCID iD: 0000-0003-2520-4520
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Speech and Language Therapy.ORCID iD: 0000-0003-3373-0934
2023 (English)In: Journal of Speech, Language and Hearing Research, ISSN 1092-4388, E-ISSN 1558-9102, Vol. 66, no 7, p. 2246-2259Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
American Speech Language Hearing Association , 2023. Vol. 66, no 7, p. 2246-2259
Keywords [en]
transgender, gender-affirming, voice dysphoria, voice therapy, voice modification, person-centered therapy, qualitative methodology
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:umu:diva-209215DOI: 10.1044/2023_jslhr-23-00042PubMedID: 37263019Scopus ID: 2-s2.0-85164624938OAI: oai:DiVA.org:umu-209215DiVA, id: diva2:1763459
Available from: 2023-06-07 Created: 2023-06-07 Last updated: 2024-04-10Bibliographically approved

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Holmberg, JennyLinander, IdaKarlsson, Fredrik

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Umeå Centre for Gender Studies (UCGS)Speech and Language TherapyDepartment of Epidemiology and Global Health
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