Get .1 ASHA CEU here

Update: This episode was recorded about 6 months before it was released. In that time several resources become available that we wanted to include as part of the show notes and resource list. This is a great example of how quickly resources can change and how important it is for us as clinicians to shift our thinking and stay on top of newly published work and resources! The updated resources are as follows:

There is now a published voice questionnaire for non-binary folx:

Shefcik, G., Tsai, P. (2021). Voice-related experience of nonbinary individuals (VENI) development and validity.  Journal of Voice, published online 01/28/21. DOI: :https://doi.org/10.1016/j.jvoice.2020.12.037

The Trans Voice Initiative is an organization that seeks to open the gates for intersectional trans leadership in the field of Speech-Language Pathology, and ultimately drastically improve the quality of care to the transgender community. You can learn more about their work at www.transvoiceinitiative.com or on social media channels at @transvoiceinitiative.

Transplaining has launched a 3 graduate credit course in partnership with Fitchburg State University on Intersectional Cultural Responsiveness in Speech and Language Pathology. It’s being offered for for 3 graduate level credits and ! That's an automatic ACE award! You can find more information on transplaining.info. There is also a new site that our episode guest, AC Goldberg, Ph. D., CCC-SLP, is developing for this work, thecreditsinstitute.com. CREDIT stands for Culturally Responsive Education Diversity & Inclusion Training.

Episode Summary

The voice is like a fingerprint-a source of identity and an instrument used for not just communication, but connection. For some, this fingerprint does not align with other elements of their identity, motivating them to take on the hard work of forming new voice “habits” to reach their goals. In this episode, SLP’s Barb Worth and AC Goldberg return to the podcast to share their perspective on how best to support individuals who are seeking gender aligning voice intervention. Tune in to explore tangible and compassionate evaluation and intervention strategies that are client-centered, culturally competent, and evidence-based. You’ll get a refresher on the larynx and the vocal process, as well as some helpful reminders on the importance of helping clients reach their goals, not yours, or those of society at large.

Learn more about AC and Barb here.

Course Accommodations

The transcript for this course is provided below. You can also email us at ceu@slpnerdcast.com

Learning Outcomes

Identify at least two steps you can take towards cultural and clinical competency in the area of gender-affirming voice and communication training. 

Describe at least two components of a gender-affirming voice and communication evaluation.

Describe at least three potential therapy targets areas for a client receiving  gender-affirming voice and communication training.

References: 

Adler, R. (2017). The SLP as counselor for the transgender client. Perspectives of the ASHA Special Interest Groups, 2(10), 92–101. https://doi.org/10.1044/persp2.SIG10.92

Adler, R., Hirsch, S., & Pickering, J. (Eds.). (2018). Voice and communication therapy for the transgender/gender diverse client: A comprehensive clinical guide (3rd ed.). San Diego, CA: Plural.

American Speech-Language-Hearing Association. (2016). Code of ethics [Ethics]. Retrieved from www.asha.org/policy/

American Speech-Language-Hearing Association. (2017). Issues in ethics: Cultural and linguistic competence. Retrieved from www.asha.org/Practice/ethics/Cultural-and-Linguistic-Competence/

Carew, L., Dacakis, G., & Oates, J. (2007). The effectiveness of oral resonance therapy on the perception of femininity of voice in male-to-female transsexuals. Journal of Voice, 21,591–603. https://doi.org/10.1016/j.jvoice.2006.05.005

Dacakis, G., Davies, S. The Transwomen Voice Questionnaire (Formerly TVQ MTF) ). (2012) Retrieved from: http://www.shelaghdavies.com/questionnaire/

Dacakis, G., Davies, S., Oates, J. M., Douglas, J. M., & Johnston, J. R. (2013). Development and preliminary evaluation of the Transsexual Voice Questionnaire for male-to-female transsexuals. Journal of Voice, 27, 312–320.  https://doi.org/10.1016/j.jvoice.2012.11.005

Dacakis, G., Oates, J. M., & Douglas, J. M. (2017b). Further evidence of the construct validity of the Transsexual Voice Questionnaire (TVQMtF) using principal components analysis. Journal of Voice, 31, 142–148. https://doi.org/10.1016/j.jvoice.2016.07.001

Davies, S. (2017). The evidence behind the practice: A review of WPATH suggested guidelines in transgender voice and communication. Perspectives of the ASHA Special Interest Groups, 2(10), 64–73. https://doi.org/10.1044/persp2.SIG10.64

Davies, S., Papp, V., & Antoni, C. (2015). Voice and communication for gender nonconforming individuals: Giving voice to the person inside. International Journal of Transgenderism, 1, 117–159. https://doi.org/10.1080/15532739.2015.1075931

Gender Spectrum Voice and Communication (Private Facebook Group) 2021 

Goldberg, AC., (2019). Our transgender language choices make all the differences The ASHA Leader,  24(4).  .https://doi.org/10.1044/leader.FMP.24042019.6

Hancock, A. B., & Garabedian, L. M. (2013). Transgender voice and communication treatment: A retrospective chart review of 25 cases. International Journal of Language and Communication Disorders, 45, 313–324. https://doi.org/10.1111/j.1460-6984.2012.00185.x

Hirsch, S. (2017). Combining voice, speech science and art approaches to resonant challenges in transgender voice and communication training. Perspectives of the ASHA Special Interest Groups, 2(10), 74–82. https://doi.org/10.1044/persp2.SIG10.74

Mills, M., Stoneham, G. (2017). The voice book for trans and non-binary people. London: Jessica Kingsley. 

World Professional Association for Transgender Health. (2011). Standards of care for the health of transsexual, transgender, and gender nonconforming people (7th version). Retrieved from https://www.wpath.org/media/cms/Documents/
Web%20Transfer/SOC/Standards%20of%20Care%20V7%20-%202011%20WPATH.pdf 

Disclosures:

AC Goldberg financial disclosures: AC is employed full time as an speech pathologist working primarily in gender voice modifcation and is the founder and co-owner of transplaining.info AC Goldberg non-financial disclosures: AC is a person of transgender experience, which gives me (him) personal perspective.

Barb Worth financial disclosures: Barb is a Clinical and Academic Instructor
Communication Sciences and Disorders at Emerson College. She instructs students in the delivery of voice services to all populations. Barb Worth non-financial disclosures: Barb has a decade of experience working with the TGNC population.

Kate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast.  Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG. 

Amy Wonkka financial disclosures: Amy is an employee of a public school system and co-founder for SLP Nerdcast. Amy Wonkka non-financial disclosures: Amy is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children.

Time Ordered Agenda:

15 minutes: Introduction, Disclaimers and Disclosures

25 minutes: Review steps you can take towards cultural and clinical competency in the area of gender-affirming voice and communication training

15 minutes: Descriptions of components of a gender-affirming voice and communication evaluation

10 minutes: Descriptions of potential therapy targets areas for a client receiving  gender-affirming voice and communication training

5 minutes: Summary and Closing

Disclaimer

The contents of this episode are not meant to replace clinical advice.  SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated.  We are NOT PhDs, but we do research our material.  We do our best to provide a thorough review and fair representation of each topic that we tackle.  That being said, it is always likely that there is an article we’ve missed, or another perspective that isn’t shared.  If you have something to add to the conversation, please email us! Wed love to hear from you!

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