Taiwanese speech–language therapists’ awareness and experiences of service provision to transgender clients

Background: One of the most influential factors that affect the quality of life of transgender individuals is whether they can be perceived by others to “pass” in their felt gender. Voice and communication style are two important identifying dimensions of gender and many transgender individuals wish to acquire a voice that matches their gender. Evidence shows that few transgender individuals access voice therapy, and that this is caused by their concerns about stigmatization or negative past experiences within healthcare services. In order to address the negative experiences faced by transgender populations we need a better understanding of healthcare services’ current levels of knowledge and LGBT awareness. Some studies of Speech–Language Therapists’ (SLTs’) experience and confidence working with transgender individuals have recently been undertaken in the United States (US). However, little research has been carried out in Asia.

Aims: To investigate Taiwanese SLTs’ knowledge, attitudes and experiences of providing transgender individuals with relevant therapy.

Method: A cross-sectional self-administered web-based survey hosted on the Qualtrics platform was delivered to 140 Taiwanese SLTs.

Results: Taiwanese SLTs were, (i) more familiar with the terminology used to address “lesbian, gay, and bisexual groups” than with “transgender” terminology, (ii) generally positive in their attitudes toward transgender individuals, and (iii) comfortable about providing clinical services to transgender clients. However, the majority of participants did not feel that they were sufficiently skilled in working with transgender individuals, even though most believed that providing them with voice and communication services fell within the SLT scope of practice.

Conclusion: It is important for clinicians to both be skilled in transgender voice and communication therapy and to be culturally competent when providing services to transgender individuals. This study recommends that cultural competence relating to gender and sexual minority groups should be addressed in SLTs’ university education as well as in their continuing educational programs.     

The Taciturn Exemplar

Early Confucian thinkers have an intense interest in the external aspects of moral exemplars. This article explores this interest by unpacking a complicated relation between silence, speech, and moral cultivation in the Analects. Situating Confucius’s desire to be silent in a pedagogical context, this article points out a tension between speaking of moral knowledge and personalizing it. It argues that silence is considered a desirable pedagogical practice because it fosters a more intimate relation between people and the moral knowledge they receive. This article then offers a detailed analysis of several difficult pedagogical moments between Confucius and two of his most eloquent students, Zigong and Zai Wo. Their problematic ways of speaking provide cases in point that flesh out the arguments sketched above. This article concludes by reflecting on how silence can also be alienating in moral cultivation, and on how people’s styles of speech may shape who they are.     

Self-talk: Review and sport-specific model

Self-talk is a key component of the sport psychology canon. Although self-talk has been widely endorsed by athletes and coaches as a performance enhancement strategy, a comprehensive model of self-talk in sport that might be used to guide systematic research has yet to be developed. This purpose of this paper is to: (a) review theory and research related to self-talk in sport; and (b) present a sport-specific model that builds upon existing theory and research, and addresses key questions related to self-talk. The paper begins with a definition of self-talk, developed with consideration of the discursive nature of inner speech and dual process theories. Extant self-talk models related to self-talk in sport are reviewed and serve as a foundation for a sport-specific model of self-talk. Components of the model (i.e., self-talk, System 1, System 2, behaviour, contextual factors, personal factors) are presented, the reciprocal relationships among model components are explored, and implications of the sport-specific model of self-talk are discussed.