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. 相似文献
ABSTRACTScholarly studies of Buddhist gift-giving have explored the many ways in which gifts are or are not reciprocal. This topic is revisited in this article by the author drawing greater attention to the practice of narration. Instead of understanding Buddhist words about dāna as representing religious doctrines or the experience of its social practice, the author considers how Buddhists narrate dāna as a means of maintaining relationships with self and others. Examining narratives of one monastic gift-recipient, meanings of dāna and moral principles of gift-giving are shown to vary alongside shifting relations between givers and receivers. This case suggests that themes of reciprocity are most salient when narrators grapple with interpersonal threats. Offering possible interpretations of this correlation, the author argues how reciprocal forces could be external social conditions to which narratives respond as well as created ex nihilo through the practice of narration as a strategy of ordering interpersonal conflicts potentially unrelated to reciprocity. 相似文献
ABSTRACTResearch indicates that adults form life story chapters, representations of extended time periods that include people, places and activities. Life chapter memories are distinct from episodic memories and have implications for behaviour, self and mental health, yet little is known about their development during childhood. Two exploratory studies examined parent–child conversations about life chapters. In Study 1, mothers recorded naturalistic conversations with their 5–6 year old children about two chapters in the child’s life. In Study 2, mothers recorded conversations with their 6–7 year old children about a particular life chapter—the child’s kindergarten year—and also about a specific episode of their choice. The results indicated that young children are able to recall and discuss information about life chapters and that parents actively scaffold children’s discussion of general information in chapters as well as specific events. Mothers’ conversational style when discussing chapters (e.g., elaborativeness) predicted children’s memory contributions, and was also positively correlated with their style when discussing specific events. The results suggest new avenues for research on the ontogeny of life chapters, the factors that shape them, and their role in development. 相似文献
The Maryland Resource for the Behavioral Utilization of the Reinforcement of Negative Stimuli (MRBURNS) is a novel behavioral task designed to measure individual differences in negative reinforcement-based risk taking propensity. Performance on the MRBURNS has been linked with alcohol-related problems and negative reinforcement-based drinking motives, as well as symptoms of anxiety and depression; however, it is unclear if performance on the task represents a stable measure of negative reinforcement-based risk taking over time. As such, the current study aimed to examine the test–retest reliability of the MRBURNS over a period of one year. Results indicate that the correlation between year 1 and year 2 risk behavior (average number of pumps) on the MRBURNS was .43 across all trials. With the one year test–retest reliability of the MRBURNS established, the MRBURNS may be a useful approach to measuring the relative contribution of negative reinforcement-based risk taking in the development of risky behaviors over time, and may be used to monitor the effects of novel interventions that aim to reduce negative reinforcement based risk taking in the real world. 相似文献
The paper attempts to reveal which factors may influence the duration of overtaking in two lane highways. Questions such as what is the duration of young male and female drivers’ overtaking activities and, given that a driver conducts an overtaking maneuver, how long will it take, are addressed using classical survival analysis. Data are collected using a driving simulator. Different models are developed for describing the total overtaking duration, as well as the duration of the acceleration and back-to-lane phases. Results show that the duration of each of the phases of overtaking considered, as well as the total overtaking duration may be best described by a Log–logistic distribution. Analyses point out that, apart from the acceleration phase, the gender is a critical factor to the duration modeling. Other influential factors are the speed difference from the lead vehicle, the speed of opposing traffic, the spacing from the lead and opposing traffic, as well as whether the driver is engaged in multiple overtakes. Finally, the modeling implications to driving assistance systems are discussed. 相似文献