Background: Testosterone therapy is the predominant treatment for voice masculinization in transgender patients. Although lowering of voice fundamental frequency (f0) occurs with testosterone therapy, evidence suggests voice and gender identity may not fully align—i.e., voice-gender congruence may not be achieved—with its use.
Aim: This meta-analytic review evaluates the effectiveness of testosterone therapy to masculinize voice in transgender patients.
Methods: Multiple electronic databases were queried (inclusion dates: from database inception up to October 27, 2017) to identify original research on voice masculinization using testosterone therapy. Nineteen articles were included in this meta-analytic review, which followed PRISMA guidelines. In addition to qualitative analyses, random effects proportion meta-analyses were performed on data related to f0, voice-gender congruence, voice problems, and satisfaction with voice.
Results: A meta-analysis on f0 data showed after 1 year of testosterone therapy a combined estimate of 21% of participants (95% confidence interval [CI]: 5%–43%; I2: 59.9%) did not achieve cisgender male normative frequencies (f0 ≤ 131 Hz). Meta-analyses on incomplete voice-gender congruence and voice problems indicated combined estimates of 21% (95% CI: 10%–34%; I2: 0.0%) and 46% (95% CI: 14%–79%; I2: 90.2%), respectively. Regarding incomplete satisfaction with voice, a meta-analysis showed a combined estimate of 16% (95% CI: 7%–28%; I2: 0.0%).
Discussion: We found that not all transgender patients using testosterone therapy to masculinize voice should expect f0 lowering to cisgender male normative frequencies after 1 year. The vocal transition may involve voice problems for many patients, and some might not achieve voice-gender congruence without additional, voice-specific intervention. Given these findings, a voice evaluation should occur prior to initiating testosterone therapy and involve counseling on expectations for voice. Transgender patients who pursue voice masculinization may need management from laryngology and speech and language therapy to improve voice-gender congruence, mitigate voice problems, and increase satisfaction with voice. 相似文献
Two experiments are presented, which explore the presence of a distinctiveness advantage when recognising unfamiliar voices. In Experiment 1, distinctive voices were recognised significantly better, and with greater confidence, in a sequential same/different matching task compared with typical voices. These effects were replicated and extended in Experiment 2, as distinctive voices were recognised better even under challenging listening conditions imposed by nonsense sentences and temporal reversal. Taken together, the results aligned well with similar results when processing faces, and provided a useful point of comparison between voice and face processing. 相似文献
Cardiovascular responses to mental stress tests have been related to future blood pressure (BP) levels. However, most studies have been completed in North America and Europe; only one study has been conducted in Asia. Therefore, the study explored whether cardiovascular responses to mental stress predict future resting BP in Thailand. Hemodynamic measures were obtained from 101 healthy adults before, during and after mental arithmetic, a speech task, and a cold pressor task. A follow‐up assessment of resting BP was undertaken 1 year later. Results showed that Thais responded to standardized mental stress tasks with large and significant cardiovascular reactivity. Regression analyses indicated that, after adjustment for baseline BP and traditional risk factors, heightened systolic blood pressure (SBP) responses to mental arithmetic were associated with increased future SBP (ΔR2 = .045). These findings suggest that BP reactivity predicts future BP and may play a role in the development of hypertension. In addition, Thais displayed large cardiovascular responses to standardized mental stress tasks, of a similar magnitude to previous studies of North Americans and Europeans. 相似文献
Aftereffects of adaptation have revealed both independent and interactive coding of facial signals including identity and expression or gender and age. By contrast, interactive processing of non-linguistic features in voices has rarely been investigated. Here we studied bidirectional cross-categorical aftereffects of adaptation to vocal age and gender. Prolonged exposure to young (~ 20 yrs) or old (~ 70 yrs) male or female voices biased perception of subsequent test voices away from the adapting age (Exp. 1) and the adapting gender (Exp. 2). Relative to gender-congruent adaptor-test pairings, vocal age aftereffects (VAAEs) were reduced but remained significant when voice gender changed between adaptation and test. This suggests that the VAAE relies on both gender-specific and gender-independent age representations for male and female voices. By contrast, voice gender aftereffects (VGAEs) were not modulated by age-congruency of adaptor and test voices (Exp. 2). Instead, young voice adaptors generally induced larger VGAEs than old voice adaptors. This suggests that young voices are particularly efficient gender adaptors, likely reflecting more pronounced sexual dimorphism in these voices. In sum, our findings demonstrate how high-level processing of vocal age and gender is partially intertwined. 相似文献
Abstract This article approaches the pleasures of the cinema through a discussion of the conditions of cinema going and the place of the cinema in twentieth-century culture. It links them to the history of cinema and to the debates about art and psychoanalysis. It introduces the centrality of parallels between the cinema and dreaming and the importance of sexuality for the cinema. It suggests that discussion about the psychic mechanisms elicited by film going is a productive way of thinking about the cinema. 相似文献
The study examined the effect that auditory information (speaker language/accent: Japanese or French) had on the processing of visual information (the speaker's race: Asian or Caucasian) in two forced-choice tasks: Classification and perceptual judgement on animated talking characters. Two (male and female) sets of facial morphs were constructed such that a 3-D head of Caucasian appearance was gradually morphed (in 11 steps) into one of Asian appearance. Each facial morph was animated in association with spoken French/Japanese or English with a French/Japanese accent. To examine the auditory effect, each animation was played with or without sound. Experiment 1 used an Asian or Caucasian classification task. Results showed that faces heard in conjunction with Japanese or a Japanese accent were more likely to be classified as Asian compared to those presented without sound. Experiment 2 used a same or different judgement task. Results showed that accuracy was improved by hearing a Japanese accent compared to without sound. These results were discussed in terms of the voice information acting as a cue to assist in organizing and attending to face features. 相似文献
Authenticity is an important concept in positive psychology and has been shown to be related to well-being, health, and leadership effectiveness. The present paper introduces employee authenticity as a predictor of relevant workplace behaviors, namely employee silence and prohibitive voice. Converging evidence across two studies using cross-sectional and longitudinal designs demonstrates that when responding to hypothetical problematic workplace events (Study 1) or actual workplace experiences (Study 2), individual differences in employees’ authenticity predicted more self-reported voice behaviors and less silence that emanated from various motivations. Furthermore, authenticity scores consistently yielded predictive utility over and above the contribution of a broad set of individual and organization-based characteristics. Finally, organizational identification moderated the relation between authenticity and silence, such that for employees with high levels of identification, the relation between authenticity and silence was stronger. 相似文献