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 doing is everything’: a middle-voiced reading of agency in Nietzsche

ABSTRACT

Nietzsche's famous claim, ‘das Thun ist Alles’, is usually translated as ‘the deed is everything’. I argue that it is better rendered as ‘the doing is everything’. Accordingly, I propose a processual reading of agency in GM 1 13 which draws both on Nietzsche's reflections on grammar, and on the Greek middle voice, to displace the opposition between deeds and events, agents and patients by introducing the notion of middle-voiced ‘doings’. The relevant question then is not ‘is this a doing or a happening?’ but ‘what is the process unfolding in the doer, and what is her engagement with it?’. I argue (a) that this middle voiced reading makes better sense than either naturalist or expressivist interpretations of the key thought in GM 1 13 that ‘there is no doer behind the doing’, and (b) that GM 1 13 does not only provide us with a critique of slave morality, as is often said, but also with an example of a middle-voiced doing: self-deception. I explore the phenomenology of middle-voiced doings in other passages and show that it has at least three features: (pre-)reflective awareness of being engaged with an internal process, responsiveness, and absence of reflective control.     

Control of voice gender in pre‐pubertal children

Adult listeners are capable of identifying the gender of speakers as young as 4 years old from their voice. In the absence of a clear anatomical dimorphism in the dimensions of pre‐pubertal boys' and girls' vocal apparatus, the observed gender differences may reflect children's regulation of their vocal behaviour. A detailed acoustic analysis was conducted of the utterances of 34 6‐ to 9‐year‐old children, in their normal voices and also when asked explicitly to speak like a boy or a girl. Results showed statistically significant shifts in fundamental and formant frequency values towards those expected from the sex dimorphism in adult voices. Directions for future research on the role of vocal behaviours in pre‐pubertal children's expression of gender are considered.     

自我嗓音吸引力的评价偏向及抑郁的作用

探讨自我嗓音吸引力评价的积极偏向及抑郁因素的作用。以34名女性和32名男性大学生为被试,采用主观评定法分别对自我、熟人和陌生他人的嗓音吸引力进行评价,同时施测贝克抑郁量表。结果显示:男性和女性被试均对自我嗓音表现出更高评价,随着抑郁分数的增高,女性对自我嗓音吸引力的评价会随之降低。结果提示嗓音吸引力评价的自我积极偏向具有稳定性并与抑郁关系密切,女性抑郁程度越高,自我嗓音吸引力评价越低。