Transgender man voice therapy: a case report
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/7367 |
Resumo: | Introduction: Hormone therapy reduces the vocal fundamental frequency of transgender men, but the evidence suggests that it does not modify other female communication characteristics, what may result in insufficient male communication patterns. Objective: To describe the voice therapy and its results on the voice of a 35-year-old transgender man. Methods: His main complaints were voice incompatible with his gender and vocal oscillation after hormonal treatment, started eight months prior to the study. Based on the speech evaluation, a therapeutic planning was elaborated aiming at developing: descending pitch at the end of sentences; decreasing vowel prolongation; "chest resonance"; decreasing pitch variation; costodiaphragmatic breathing; vocal projection and quality; maximum phonation time and pauses; decrease and stabilize fundamental frequency; adjust the resonance; decrease pitch and increase loudness; decrease the tension on the labial commissures; and develop male aspects of speech and language. Ten voice therapy sessions were held once a week, lasting 45 minutes each. Results: After voice therapy, there was decreased pitch variation during speech, increased pauses, focusing on the interlocutor, and “chest resonance”; this developed descending pitch at the end of sentences, decreasing vowel prolongation, and pitch variation, as an exercise to stimulate male voice markers and vocal stability. Even after the hormone-induced vocal changes, he still had complaints about his voice, which improved with the aid of voice therapy. Conclusion: Speech therapy provided the development of male vocal markers in his voice. It became compatible with his gender and allowed him to be recognized as a man by his voice, and to be pleased with it. |
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Transgender man voice therapy: a case reportTerapia de voz de un hombre transgénero: informe de casoTerapia de voz de um homem transgênero: um relato de caso Disforia de GêneroFonoaudiologiaPessoas TransgêneroTerapia vocal e voz.Gender DysphoriaSpeech, Language and Hearing SciencesSpeech TherapyTransgender person and Voice.Disforia de GéneroFonoaudiologíaPersonas TransgéneroLogoterapia y voz.Introduction: Hormone therapy reduces the vocal fundamental frequency of transgender men, but the evidence suggests that it does not modify other female communication characteristics, what may result in insufficient male communication patterns. Objective: To describe the voice therapy and its results on the voice of a 35-year-old transgender man. Methods: His main complaints were voice incompatible with his gender and vocal oscillation after hormonal treatment, started eight months prior to the study. Based on the speech evaluation, a therapeutic planning was elaborated aiming at developing: descending pitch at the end of sentences; decreasing vowel prolongation; "chest resonance"; decreasing pitch variation; costodiaphragmatic breathing; vocal projection and quality; maximum phonation time and pauses; decrease and stabilize fundamental frequency; adjust the resonance; decrease pitch and increase loudness; decrease the tension on the labial commissures; and develop male aspects of speech and language. Ten voice therapy sessions were held once a week, lasting 45 minutes each. Results: After voice therapy, there was decreased pitch variation during speech, increased pauses, focusing on the interlocutor, and “chest resonance”; this developed descending pitch at the end of sentences, decreasing vowel prolongation, and pitch variation, as an exercise to stimulate male voice markers and vocal stability. Even after the hormone-induced vocal changes, he still had complaints about his voice, which improved with the aid of voice therapy. Conclusion: Speech therapy provided the development of male vocal markers in his voice. It became compatible with his gender and allowed him to be recognized as a man by his voice, and to be pleased with it.Introducción: En los hombres transgénero, la terapia hormonal reduce la frecuencia fundamental de la voz, pero la evidencia sugiere que otras características de comunicación femenina no se modifican por la terapia hormonal, lo que puede resultar en patrones de comunicación masculinos insuficientes para el individuo. Objetivo: Describimos la terapia vocal y sus resultados en la voz de un hombre transgénero de 35 años. Métodos: Sus principales quejas fueron que su voz era incompatible con su sexo y que tenía oscilaciones vocales después del tratamiento hormonal, que comenzó ocho meses antes del estudio. Basado en la evaluación de la voz, se desarrolló una planificación terapéutica con el objetivo de desarrollar: pitch descendente al final de las oraciones; extensión disminuida de vocales; resonancia “de pecho"; disminución de la variación del pitch; respiración costodiafragmática; proyección y calidad vocal; tiempo máximo de fonación y pausas; disminuir y estabilizar la frecuencia fundamental; ajustar resonancia; disminuir el pitch y aumentar el loudness; disminuir la tensión en las comisuras labiales; y desarrollar aspectos masculinos del habla y el lenguaje. Se realizaron diez sesiones de terapia vocal una vez a la semana, con una duración de 45 minutos cada una. Resultados: Después de la terapia vocal, hubo una disminución en la variación del pitch durante el habla, un aumento en las pausas, con un enfoque en el interlocutor y la resonancia “de pecho"; el pitch descendente al final de las oraciones fue desarrollado, disminuyó la longitud de las vocales y la variación del pitch, como un ejercicio para estimular los marcadores de voz masculinos y la estabilidad vocal. Incluso después de los cambios vocales inducidos por las hormonas, todavía tenía quejas sobre su voz, que mejoró con la ayuda de la terapia de voz. Conclusión: La terapia vocal proporcionó el desarrollo de marcadores vocales masculinos en su voz. Se volvió compatible con su género y le permitió ser reconocido como hombre por su voz, y estar satisfecho con él.Introdução: Em homens transgênero, a terapia hormonal reduz a frequência fundamental da voz, mas as evidências sugerem que outras características femininas de comunicação não são modificadas pela terapia hormonal, podendo resultar em padrões de comunicação masculinos insuficientes para o indivíduo. Objetivo: Descrevemos a terapia vocal e seus resultados na voz de um homem transgênero com 35 anos de idade. Métodos: Suas principais queixas eram de voz incompatível com seu sexo e oscilação vocal após o tratamento hormonal, iniciado oito meses antes do estudo. Com base na avaliação da voz, foi elaborado um planejamento terapêutico com o objetivo de desenvolver: pitch descendente ao final das frases; diminuição do prolongamento das vogais; ressonância ”de peito"; diminuição da variação do pitch; respiração costodiafragmática; projeção e qualidade vocal; tempo máximo de fonação e pausas; diminuir e estabilizar a frequência fundamental; ajustar a ressonância; diminuir o pitch e aumentar a loudness; diminuir a tensão nas comissuras labiais; e desenvolver aspectos masculinos de fala e linguagem. Foram realizadas dez sessões de terapia vocal uma vez por semana, com duração de 45 minutos cada. Resultados: Após a terapia vocal, houve diminuição da variação do pitch durante a fala, aumento de pausas, foco no interlocutor, e ressonância “ de peito”; desenvolveu-se o pitch descendente no final das frases e diminuiu-se o prolongamento das vogais e a variação do pitch, como um exercício para estimular os marcadores de voz masculina e a estabilidade vocal. Mesmo após as alterações vocais induzidas por hormônios, ele ainda tinha queixas sobre sua voz, que melhoraram com o auxílio da fonoterapia. Conclusão: A terapia vocal proporcionou o desenvolvimento de marcadores vocais masculinos em sua voz. A voz tornou-se compatível com seu gênero e permitiu que ele fosse reconhecido como homem por meio da voz, e ficou satisfeito com isso.Research, Society and Development2020-09-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/736710.33448/rsd-v9i9.7367Research, Society and Development; Vol. 9 No. 9; e774997367Research, Society and Development; Vol. 9 Núm. 9; e774997367Research, Society and Development; v. 9 n. 9; e7749973672525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/7367/6993Copyright (c) 2020 Sabrina Silva dos Santos; Carla Aparecida Cielohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Sabrina Silva dosCielo, Carla Aparecida 2020-09-18T01:42:11Zoai:ojs.pkp.sfu.ca:article/7367Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:30:06.943840Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Transgender man voice therapy: a case report Terapia de voz de un hombre transgénero: informe de caso Terapia de voz de um homem transgênero: um relato de caso |
title |
Transgender man voice therapy: a case report |
spellingShingle |
Transgender man voice therapy: a case report Santos, Sabrina Silva dos Disforia de Gênero Fonoaudiologia Pessoas Transgênero Terapia vocal e voz. Gender Dysphoria Speech, Language and Hearing Sciences Speech Therapy Transgender person and Voice. Disforia de Género Fonoaudiología Personas Transgénero Logoterapia y voz. |
title_short |
Transgender man voice therapy: a case report |
title_full |
Transgender man voice therapy: a case report |
title_fullStr |
Transgender man voice therapy: a case report |
title_full_unstemmed |
Transgender man voice therapy: a case report |
title_sort |
Transgender man voice therapy: a case report |
author |
Santos, Sabrina Silva dos |
author_facet |
Santos, Sabrina Silva dos Cielo, Carla Aparecida |
author_role |
author |
author2 |
Cielo, Carla Aparecida |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Santos, Sabrina Silva dos Cielo, Carla Aparecida |
dc.subject.por.fl_str_mv |
Disforia de Gênero Fonoaudiologia Pessoas Transgênero Terapia vocal e voz. Gender Dysphoria Speech, Language and Hearing Sciences Speech Therapy Transgender person and Voice. Disforia de Género Fonoaudiología Personas Transgénero Logoterapia y voz. |
topic |
Disforia de Gênero Fonoaudiologia Pessoas Transgênero Terapia vocal e voz. Gender Dysphoria Speech, Language and Hearing Sciences Speech Therapy Transgender person and Voice. Disforia de Género Fonoaudiología Personas Transgénero Logoterapia y voz. |
description |
Introduction: Hormone therapy reduces the vocal fundamental frequency of transgender men, but the evidence suggests that it does not modify other female communication characteristics, what may result in insufficient male communication patterns. Objective: To describe the voice therapy and its results on the voice of a 35-year-old transgender man. Methods: His main complaints were voice incompatible with his gender and vocal oscillation after hormonal treatment, started eight months prior to the study. Based on the speech evaluation, a therapeutic planning was elaborated aiming at developing: descending pitch at the end of sentences; decreasing vowel prolongation; "chest resonance"; decreasing pitch variation; costodiaphragmatic breathing; vocal projection and quality; maximum phonation time and pauses; decrease and stabilize fundamental frequency; adjust the resonance; decrease pitch and increase loudness; decrease the tension on the labial commissures; and develop male aspects of speech and language. Ten voice therapy sessions were held once a week, lasting 45 minutes each. Results: After voice therapy, there was decreased pitch variation during speech, increased pauses, focusing on the interlocutor, and “chest resonance”; this developed descending pitch at the end of sentences, decreasing vowel prolongation, and pitch variation, as an exercise to stimulate male voice markers and vocal stability. Even after the hormone-induced vocal changes, he still had complaints about his voice, which improved with the aid of voice therapy. Conclusion: Speech therapy provided the development of male vocal markers in his voice. It became compatible with his gender and allowed him to be recognized as a man by his voice, and to be pleased with it. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-09-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/7367 10.33448/rsd-v9i9.7367 |
url |
https://rsdjournal.org/index.php/rsd/article/view/7367 |
identifier_str_mv |
10.33448/rsd-v9i9.7367 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/7367/6993 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Sabrina Silva dos Santos; Carla Aparecida Cielo https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Sabrina Silva dos Santos; Carla Aparecida Cielo https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 9 No. 9; e774997367 Research, Society and Development; Vol. 9 Núm. 9; e774997367 Research, Society and Development; v. 9 n. 9; e774997367 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052656812818432 |