Multiple strategies—including speech therapy—can help those whose voice and gender identity are not aligned and can improve their quality of life
Calling customer service is a situation we all know and dread. We navigate a complex maze of automated voice commands, hoping for the prize of speaking with a real live person. For some, that connection is a relief—but not for everyone.
I am an openly transgender neurologist and activist. My research and that of others in this field points to two key ways we can support transgender people whose voice and gender identity do not align. First, small changes in language can help cisgender people be more sensitive and accurate in the words they use to describe gender.
Often people’s perceptions of voice and gender reflect long-standing beliefs learned over many years through social and cultural upbringing. For example, because many have been taught that gender exists only as a binary of male or female, their ability to describe voices that are more gender ambiguous or intermediate is limited. Nonbinary individuals, meanwhile, are more likely to correctly identify other speakers with such voices.
In addition, surgical and nonsurgical interventions can help a transgender person change their vocal characteristics, bringing them into alignment with their gender identity. Voice training is less costly and invasive than surgical options, making it the more common starting point to explore one’s vocal expression. Through weekly speech therapy sessions with a licensed speech-language pathologist, transgender people learn to control intonation, word choice and other vocal behaviors.
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