The Effectiveness of Oral Resonance Therapy on the Perception of Femininity of Voice in Male-to-Female Transsexuals

Carew, Lisa; Dacakis, Georgia; Oates, Jennifer

doi:10.1016/j.jvoice.2006.05.005

Cited by 141 publications

(124 citation statements)

References 14 publications

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“…Consistent with previous investigations, 7,9,11 the present researchers found a considerable degree of variability in results among their speakers. In each study, it was clear that some individual TG subjects made more progress than others in raising SFF and its various components (and/or vowel formant frequencies), and in altering the perception of their voices from male to female.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

A Preliminary Study on the Use of Vocal Function Exercises to Improve Voice in Male-to-Female Transgender Clients

Gelfer

Dong

2013

Journal of Voice

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Section: Discussionsupporting

confidence: 92%

“…A different approach to voice therapy for MTF TG individuals was taken by Carew et al 11 These researchers emphasized oral resonance with a focus on raising vowel formant frequencies. Because this was prospective research, therapy approach was incorporated into the study design.…”

Section: Introductionmentioning

confidence: 99%

A Preliminary Study on the Use of Vocal Function Exercises to Improve Voice in Male-to-Female Transgender Clients

Gelfer

Dong

2013

Journal of Voice

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“…Some studies had reported that F0 levels alone are not adequate for perception of gender differences [8, 16, 17], indicating the FF levels may have an influence on gender perception. It is well known that FF is influenced by vocal tract length, rounding of lips, tongue height and position, lowering of the mandible, and hyoid bone positioning [18, 19].…”

Section: Discussionmentioning

confidence: 99%

“…According to Gunzburger [22], every sex has its own gender-specific speaking characteristics, and some of these characteristics are achieved by using techniques to modify the vocal tract. There is research showing that voice therapy can be highly effective in helping TF speakers gain a socially acceptable voice [17, 21]. After the surgery, transgender patients’ daily communication and job communication behaviors can be evaluated by using video records of patients or role-play activities.…”

Section: Discussionmentioning

confidence: 99%

An Examination of Vocal Tract Acoustics following Wendler’s Glottoplasty

Paltura

Yelken

2018

Folia Phoniatr Logop

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Purpose: To investigate the formant frequency (FF) features of transgender females’ (TFs) voice after Wendler’s glottoplasty surgery and compare these levels with age-matched healthy males and females. Study Design: Controlled prospective. Methods: 20 TFs and 20 genetically male and female age-matched healthy controls were enrolled in the study. The fundamental frequency (F0) and FFs F1–F4 were obtained from TF speakers 6 months after surgery. These levels were compared with those of healthy controls. Results: Statistical analysis showed that the median F0 values were similar between TFs and females. The median F1 levels of TFs were different from females but similar to males. The F2 levels of TFs were similar to females but different from males. The F3 and F4 levels were significantly different from both male and female controls. Conclusion: Wendler’s glottoplasty technique is an effective method to increase F0 levels among TF patients; however, these individuals report their voice does not sufficiently project femininity. The results obtained with regard to FF levels may be the reason for this problem. Voice therapy is recommended as a possible approach to assist TF patients achieve a satisfactory feminine voice.

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“…This fact can be particularly observed in transsexual subjects [2,4,5]. Transsexualism is a condition in which a person believes that his or her psychological gender is incongruent with their anatomic gender [6].…”

Section: Opis Przypadkumentioning

confidence: 99%

Gender-related voice problems in transsexuals — therapeutical demands

Misołek

Niebudek-Bogusz

Morawska

et al. 2015

Endokrynologia Polska

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The paper presents a case study of a transsexual patient who underwent a voice pitch elevation surgery performed in Poland for the first time. The human voice is a reflection of the working of hormones and human psyche. This fact is of particular importance in transsexualism, a disorder consisting in incongruence between the individual's biological sex and their identified gender. For many transsexual people, especially of the MTF (male to female) type, who have undergone hormonal and surgical sex change, the voice still presents a major problem, causing difficulties in everyday life. Hormonal treatment does not influence feminisation of the larynx. In the described MTF case, the patient's low androphonic voice was perceived as a male voice. In order to feminise the patient's voice a phonosurgical procedure was performed: the length of the vibrating portion of the vocal folds was shortened by over 50% of their total length by means of suturing of the anterior part of the vocal fold. As a result of the surgical treatment the pitch of voice was raised considerably, with F0 of spoken voice increased from 109 Hz to 209 Hz. The voice range also changed towards female tones, from 59-146 Hz to 148-343 Hz. Pitch elevation positively influenced the patient's subjective voice assessment: total score of the Voice Handicap Index (VHI) improved from 99 to 19 points, and the score of its emotional sub-scale: 39 and 2 points, respectively. The described case of a surgical male-to-female voice change presents one of the dilemmas faced by modern medicine. StreszczeniePrzedstawiono przypadek pacjentki transseksualnej, u której po raz pierwszy w Polsce przeprowadzono zabieg chirurgiczny zmiany głosu z męskiego na żeński. Głos ludzki -drugorzędowa cecha płciowa -jest odzwierciedleniem działania hormonów i psychiki. Fakt ten nabiera szczególnego znaczenia w transseksualizmie, zaburzeniu polegającym na niezgodności płci biologicznej z płcią psychiczną. Dla wielu osób transseksualnych, szczególne w postaci transseksualizmu M/K (mężczyzna/kobieta) po hormonalnej i chirurgicznej zmianie płci biologicznej ważnym problemem nastręczającym trudności w życiu codziennym pozostaje głos, gdyż leczenie hormonalne nie wpły-wa na feminizację krtani -aparatu głosowego. W opisywanym przypadku niski androfoniczny głos pacjentki był percepowany przez otoczenie jako męski. W celu feminizacji głosu wykonano leczenie fonochirurgiczne: skrócono fałdy głosowe o ponad 50% ich długości poprzez założenie szwów zespalających w ½ przedniej części głośni. W wyniku zabiegu podwyższono znacząco głos: przedoperacyjna częstotliwość głosu mówionego wyraźnie przesunęła się po operacji w górę z wartości 109 Hz do 209 Hz. Zakres głosu także zmienił się w kierunku tonów żeńskich z 59-146 Hz do 148-343 Hz. Zmiana wysokości głosu u pacjentki wpłynęła pozytywnie na jej subiektywną ocenę głosu: wynik kwestionariusza VHI (Voice Handicap Index) poprawił się z 99 pkt -przed operacją do 19 pkt -po operacji. Na poprawę jakości życia wskazuje także spadek problemów emocjo...

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The Effectiveness of Oral Resonance Therapy on the Perception of Femininity of Voice in Male-to-Female Transsexuals

Cited by 141 publications

References 14 publications

A Preliminary Study on the Use of Vocal Function Exercises to Improve Voice in Male-to-Female Transgender Clients

A Preliminary Study on the Use of Vocal Function Exercises to Improve Voice in Male-to-Female Transgender Clients

An Examination of Vocal Tract Acoustics following Wendler’s Glottoplasty

Gender-related voice problems in transsexuals — therapeutical demands

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