Voice and Communication in Transgender and Gender Diverse Individuals: Evaluation and Techniques for Clinical Intervention

Courey, Mark S., Rapoport, Sarah K., Goldberg, Leanne

  • 出版商: Springer
  • 出版日期: 2024-07-19
  • 售價: $2,970
  • 貴賓價: 9.5$2,822
  • 語言: 英文
  • 頁數: 229
  • 裝訂: Quality Paper - also called trade paper
  • ISBN: 3031246349
  • ISBN-13: 9783031246340
  • 海外代購書籍(需單獨結帳)

商品描述

This book serves as a guide to any patient, clinician, or person who desires to understand how transgender and gender diverse individuals can be assisted in achieving voice and communication congruity with gender. Voice and communication style serve as intricate links to one's identity and are central aspects of the gender transition process. Guiding a transgender or gender diverse patient through this transition is complex, requiring an understanding of the patient's desires, the ability to identify and work with patients to achieve sustainable patterns of behavioral modification that affect voice in a positive manner, and an understanding of the role of newly emerging surgical techniques. This is best addressed by an interdisciplinary team, and this book makes this material available in one source.

The first section of the book consists of introductory chapters written by primary care physicians, endocrinologists, and psychiatrists addressing the complex nature of transition from the medical standpoint. A review of hormonal replacement therapies, psychological evaluations, and potential effects of hormone replacement on voice is included. The second section describes the behavioral techniques available in speech and voice therapy for voice change and addresses outcomes that can be expected from behavioral intervention. Each chapter addresses the physiologic principles of therapeutic techniques for effecting change, techniques of instruction, nuances for transgender and gender diverse patients, methods of generalization, and methods of maintenance. Finally, the third section of the book details the surgical techniques available to assist patients in voice transition and their expected outcomes for voice modification. Each chapter includes an introduction, preoperative assessment, role of preoperative therapy, surgical technique, postoperative management, and expected outcome. This section also includes a surgical atlas.

This is an ideal guide forotolaryngologists, speech-language pathologists, primary care providers, as well as psychiatrists and endocrinologists caring for transgender and gender nonconforming patients.

商品描述(中文翻譯)

本書作為任何希望了解如何協助跨性別及性別多元個體在聲音和溝通上達成與性別一致的指南,適用於患者、臨床醫師或任何人。聲音和溝通風格是與個人身份密切相關的複雜連結,也是性別轉換過程中的核心要素。引導跨性別或性別多元患者完成這一轉變是複雜的,這需要了解患者的需求,能夠識別並與患者合作,以達成對聲音產生正面影響的可持續行為改變模式,以及了解新興外科技術的角色。這最好由跨學科團隊來處理,而本書將這些資料集中於一個來源。

本書的第一部分由初級保健醫師、內分泌科醫師和精神科醫師撰寫的介紹性章節,探討了從醫學角度看待轉變的複雜性。內容包括荷爾蒙替代療法的回顧、心理評估以及荷爾蒙替代對聲音的潛在影響。第二部分描述了在語音和聲音治療中可用於聲音改變的行為技術,並探討了行為介入所能期待的結果。每章都涉及治療技術的生理原則、教學技術、針對跨性別和性別多元患者的細微差異、概化方法和維持方法。最後,第三部分詳細介紹了可協助患者進行聲音轉換的外科技術及其對聲音修飾的預期結果。每章包括介紹、術前評估、術前治療的角色、外科技術、術後管理和預期結果。本部分還包括一部外科圖譜。

這是耳鼻喉科醫師、語言治療師、初級保健提供者,以及照顧跨性別和性別不符合患者的精神科醫師和內分泌科醫師的理想指南。

作者簡介

Mark S. Courey, MD

Professor and Vice Chair of Quality, Otolaryngology/Head and Neck Surgery, Department of Otolaryngology-Head and Neck Surgery

Vice Chairman of Quality

Director, Division of Laryngology Mount Sinai Health System

Director, Eugen Grabsheid Voice and Swallowing Center

Mark S. Courey, MD, currently works at Mount Sinai Hospital in New York City where he serves as the Director of the Grabscheid Voice and Swallowing Center, Division Chief of Laryngology, and Vice Chair of Quality for the Department of Otolaryngology-Head and Neck Surgery. He is well-regarded nationally and internationally for his skills in the clinical management of patients with airway, voice, and swallowing disorders, as well as his interdisciplinary approach to patient care, incorporating speech-language pathologists, vocal trainers, laryngologists, neurologists, radiation oncologists and voice scientists into each patient's treatment when appropriate. He is also one of few laryngologists in the country focusing on transgender voice care with vast experience performing the thyroid cartilage reduction and endoscopic vocal fold shortening procedures.


Sarah K. Rapoport, MD

Department of Otolaryngology/Head & Neck Surgery

Washington DC Veterans Affairs Medical Center

Georgetown University Hospital

Sarah K. Rapoport, MD is currently an Assistant Professor in the Department of Otolaryngology/Head & Neck Surgery at Georgetown University Hospital and is a Laryngologist at the Veterans Affairs Medical Center in Washington, D.C.. She completed her laryngology fellowship at the Grabscheid Voice and Swallowing Center at Mount Sinai in 2021 where she was trained by Dr. Mark Courey in the management of voice disorders with a focus on surgical management of trans gender voice care. Dr. Rapoport now serves on the Veteran Health Administration (VHA)'s National Surgery Office's Gender Affirmation Surgery Surgical Advisory Board where she counsels the VHA on optimal management of voice care for trans and nonbinary veterans, and is authoring the surgical guidelines for voice care among trans and nonbinary veterans.

Leanne Goldberg, MS, CCC-SLP

Director of Speech-Language Pathology

Department of Otolaryngology

Mount Sinai Health System

Clinical Specialist

Grabscheid Voice and Swallowing Center

Mount Sinai

Leanne Goldberg, MS, SLP-CCC, is the Director of Speech Language Pathology at the Mount Sinai Health System in New York City where she works extensively with singers and actors with voice problems, professional voice users, and transgender and non-binary patients seeking voice modification.

Sarah K. Brown MS, CCC-SLP

Department of Otolaryngology Head and Neck Surgery, Division of Laryngology,

Mount Sinai Health System

Sarah is a voice-specialized speech-language pathologist and singing teacher. She is New York City based where she runs her private vocal studio for voice rehabilitation and habilitation.

Sarah earned a BM in Vocal Performance from Chapman University and an MS in Speech-Language Pathology from Northwestern University where she focused her studies and training in voice rehabilitation. She completed her clinical fellowship as well as her first several years in clinical practice at the Grabscheid Voice and Swallowing Center of Mount Sinai. Her singing background combined with her clinical expertise has enabled her to serve elite performers including Broadway singers and recording artists.

In addition to maintaining her private studio, Sarah serves as adjunct faculty at Pace University, where she teaches the graduate level Voice Disorders course. She also regularly presents educational lectures on vocal health and performance voice. Her research projects have covered a wide variety of topics in voice, swallowing, and upper airway disorders.

作者簡介(中文翻譯)

馬克·S·庫瑞醫生

耳鼻喉科/頭頸外科副主任及質量教授,耳鼻喉科-頭頸外科系

質量副主任

喉科主任,西奈山健康系統

尤金·格拉布希德聲音與吞嚥中心主任

馬克·S·庫瑞醫生目前在紐約市的西奈山醫院工作,擔任格拉布希德聲音與吞嚥中心主任、喉科部門主任及耳鼻喉科-頭頸外科系的質量副主任。他在國內外因其在氣道、聲音及吞嚥障礙患者的臨床管理技能而受到高度評價,並以其跨學科的患者護理方法而聞名,根據需要將語言治療師、聲音訓練師、喉科醫生、神經科醫生、放射腫瘤科醫生及聲音科學家納入每位患者的治療中。他也是全國少數專注於跨性別聲音護理的喉科醫生之一,擁有豐富的甲狀軟骨縮小及內窺鏡聲帶縮短手術經驗。

莎拉·K·拉波波特醫生

耳鼻喉科/頭頸外科系

華盛頓特區退伍軍人事務醫療中心

喬治城大學醫院

莎拉·K·拉波波特醫生目前是喬治城大學醫院耳鼻喉科/頭頸外科系的助理教授,同時也是華盛頓特區退伍軍人事務醫療中心的喉科醫生。她於2021年在西奈山的格拉布希德聲音與吞嚥中心完成了喉科專科訓練,並在馬克·庫瑞醫生的指導下專注於跨性別聲音護理的手術管理。拉波波特醫生目前擔任退伍軍人健康管理局(VHA)全國外科辦公室的性別肯定手術諮詢委員會成員,為VHA提供跨性別及非二元退伍軍人聲音護理的最佳管理建議,並撰寫針對跨性別及非二元退伍軍人的聲音護理手術指導方針。

莉安·戈德堡碩士,CCC-SLP

語言治療主任

耳鼻喉科系

西奈山健康系統

臨床專家

格拉布希德聲音與吞嚥中心

莉安·戈德堡碩士,SLP-CCC,是紐約市西奈山健康系統的語言治療主任,廣泛與有聲音問題的歌手和演員、專業聲音使用者以及尋求聲音調整的跨性別和非二元患者合作。

莎拉·K·布朗碩士,CCC-SLP

耳鼻喉科頭頸外科系,喉科部門

西奈山健康系統

莎拉是一位專注於聲音的語言治療師和歌唱教師。她在紐約市經營自己的聲音康復和訓練私人工作室。

莎拉在查普曼大學獲得聲樂表演學士學位,並在西北大學獲得語言治療碩士學位,專注於聲音康復的研究和訓練。她在西奈山的格拉布希德聲音與吞嚥中心完成了臨床專科訓練及最初幾年的臨床實踐。她的歌唱背景結合臨床專業知識,使她能夠為包括百老匯歌手和錄音藝術家在內的精英表演者提供服務。

除了維持她的私人工作室外,莎拉還擔任佩斯大學的兼任教員,教授研究生層級的聲音障礙課程。她還定期舉辦有關聲音健康和表演聲音的教育講座。她的研究項目涵蓋了聲音、吞嚥和上呼吸道障礙的各種主題。