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Voice and Communication Therapy for the Transgender/Transsexual Client
A Comprehensive Clinical Guide

Second Edition
Edited by: Richard K. Adler, Sandy Hirsch, Michelle Mordaunt
576 pages, Illustrated (B/W), Softcover, 6 x 9"
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This groundbreaking text, now in its second edition, is still the only book of its kind. It is the first resource for speech-language pathologists and voice clinicians who assist transgender/transsexual patients in developing authentic voices, language, and nonverbal communication congruous with their gender identification. This text guides clinicians who work with the transgender/transsexual population in designing and administering a mindful, focused, and efficient treatment plan.

Outstanding features include thorough background information on history, sociology, psychology, and medical terminology relevant to this population and the overall role of the voice therapist and speech-language pathologist in the transition of a transgender client. Chapters cover each aspect of a communication training program, including case studies, summaries, appendices and an extensive bibliography. An accompanying Audio CD shows "before and after" communication therapy examples.

The second edition includes:

  • Two new chapters
  • Contributions from two authors who have been through the transgender process and are also voice coaches
  • A new focus on evidence-based data
  • Updated references to the latest research

Speech-language Pathologists, ENT physicians, and professors within the areas of singing, theatre, and voice disorders will find this text to be a necessary resource.


  • Barbara L. Blagnys, Norwich Primary Care Trust:
    "This book represents a most useful resource for therapists working with this small, but complex client group. It provides a highly comprehensive approach to all aspects of therapy starting with a thorough examination of evidence-based practice principals to voice therapy, whilst acknowledging that the evidence for the effectiveness of voice therapy is generally weak. Although the authors have aimed the book at therapists who have developed some competencies in working with the TS/TG client, it is an excellent tool for those developing an interest in this field. The psychosocial and psychotherapy chapters consider in detail the social and psychological issues and how they interact with therapy. Standards of care and Treatment plans provide appropriate and achievable therapy goals with aspects of pitch, intonation, rate, volume, syntax, pragmatics and semantics being supported with useful graded therapy exercises. The chapter on Nonverbal Communication, Assessment and Training is a particularly valuable resource. The accompanying CD demonstrates useful therapy examples. Overall this book represents excellent value for money and although written with an American perspective, provides the therapist with a framework to plan effective treatment. [Refers to the First Edition]"

  • Doody Enterprises, Inc. (--):
    "* * * * * Five stars from Doody's Review Service! [First Edition]"

  • ENT News (September/October 2006):
    "I am delighted to see this new publication, the first extensive clinical guide to voice and communication therapy for transgender / transsexual (TG/TS) clients…This book is well written and easily accessible…An abundance of treatment techniques and protocols make this a highly useful clinical resource. [Refers to First Edition]"

  • Mary Moody, MA, CCC-SLP, George Washington University, Doody's Review Service:
    "This book provides a sound basis of current knowledge and treatment for the transgender/transsexual client population. It is a much-needed reference that includes the diverse aspects of the approach to treatment and serves well as the vanguard in this field...The approach is thorough, taking into consideration the whole client: medically, psychologically, linguistically, pragmatically, vocally. I know of no other book in the field that approaches this topic so thoroughly and completely...An excellent and much needed validating breakthrough."

Sandy Hirsch

Introduction: Transgender/Transsexual Voice and Communication Richard K. Adler and Michelle Mordaunt

1. A Historical Perspective and Review of the Literature
Jack Pickering and Lauren Baker

2. A Team Approach: The Role of the Clinician
Celia R. Hooper and Laura Tallant

3. Evidence-Based Practice in Voice Therapy for Transgender/Transsexual Clients
Jennifer Oates

4. Psychosocial Issues
Richard K. Adler and Alice Christianson

5. Psychotherapy: Revisited
Randi Ettner

6. Assessment and Goal Setting: Revisited
Georgia Dacakis

7. Vocal Health and Phonotrauma
Richard K. Adler and Christella Antoni

8. Female-to-Male Transgender/Transsexual Considerations
Richard Adler, Alexandros N. Constansis, and John Van Borsel

9. Pitch and Intonation
Marylou Pausewang Gelfer and Michelle Mordaunt

10. Resonance
Sandy Hirsch and Marylou Pausewang Gelfer

11. Articulation
Joan Boonin

12. Rate and Volume
Joan Boonin

13. Language: Pragmatics and Discourse
Ashley M. Frazier and Celia R. Hooper

14. Syntax and Semantics: A Menu of Communicative Choices
Celia R. Hooper, Sena Crutchley, and Vicki McCready

15. Nonverbal Communication: A Multicultural View
Sandy Hirsch and John Van Borsel

16. Nonverbal Communication: Assessment and Training
Sandy Hirsch and Joan Boonin

17. Group Therapy for Transgender/Transsexual Clients
Michelle Mordaunt

18. The Singing Voice
Anita Kozan

19. Theatrical Meanderings: An Interview
Sandy Hirsch with Rebecca M. Root

20. Considerations for Discharge and Maintenance
Michelle Mordaunt and Sandy Hirsch

21. Summary
Michelle Mordaunt


About The Editors

Richard K. Adler

Richard K. Adler, PhD, CCC-SLP, ASHA Fellow, is now retired and a Professor Emeritus from Minnesota State University Moorhead, Moorhead, MN. He has a BA in speech correction from Long Island University, Brooklyn, an MA in Speech/Linguistics from New York University, an MA in Speech-Language Pathology from the University of Akron, Ohio, and a PhD in Psycholinguistics and Communication from the Ohio University, Athens, Ohio. Dr. Adler's career has spanned nearly 50 years as an SLP in public schools, hospitals, private practice, university teaching, clinical supervision, research, mentoring, consulting, and writing. He has published many articles on such subjects as Teaching, Voice and Communication for Transgender individuals, Voice Disorders, Counseling, and TBI.

Sandy Hirsch

Sandy Hirsch, MS, CCC-SLP, is a private practitioner with Give Voice in Seattle, WA. She received her BA in French and Classics with a minor in music (singing) in 1981 from Lancaster University, UK. Following, she pursued a career in theatre and moved to the United States from London in 1982. Ms. Hirsch received her MS in Speech and Hearing Sciences from the University of Washington in 1989. She has been an ASHA-certified SLP since 1990, focusing on voice and neurological disorders. She has practiced in hospital and school settings. For over 25 years, Ms. Hirsch has made voice and communication modification with gender diverse people the focus of her private practice. She is a member of the Ingersoll Transgender Professional Consult Group in Seattle, WA, WPATH, CPATH, the Voice Foundation, the Northwest Chapter of the Voice Foundation, VASTA and WSHLA.

Michelle Mordaunt

Michelle Mordaunt, MS holds a Master's degree from Purdue University, and has been a speech-language pathologist for fifteen years. She has worked primarily with adults in a variety of clinical and hospital settings. From 1995 until 2005, Ms. Mordaunt was the lecturer/clinical supervisor in the area of Voice and Voice Disorders at the University of Washington, Speech and Hearing Department in Seattle, Washington. While at the University of Washington, in addition to serving general voice and speech disorder clients, she developed a comprehensive voice and communication program for Transgender/Transsexual individuals.

Ms. Mordaunt has made frequent presentations in the area of Transgender/Transsexual communication at American Speech and Hearing Association (ASHA) conventions. She also presented at the Washington State Speech and Hearing Association (WSHA) conference, and has presented at the Northwest Transgender/Transsexual Esprit conference on numerous occasions. Ms. Mordaunt's work at the University of Washington has been featured in the San Francisco Examiner, the Seattle Post-Intelligencer, and Advance Magazine for Speech-Language Pathologists & Audiologists. Her work in this area has also been recognized on National Public Radio (NPR -KUOW), and Northwest Evening Magazine, a television commentary program.

Ms. Mordaunt is currently practicing in the Seattle area, where she is developing a private practice, while continuing to work in clinical and public sectors. Ms. Mordaunt lives in the Seattle area with her two sons.

Related Titles

Exercises for Voice Therapy

Exercises for Voice Therapy

Edited by: Alison Behrman, John Haskell

240 pages, Illustrated (B/W), Softcover, 8.5 x 11"

An accompanying audio CD shows "before and after" communication therapy examples.