Relationship between vocal parameters and self-perceived identity construction of a trans male singer. A case report

Abstract

The construction of individual identity occurs throughout life under biological, psychological, socio-historical and cultural determinants. Considering the voice as a reflection of the expression of identity and an expressive manifestation that reflects psychic and emotional life, the present case report aimed to describe the relationship between vocal parameters (tone, quality and laryngeal position) and the self-perceived identity construction (vocal identity, vocal functionality and vocal self-perception) of a trans male, from the beginning of his hormonal therapy up to 18 consecutive months.

This is the case of a 26-year-old trans man. Singing was his main emotional support. He studied singing from the age of 17, developing his vocal body scheme. Testosterone undecanoate was administered every 3 months. Monthly assessments were carried out combining interviews, questionnaires, audio perceptual and acoustic analyses. The pitch lowering was not his main expected change; however, it was his voice that most distanced him from feeling good about his identity. Initially, there was great anxiety and avoidance when using his spoken voice. Over time, the pitch lowered and vocal difficulties appeared. 

Identity construction was built positively, increasing his security and confidence in using the spoken voice in everyday communicative acts. However, these functional difficulties, which are correlated with voice parameters, progressively caused the appearance of symptoms in the singing voice with avoidance of its use with the consequent loss of emotional support.

The pitch lowering was correlated with security and confidence in the use of the spoken voice, but the symptoms and functional voice difficulties that occurred caused the avoidance of the singing voice, an aspect of great importance in the participant's life. Considering the role of the voice in his life and the functional and emotional changes that he went through, tonal decrease was not the only thing he needed. 

The importance of looking at the voice in a comprehensive manner is highlighted, seeking the best possible functionality according to each person's vocal use, by providing complete and adequate information, regardless of the decision to start hormonal treatment or not.