The Experiences of Transgender and Gender Diverse Individuals After Intonation Training for a More Masculine-Sounding Voice: A Qualitative Study.

Introduction: A significant challenge for some transgender and gender diverse (TGD) individuals is that their voice and communication do not align with their gender identity or the way they wish to be perceived. Voice and communication training (VCT) can address key factors that are the most salient in gender perception, such as pitch, resonance, articulation, and intonation. While intonation training has proven its benefits for developing a feminine-sounding voice, its impact on achieving a masculine-sounding voice remains underexplored. This study examined TGD individuals' experiences with utilizing intonation training to develop a more masculine-sounding voice. MATERIALS AND METHODS: Ten TGD individuals participated in 4 or 8 weeks of VCT focused on achieving a more masculine-sounding voice and communication style, such as intonation patterns. Semistructured interviews were conducted and transcribed. Data were coded using NVivo 11 and data were analyzed using Reflexive Thematic Analysis. Trustworthiness was supported through investigator triangulation, member checking, and audit trail.

Results: Three themes were identified: finding your voice as a journey of personal growth, the challenges and successes of practicing, and the role of the context in voice development. Participants evaluated the training positively, although more than half reported limited vocal change and found the sessions intense. Experiences with voice-related misgendering varied. About half reported a decrease in instances where others perceived or addressed them as the wrong gender based on their voice, while others saw no change. Several participants indicated a need for GAHT and/or additional VCT.

Conclusions: VCT targeting intonation may support TGD individuals in seeking a more masculine-sounding voice, though outcomes vary. An individualized, client-centered approach is essential to align voice with gender expression.