Department of Special Education and Communication Disorders
ORCID IDs
Dietsch 0000-0003-4554-5365
Mocarski 0000-0003-4220-0652
Hope 0000-0003-3685-9821
Woodruff 0000-0001-5213-3540
McKelvey 0000-0001-6638-3460
Document Type
Article
Date of this Version
1-2023
Citation
American Journal of Speech-Language Pathology (January 2023) 32: 377–380
doi: 10.1044/2022_AJSLP_00215
Abstract
Purpose
Cultural responsivity is essential for efficacious and affirming clinical relationships. This may be especially important with historically marginalized clients, such as transgender and gender-diverse (TGD) people seeking behaviorally based affirming communication services. We recommend modifications to standard tools for diagnostics and training that otherwise might undermine our efforts to create an inclusive and affirming environment.
Method
Modifications to the Rainbow Passage, a standardized paragraph utilized for eliciting speech samples in clinical settings, focused on nongendered terminology and the elimination of content with religious connotations.
Results
The recommended edits to the Rainbow Passage maintain similar length, cadence, and phonetic balance while considering cultural and health care context for TGD people and other clients.
Conclusion
Simple linguistic changes to a standardized paragraph maintain clinical benefits and facilitate SLP efforts toward cultural responsivity, client engagement, and good clinical outcomes.
Included in
Gender and Sexuality Commons, Gender, Race, Sexuality, and Ethnicity in Communication Commons, Lesbian, Gay, Bisexual, and Transgender Studies Commons, Medicine and Health Commons, Social Justice Commons, Special Education and Teaching Commons, Speech Pathology and Audiology Commons
Comments
Copyright 2023, American Speech-Language-Hearing Association. Used by permission