Teaching Queer Concepts to Graduate Students in Communication Sciences and Disorders: Culturally Responsive Pedagogy to Foster Affirmative Clinical Practice

Abstract

There is a growing body of literature informing pedagogical content and strategies of diversity, equity, and inclusion in the education of speech-language pathologists. However, little discussion has included content related to LGBTQ+ people, even though LGBTQ+ people exist across all racial/ethnic groups. This article seeks to fill that void and provide instructors of speech-language pathology with practical information to educate their graduate students. The discussion uses a critical epistemology and invokes theoretical models, such as Queer/Quare theory, DisCrit, the Minority Stress Model, the Ethics of Care, and Culturally Responsive Pedagogy. Information is organized according to developing graduate students' awareness, knowledge, and skills and challenges instructors to modify current course content to disrupt systemic oppression.

Keywords

queer theory - culturally responsive pedagogy - LGBTQ +  - transgender - speech-language pathology

Publikationsverlauf

Artikel online veröffentlicht:
07. März 2023

• References

• 1 ASHA. 2016. Code of Ethics [Ethics]. Accessed January 23, 2023 at: www.asha.org/policy/
• 2 Stockman IJ, Boult J, Robinson GC. Multicultural/multilingual instruction in educational programs: a survey of perceived faculty practices and outcomes. Am J Speech Lang Pathol 2008; 17 (03) 241-264
• 3 Lenell C, Robinson GC, Lee J. The Oral History of L'GASP: Celebrating 30 Years of History and Progress [1 Hour Seminar]. New Orleans, LA: ASHA Convention; 2022
• 4 CAA in Audiology and Speech-Language Pathology. 2022. 2023 revisions to CAA standards for accreditation. Accessed January 23, 2023 at: https://caa.asha.org/siteassets/files/side-by-side-revisions-to-standards-for-accreditation-2023.pdf
• 5 ASHA. 2021. Supporting and working with transgender and gender-diverse people. Accessed January 23, 2023 at: https://www.asha.org/practice/multicultural/supporting-and-working-with-transgender-and-gender-diverse-individuals/
• 6 Hancock A, Haskin G. Speech-language pathologists' knowledge and attitudes regarding lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations. Am J Speech Lang Pathol 2015; 24 (02) 206-221
• 7 Matthews JJ, Olszewski A, Petereit J. Knowledge, training, and attitudes of students and speech-language pathologists about providing communication services to individuals who are transgender. Am J Speech Lang Pathol 2020; 29 (02) 597-610
• 8 Mahendra N. Integrating lesbian, gay, bisexual, transgender, and queer issues into the multicultural curriculum in speech-language pathology: instructional strategies and learner perceptions. Perspect ASHA Spec Interest Groups 2019; 4 (02) 384-394
• 9 Higgins A, Downes C, Sheaf G. et al. Pedagogical principles and methods underpinning education of health and social care practitioners on experiences and needs of older LGBT+ people: findings from a systematic review. Nurse Educ Pract 2019; 40: 102625
• 10 Horton-Ikard R, Munoz ML, Thomas-Tate S, Keller-Bell Y. Establishing a pedagogical framework for the multicultural course in communication sciences and disorders. Am J Speech Lang Pathol 2009; 18 (02) 192-206
• 11 Duran A, Jackson R, Lange AC. The theoretical engagements of scholarship on LGBTQ+ people in higher education: a look at research published between 2009 and 2018. J Divers High Educ 2022; 15 (03) 380
• 12 Butler J. Gender Trouble. New York, NY: Routledge; 1990
• 13 Johnson EP. “Quare” studies, or (almost) everything I know about queer studies I learned from my grandmother. Text Perform Q 2001; 21: 1-25
• 14 Annamma SA, Connor D, Ferri B. Dis/ability critical race studies (DisCrit): theorizing at the intersections of race and dis/ability. Race Ethn Educ 2013; 16 (01) 1-31
• 15 Testa R. Development of the gender minority stress and resilience measure. Psychol Sex Orientat Gend Divers 2015; 2 (01) 65-77
• 16 Gilligan C. In a Different Voice. Cambridge, MA: Harvard University Press; 1982
• 17 Tronto J. Caring Democracy: Markets, Equality, and Justice. New York: New York University Press; 2013
• 18 Noddings N. Caring: A Relational Approach to Ethics and Moral Education (Updated). Berkeley, CA: University of California Press; 2013. (Original work published 1984)
• 19 Gay G. Culturally Responsive Teaching: Theory, Research, and Practice. Teachers College Press; 2018
• 20 Butler J. Bodies that Matter: On the Discursive Limits of Sex. New York: Psychology Press; 1993
• 21 Yu B, Epstein L, Tisi V. A DisCrit-Informed Critique of the Difference vs. Disorder. . In: Horton, R., ed. Critical Perspectives on Social Justice in Speech-Language Pathology. IGI-Global; 2021: 105-128
• 22 Hammond Z. Culturally Responsive Teaching and the Brain: Promoting Authentic Engagement and Rigor among Culturally and Linguistically Diverse Students. Corwin Press. Thousand Oaks, CA; 2014
• 23 Kalyanpur M, Harry B. Cultural Reciprocity in Special Education: Building Family-Professional Relationships. Paul H. Brookes Publishing Company; 2012
• 24 Hyter YD, Salas-Provance MB. Culturally Responsive Practices in Speech, Language, and Hearing Sciences. San Diego, CA: Plural Publishing; 2021
• 25 Farmer PE, Nizeye B, Stulac S, Keshavjee S. Structural violence and clinical medicine. PLoS Med 2006; 3 (10) e449
• 26 Kanamori Y, Cornelius-White JHD, Pegors TK, Daniel T, Hulgus J. Development and validation of the transgender attitudes and beliefs scale. Arch Sex Behav 2017; 46 (05) 1503-1515
• 27 Bicchieri C. Norms in the Wild: How to Diagnose, Measure, and Change Social Norms. Oxford University Press; 2016
• 28 Warner M. Introduction: fear of a queer planet. Soc Text 1991; Jan 1: 3-17
• 29 Van Milders L. White hallucinations. Postcolonial Stud 2022; 25 (02) 175-191
• 30 Bauer GR, Hammond R, Travers R, Kaay M, Hohenadel KM, Boyce M. “I don't think this is theoretical; this is our lives”: how erasure impacts health care for transgender people. J Assoc Nurses AIDS Care 2009; 20 (05) 348-361
• 31 Movement Advancement Project. 2014) Understanding issues facing bisexual Americans. Accessed January 23, 2023 at: https://www.lgbtmap.org/file/understanding-issues-facing-bisexual-americans.pdf
• 32 James SE, Herman JL, Rankin S, Keisling M, Mottet L, Anafi M. The Report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender Equality; 2016
• 33 James SE, Brown C, Wilson I. 2015 U.S. Transgender Survey: Report on the Experiences of Black Respondents. National Center for Transgender Equality, Black Trans Advocacy, and National Black Justice Coalition: Washington, DC; 2017
• 34 Warrier V, Greenberg DM, Weir E. et al. Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals. Nat Commun 2020; 11 (01) 3959
• 35 Janssen A, Huang H, Duncan C. Gender variance among youth with autism spectrum disorders: a retrospective chart review. Transgend Health 2016; 1 (01) 63-68
• 36 Hall JP, Batza K, Streed Jr CG, Boyd BA, Kurth NK. Health disparities among sexual and gender minorities with autism spectrum disorder. J Autism Dev Disord 2020; 50 (08) 3071-3077
• 37 Stockman IJ, Boult J, Robinson GC. Multicultural issues in academic and clinical education: A cultural mosaic. ASHA Leader. 2004. Accessed January 23, 2023 at: https://leader.pubs.asha.org/doi/10.1044/leader.FTR5.09132004.6
• 38 Robinson GC, Crisp C. What to do when your client comes out: Real advice for LGBTQ affirming care [Conference Presentation]. ASHA 2018 Convention, Boston, MA; 2018
• 39 Kelly RJ, Robinson GC. Disclosure of membership in the lesbian, gay, bisexual, and transgender community by individuals with communication impairments: a preliminary web-based survey. Am J Speech Lang Pathol 2011; 20 (02) 86-94
• 40 Fausto-Sterling A. The five sexes, revisited. SCIENCES-NEW YORK 2000; Jul 8; 40 (04) 18-25
• 41 Blackless M, Charuvastra A, Derryck A, Fausto-Sterling A, Lauzanne K, Lee E. How sexually dimorphic are we? Review and synthesis. American Journal of Human Biology: The Official Journal of the Human Biology Association 2000; Mar; 12 (02) 151-66
• 42 Ahmed SF, Dobbie R, Finlayson AR, Gilbert J, Youngson G, Chalmers J, Stone D. Prevalence of hypospadias and other genital anomalies among singleton births, 1988–1997, in Scotland. Archives of Disease in Childhood-Fetal and Neonatal Edition 2004; Mar 1; 89 (02) F149-F151
• 43 Dreger AD. Ambiguous sex or ambivalent medicine. The Hastings Center Report 1998; May 1; 28 (03) 24-35
• 44 Dickens BM. Management of intersex newborns: Legal and ethical developments. International Journal of Gynecology & Obstetrics 2018; Nov; 143 (02) 255-259
• 45 Rich AL, Phipps LM, Tiwari S, Rudraraju H, Dokpesi PO. The increasing prevalence in intersex variation from toxicological dysregulation in fetal reproductive tissue differentiation and development by endocrine-disrupting chemicals. Environmental health insights 2016; Jan; 10: EHI-S39825