'Stuck in the System': An Interpretative Phenomenological Analysis of Transmasculine Experiences of Gender Transition in the UK.

A gender dysphoria diagnosis is currently required in the UK to access NHS transition-related treatment. However, this approach has been criticised by academics and activists as pathologising, 'gatekeeping' transgender identities, and can be viewed by the transgender community as a barrier to necessary medical care. The present research examines transmasculine experiences of gender transition in the UK, focusing on exploring the barriers encountered during identity development and medical transition. Semi-structured interviews were conducted with three individuals, and nine individuals took part in a single focus group. The data were analysed using Interpretative Phenomenological Analysis producing three main themes: 'Conceptualising Stages of Transition'; 'NHS Communication and Support'; and 'Medicalisation, Power and Non-disclosure'. Participants conceptualised access to transition-related treatment as an intrusive and complicated process that negatively impacts identity development. They spoke of barriers such as lack of trans-specific healthcare knowledge, insufficient communication and support from healthcare professionals, and restricted autonomy arising from the pathologisation of trans identities. Results suggest transmasculine individuals may face numerous barriers when trying to access healthcare, and therefore, a move towards the Informed Consent Model could ameliorate many of these barriers and would empower service-users to make informed choices.

Domestic dogs (Canis lupus familiaris) are sensitive to the correlation between pitch and timbre in human speech.

The perceived pitch of human voices is highly correlated with the fundamental frequency (f0) of the laryngeal source, which is determined largely by the length and mass of the vocal folds. The vocal folds are larger in adult males than in adult females, and men's voices consequently have a lower pitch than women's. The length of the supralaryngeal vocal tract (vocal-tract length; VTL) affects the resonant frequencies (formants) of speech which characterize the timbre of the voice. Men's longer vocal tracts produce lower frequency, and less dispersed, formants than women's shorter vocal tracts. Pitch and timbre combine to influence the perception of speaker characteristics such as size and age. Together, they can be used to categorize speaker sex with almost perfect accuracy. While it is known that domestic dogs can match a voice to a person of the same sex, there has been no investigation into whether dogs are sensitive to the correlation between pitch and timbre. We recorded a female voice giving three commands ('Sit', 'Lay down', 'Come here'), and manipulated the recordings to lower the fundamental frequency (thus lowering pitch), increase simulated VTL (hence affecting timbre), or both (synthesized adult male voice). Dogs responded to the original adult female and synthesized adult male voices equivalently. Their tendency to obey the commands was, however, reduced when either pitch or timbre was manipulated alone. These results suggest that dogs are sensitive to both the pitch and timbre of human voices, and that they learn about the natural covariation of these perceptual attributes.

How the human brain recognizes speech in the context of changing speakers.

We understand speech from different speakers with ease, whereas artificial speech recognition systems struggle with this task. It is unclear how the human brain solves this problem. The conventional view is that speech message recognition and speaker identification are two separate functions and that message processing takes place predominantly in the left hemisphere, whereas processing of speaker-specific information is located in the right hemisphere. Here, we distinguish the contribution of specific cortical regions, to speech recognition and speaker information processing, by controlled manipulation of task and resynthesized speaker parameters. Two functional magnetic resonance imaging studies provide evidence for a dynamic speech-processing network that questions the conventional view. We found that speech recognition regions in left posterior superior temporal gyrus/superior temporal sulcus (STG/STS) also encode speaker-related vocal tract parameters, which are reflected in the amplitude peaks of the speech spectrum, along with the speech message. Right posterior STG/STS activated specifically more to a speaker-related vocal tract parameter change during a speech recognition task compared with a voice recognition task. Left and right posterior STG/STS were functionally connected. Additionally, we found that speaker-related glottal fold parameters (e.g., pitch), which are not reflected in the amplitude peaks of the speech spectrum, are processed in areas immediately adjacent to primary auditory cortex, i.e., in areas in the auditory hierarchy earlier than STG/STS. Our results point to a network account of speech recognition, in which information about the speech message and the speaker's vocal tract are combined to solve the difficult task of understanding speech from different speakers.

Neural representation of auditory size in the human voice and in sounds from other resonant sources.

The size of a resonant source can be estimated by the acoustic-scale information in the sound [1-3]. Previous studies revealed that posterior superior temporal gyrus (STG) responds to acoustic scale in human speech when it is controlled for spectral-envelope change (unpublished data). Here we investigate whether the STG activity is specific to the processing of acoustic scale in human voice or whether it reflects a generic mechanism for the analysis of acoustic scale in resonant sources. In two functional magnetic resonance imaging (fMRI) experiments, we measured brain activity in response to changes in acoustic scale in different categories of resonant sound (human voice, animal call, and musical instrument). We show that STG is activated bilaterally for spectral-envelope changes in general; it responds to changes in category as well as acoustic scale. Activity in left posterior STG is specific to acoustic scale in human voices and not responsive to acoustic scale in other resonant sources. In contrast, the anterior temporal lobe and intraparietal sulcus are activated by changes in acoustic scale across categories. The results imply that the human voice requires special processing of acoustic scale, whereas the anterior temporal lobe and intraparietal sulcus process auditory size information independent of source category.

Discrimination of speaker sex and size when glottal-pulse rate and vocal-tract length are controlled.

A recent study [Smith and Patterson, J. Acoust. Soc. Am. 118, 3177-3186 (2005)] demonstrated that both the glottal-pulse rate (GPR) and the vocal-tract length (VTL) of vowel sounds have a large effect on the perceived sex and age (or size) of a speaker. The vowels for all of the "different" speakers in that study were synthesized from recordings of the sustained vowels of one, adult male speaker. This paper presents a follow-up study in which a range of vowels were synthesized from recordings of four different speakers--an adult man, an adult woman, a young boy, and a young girl--to determine whether the sex and age of the original speaker would have an effect upon listeners' judgments of whether a vowel was spoken by a man, woman, boy, or girl, after they were equated for GPR and VTL. The sustained vowels of the four speakers were scaled to produce the same combinations of GPR and VTL, which covered the entire range normally encountered in every day life. The results show that listeners readily distinguish children from adults based on their sustained vowels but that they struggle to distinguish the sex of the speaker.

Speaker-Sex Discrimination for Voiced and Whispered Vowels at Short Durations.

Whispered vowels, produced with no vocal fold vibration, lack the periodic temporal fine structure which in voiced vowels underlies the perceptual attribute of pitch (a salient auditory cue to speaker sex). Voiced vowels possess no temporal fine structure at very short durations (below two glottal cycles). The prediction was that speaker-sex discrimination performance for whispered and voiced vowels would be similar for very short durations but, as stimulus duration increases, voiced vowel performance would improve relative to whispered vowel performance as pitch information becomes available. This pattern of results was shown for women's but not for men's voices. A whispered vowel needs to have a duration three times longer than a voiced vowel before listeners can reliably tell whether it's spoken by a man or woman (∼30 ms vs. ∼10 ms). Listeners were half as sensitive to information about speaker-sex when it is carried by whispered compared with voiced vowels.

Combining depth cues: effects upon accuracy and speed of performance in a depth-ordering task.

Two experiments investigated how the number of available depth cues affected the speed and accuracy of depth-ordering judgements. A series of textured tiles was presented on a computer monitor, with relative depths defined by combinations of contrast, blur and interposition. Subjects were required to move a mouse pointer inside each tile in turn, starting with the tile that appeared nearest, clicking on each. Accuracy of depth-ordering was much higher than chance in all conditions, though performance using the interposition cue alone was worse than in all other conditions. The only difference in reaction time in different cue conditions was in the time elapsed before the first-click. Subjects responded substantially faster when three depth cues were present (0.84 s) than when only one depth cue was present (1.41 s). The improvement in reaction time with cue numerosity is consistent with probability summation between cues extracted by independent processes.

Does knowing speaker sex facilitate vowel recognition at short durations?

A man, woman or child saying the same vowel do so with very different voices. The auditory system solves the complex problem of extracting what the man, woman or child has said despite substantial differences in the acoustic properties of their voices. Much of the acoustic variation between the voices of men and woman is due to changes in the underlying anatomical mechanisms for producing speech. If the auditory system knew the sex of the speaker then it could potentially correct for speaker sex related acoustic variation thus facilitating vowel recognition. This study measured the minimum stimulus duration necessary to accurately discriminate whether a brief vowel segment was spoken by a man or woman, and the minimum stimulus duration necessary to accuately recognise what vowel was spoken. Results showed that reliable vowel recognition precedesreliable speaker sex discrimination, thus questioning the use of speaker sex information in compensating for speaker sex related acoustic variation in the voice. Furthermore, the pattern of performance across experiments where the fundamental frequency and formant frequency information of speaker's voices were systematically varied, was markedly different depending on whether the task was speaker-sex discrimination or vowel recognition. This argues for there being little relationship between perception of speaker sex (indexical information) and perception of what has been said (linguistic information) at short durations.

The interaction of glottal-pulse rate and vocal-tract length in judgements of speaker size, sex, and age.

Glottal-pulse rate (GPR) and vocal-tract length (VTL) are related to the size, sex, and age of the speaker but it is not clear how the two factors combine to influence our perception of speaker size, sex, and age. This paper describes experiments designed to measure the effect of the interaction of GPR and VTL upon judgements of speaker size, sex, and age. Vowels were scaled to represent people with a wide range of GPRs and VTLs, including many well beyond the normal range of the population, and listeners were asked to judge the size and sex/age of the speaker. The judgements of speaker size show that VTL has a strong influence upon perceived speaker size. The results for the sex and age categorization (man, woman, boy, or girl) show that, for vowels with GPR and VTL values in the normal range, judgements of speaker sex and age are influenced about equally by GPR and VTL. For vowels with abnormal combinations of low GPRs and short VTLs, the VTL information appears to decide the sex/age judgement.

The processing and perception of size information in speech sounds.

There is information in speech sounds about the length of the vocal tract; specifically, as a child grows, the resonators in the vocal tract grow and the formant frequencies of the vowels decrease. It has been hypothesized that the auditory system applies a scale transform to all sounds to segregate size information from resonator shape information, and thereby enhance both size perception and speech recognition [Irino and Patterson, Speech Commun. 36, 181-203 (2002)]. This paper describes size discrimination experiments and vowel recognition experiments designed to provide evidence for an auditory scaling mechanism. Vowels were scaled to represent people with vocal tracts much longer and shorter than normal, and with pitches much higher and lower than normal. The results of the discrimination experiments show that listeners can make fine judgments about the relative size of speakers, and they can do so for vowels scaled well beyond the normal range. Similarly, the recognition experiments show good performance for vowels in the normal range, and for vowels scaled well beyond the normal range of experience. Together, the experiments support the hypothesis that the auditory system automatically normalizes for the size information in communication sounds.

Discrimination of speaker size from syllable phrases.

The length of the vocal tract is correlated with speaker size and, so, speech sounds have information about the size of the speaker in a form that is interpretable by the listener. A wide range of different vocal tract lengths exist in the population and humans are able to distinguish speaker size from the speech. Smith et al. [J. Acoust. Soc. Am. 117, 305-318 (2005)] presented vowel sounds to listeners and showed that the ability to discriminate speaker size extends beyond the normal range of speaker sizes which suggests that information about the size and shape of the vocal tract is segregated automatically at an early stage in the processing. This paper reports an extension of the size discrimination research using a much larger set of speech sounds, namely, 180 consonant-vowel and vowel-consonant syllables. Despite the pronounced increase in stimulus variability, there was actually an improvement in discrimination performance over that supported by vowel sounds alone. Performance with vowel-consonant syllables was slightly better than with consonant-vowel syllables. These results support the hypothesis that information about the length of the vocal tract is segregated at an early stage in auditory processing.

Blur discrimination and its relation to blur-mediated depth perception.

Retinal images of three-dimensional scenes often contain regions that are spatially blurred by different amounts, owing to depth variation in the scene and depth-of-focus limitations in the eye. Variations in blur between regions in the retinal image therefore offer a cue to their relative physical depths. In the first experiment we investigated apparent depth ordering in images containing two regions of random texture separated by a vertical sinusoidal border. The texture was sharp on one side of the border, and blurred on the other side. In some presentations the border itself was also blurred. Results showed that blur variation alone is sufficient to determine the apparent depth ordering. A subsequent series of experiments measured blur-discrimination thresholds with stimuli similar to those used in the depth-ordering experiment. Weber fractions for blur discrimination ranged from 0.28 to 0.56. It is concluded that the utility of blur variation as a depth cue is constrained by the relatively mediocre ability of observers to discriminate different levels of blur. Blur is best viewed as a relatively coarse, qualitative depth cue.