Self-Determination Theory Applications in Culturally Responsive Voice Therapy

Author:

Castro M. Eugenia12ORCID,Enclade Hillary3,Biel Michael4

Affiliation:

1. USC Voice Center, Caruso Department of Otolaryngology – Head and Neck Surgery, University of Southern California, Los Angeles

2. Department of Communication Disorders, California State University, Los Angeles

3. VA Greater Los Angeles Healthcare System, CA

4. Department of Communication Disorders and Sciences, California State University, Northridge

Abstract

Purpose: Voice is a cultural construct directly linked to identity. Given the degree of cultural diversity that exists, clinicians cannot be expected to comprehend the intricacies of every culture in their patient population. This observation emphasizes the necessity of a universal approach. Research suggests that self-determination theory (SDT) can serve this purpose. SDT is a macrotheory of human motivation and personality supported by over 4 decades of empirical research that focuses on innate, universal psychological processes and needs. The primary aim of this clinical focus article is to propose the application of SDT as an evidence-based framework to guide clinicians in the provision of culturally responsive voice care. Conclusions: When SDT is used as a framework, it allows clinicians to foster an environment that supports the patient's basic psychological needs while being mindful of cultural diversity. This approach leads to more autonomous forms of motivation, which has been shown to result in better outcomes in the domain of health behavior change, contributing to a more satisfying and meaningful intercultural therapeutic experience.

Publisher

American Speech Language Hearing Association

Reference38 articles.

1. American Speech-Language-Hearing Association. (n.d.). Cultural responsiveness [Practice Portal]. https://www.asha.org/practice-portal/professional-issues/cultural-responsiveness/

2. American Speech-Language-Hearing Association. (2021). Cultural competence check-in: Culturally responsive practice. https://www.asha.org/siteassets/uploadedfiles/multicultural/culturally-responsive-practice-checklist.pdf

3. International and intercultural aspects of voice and voice disorders

4. Facilitating Behavioral Change in Voice Therapy: The Relevance of Motivational Interviewing

5. Motivation Theory and Practice in Aphasia Rehabilitation: A Scoping Review

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