Self-Determination Theory Applications in Culturally Responsive Voice Therapy

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.