Harmoniser les identités : une revue exploratoire des soutiens et des difficultés liés à la voix et à la communication chez les personnes autistes trans et de genre diversifié

Titre original en anglais : Harmonizing Identities: A Scoping Review on Voice and Communication Supports and Challenges for Autistic Trans and Gender Diverse Individuals

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Glanville, B., Oates, J., Foley, K. R., Hurem, A., Osmetti, L., & Allen, K. (2025). Harmonizing Identities: A Scoping Review on Voice and Communication Supports and Challenges for Autistic Trans and Gender Diverse Individuals. Journal of Autism and Developmental Disorders, 56(8), 3114-3128. https://doi.org/10.1007/s10803-025-06768-1

Date de publication: 03/03/2025 Ajout dans AutiHub: 26/10/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
6
Auteur·ices de la publication identifié·es comme autistes
1 / 6 (16,7 %)
  1. Bridgette Glanville
  2. Jennifer Oates
  3. Kitty-Rose Foley
  1. Aida Hurem *
  2. Lily Osmetti
  3. Kachina Allen

Résumé

Résumé Les personnes autistes trans et de genre diversifié (TGD) font face à des difficultés particulières liées à la voix et à la communication, aggravées par des facteurs de stress minoritaires, qui affectent le bien-être et l'accès aux soins. Les orthophonistes jouent un rôle crucial en fournissant un soutien affirmatif du genre et de la neurodiversité ; toutefois, les orientations pour travailler avec cette population intersectionnelle demeurent limitées. Cette revue exploratoire a cartographié les connaissances actuelles sur les difficultés liées à la voix et à la communication, recense les soutiens disponibles et démontre les limites des orientations existantes destinées aux orthophonistes. Cette revue s'appuie sur 40 sources, dont 29 articles évalués par les pairs, 8 directives cliniques, 2 livres et 1 prise de position, identifiées au moyen de recherches exhaustives dans des bases de données telles que CINAHL, ERIC, Medline, APA PsycINFO, ainsi que dans la littérature grise en mai 2024. Les résultats ont indiqué que 96,8 % des difficultés identifiées concernaient la communication, tandis qu'une proportion moindre (3,2 %) portait sur des problèmes propres à la voix. De même, les soutiens concernaient principalement la communication (91,3 %), 8,7 % visant les besoins liés à la voix. Les difficultés de communication comprenaient les obstacles rencontrés par les personnes autistes TGD et par les personnes interagissant avec elles, notamment les professionnels de santé, les pairs et la famille. Les soutiens ont été identifiés comme des stratégies et des ressources visant à améliorer la prestation de services et le bien-être des clients, telles que l'utilisation d'aides visuelles ou l'offre de multiples options de communication. Toutefois, des lacunes importantes persistent dans la prise en compte des besoins particuliers de cette population en matière de voix et de communication, notamment concernant la dysphorie vocale, le camouflage par opposition à la divulgation de l'identité, et la communication dans les contextes de soins de santé. Les personnes autistes TGD représentent une population particulière dont les besoins ne sont pas suffisamment pris en compte par les orientations actuelles. Cette revue met en évidence des lacunes importantes dans la recherche et la pratique clinique et appelle à l'amélioration des directives cliniques et à une formation spécialisée des orthophonistes afin d'améliorer les soins.

Abstract Autistic trans and gender diverse (TGD) individuals face unique voice and communication challenges compounded by minority stressors, impacting wellbeing and access to care. Speech pathologists are crucial in providing gender-affirming and neurodiversity-affirming support; however, guidance for working with this intersectional population remains limited. This scoping review mapped current knowledge on voice and communication challenges, identifies available supports, and demonstrates the limitations of existing guidance for speech pathologists. This review draws on 40 sources, including 29 peer-reviewed articles, 8 clinical guidelines, 2 books, and 1 position statement, identified through comprehensive searches of databases such as CINAHL, ERIC, Medline, APA PsycINFO, and grey literature in May 2024. Findings indicated that 96.8% of identified challenges pertained to communication, while fewer (3.2%) focused on voice-specific issues. Similarly, supports primarily addressed communication (91.3%), with 8.7% targeting voice needs. Communication challenges included barriers faced by autistic TGD individuals and those interacting with them, including healthcare professionals, peers, and family. Supports were identified as strategies and resources to enhance service delivery and client wellbeing, such as using visual aids or offering multiple communication options. However, significant gaps remain in addressing the unique voice and communication needs of this population, particularly regarding voice dysphoria, camouflaging versus identity disclosure, and communication within healthcare settings. Autistic TGD individuals represent a unique population whose needs are not sufficiently addressed by current guidance. This review highlights significant gaps in research and clinical practice and calls for improved clinical guidelines and specialized training for speech pathologists to enhance care.

Bibliographie citée par cette référence

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Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 27/10/2026 10:35.

Références citées
72
Avec un DOI
48
Sans DOI, à partir du texte brut de la bibliographie
22
10 / 72 (13,9 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
18 / 72 (25,0 %)
Références avec noms d’auteurices détectés
55 / 72 (76,4 %)
Sans nom d’auteurice détecté
17
Sans titre structuré
18
Sans identifiant stable
21
Références avec noms bruts d’auteurices restant à vérifier
17
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
502
À partir du DOI ou de métadonnées externes
502
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
41
190 / 502 (37,8 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 312 / 502 (62,2 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
34 / 502 (6,8 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 34 / 190 (17,9 %). Personnes distinctes identifiées comme autistes : 27 / 435 (6,2 %).
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