The Agentic Voice

The Agentic Voice Podcast

In this podcast we involve stakeholders such as laryngologists, allied health professionals, vocal coaches, voice users, patients, and scientists in on-going discussion on how trauma-informed voice care can advance health equity for vulnerable populations. We also aim to increase awareness of the effects of trauma on the voice, and the practices that improve vocal agency. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. read less

Responding through Policies
Dec 22 2022
Responding through Policies
In episode ten, Responding through Policies, co-hosts Geneva Mayne and Kristen Ruiz are joined by special guest Sean Moonsammy, a singer and voice-specializing speech language pathologist in New York City. They spoke about intersectionality, representation and responding to trauma through policies. The Allied Health Workforce Diversity Act of 2021 is designed to increase representation of underrepresented groups within rehabilitation professions such as speech-language pathology among others. Check out Sean’s advocacy work for the Allied Health Workforce Diversity Act of 2021 and his recent feature in the ASHA Leader. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. Guests and speakers reflect a variety of viewpoints that do not necessarily represent the views of The Agentic Voice Podcast. If you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately. References  Hutchins, Shelly D. (2022, January 8). Operatic SLP treats voice disorders with sensitivity. ASHA Leader. https://leader.pubs.asha.org/do/10.1044/leader.LML.27012022.28/full/  Sean Moonsamy. (2022, October 9). H.R.3320 - Allied Health Workforce Diversity Act of 2021 YouTube. https://www.youtube.com/watch?v=4OT4CpklVpI  Substance Abuse and Mental Health Services Administration. (2014). SAMHSA's concept of trauma and guidance for a trauma-informed approach.
Agency Through Trustworthiness and Transparency
Dec 1 2022
Agency Through Trustworthiness and Transparency
In episode nine, Agency Through Trustworthiness and Transparency, co-hosts Geneva Mayne and Kristen Ruiz are joined by special guest Jillian Paige of Meisner in Music in New York City. They talked about gaining expressive freedom through acknowledging the truth of what we are feeling in the moment. Trustworthiness and transparency is one of the six key principles of a trauma-informed approach. Creating and inhabiting safe spaces where we are able to truthfully acknowledge what we are thinking and feeling is an important part of trauma-informed voice care. Mindful awareness of what we are thinking and feeling gives us freedom and agency to express ourselves authentically. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. Guests and speakers reflect a variety of viewpoints that do not necessarily represent the views of The Agentic Voice Podcast. If you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately.  References  Dunn, K. A.(2019). Hidden Damage: When Uninformed Casting and Actor Training Disregard the Effect of Character Embodiment on Students of Color. Theatre Symposium. 27, 68-79.  Esper W, DiMarco D. (2008). The Actor’s Art and Craft : William Esper Teaches the Meisner Technique. Anchor Books. Accessed October 27, 2022.  Meisner, S., & Longwell, D. (1987). Sanford Meisner on acting. New York, NY: Random House, Inc.  McLaughlin, J. A. (2012). Meisner across paradigms : the phenomenal dynamic of Sanford Meisner’s technique of acting and its resonances with postmodern performance. Accessed October 27, 2022.  Panero M. E. (2019). A Psychological Exploration of the Experience of Acting. Creativity Research Journal. 31(4), 428-442.  Substance Abuse and Mental Health Services Administration (2014). SAMHSA's concept of trauma and guidance for a trauma-informed approach.
Take Up Space
Nov 19 2022
Take Up Space
In episode eight, Take Up Space, co-hosts Geneva Mayne and Kristen Ruiz are joined by special guest, Marcia Lesser, a somatic experiencing practitioner. They discuss the psychological and physiological implications of contraction, or not “taking up space.” They explore the role of social interaction and socio-cultural systems on learning and development; and how these systems serve to enhance or inhibit learning & development. Marcia Lesser presents ideas and strategies for empowerment, by which one can learn to take up more space; thereby expressing one’s voice with freedom. Somatic Experiencing International (2021) describes their program as "a body-oriented therapeutic model applied in multiple professions and professional settings—psychotherapy, medicine, coaching, teaching, and physical therapy— for healing trauma and other stress disorders," (p. 5). To learn more about SE, see their website and media kit. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. Our guests and speakers reflect a variety of viewpoints that do not necessarily represent the views of The Agentic Voice Podcast. If you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately. References Rogoff, B. (2003). The cultural nature of human development. New York: Oxford University Press. Vygotsky, L. S. (1994). The problem of the environment. In R. Van der Veer & J. Valsiner (Eds.), The V.Vygotsky-Y reader (pp. 338-354). Cambridge, MA: Blackwell. Vygotsky, L. (1978). Mind in society. Cambridge, MA: Harvard University Press.
Recognizing and Responding to Dissociation
Oct 23 2022
Recognizing and Responding to Dissociation
In episode 7, Recognizing and Responding to Dissociation, co-hosts Kristen Ruiz and Geneva Mayne talk with special guest, Dr. Elisa Monti, about how voice care workers can recognize and respond to dissociation within a trauma-informed approach. Dissociation can occur on its own or be a symptom of PTSD and functional neurological disorder with communication symptoms such as muscle tension dysphonia. The four assumptions of a trauma-informed approach are: realizing the prevalence of trauma, recognizing signs and symptoms of trauma, responding in policies, practices and procedures, and resisting re-traumatization. You can see examples of dissociation in the You’ll Say Nothing documentary bonus material. Dr. Monti is a voice-specialized experimental psychologist with a PhD from The New School for Social Research. In addition to the Voice and Trauma Research and Connection Group and the documentary, You’ll Say Nothing, you can learn more about Dr. Monti and her work at Monti Bianchi Performance Wellness. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. Our guests and speakers reflect a variety of viewpoints that do not necessarily represent the views of The Agentic Voice Podcast. If you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately. References American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR. American Psychiatric Association Publishing. Baker, J., Barnett, C., Cavalli, L., Dietrich, M., Dixon, L., Duffy, J., Elias, A., Fraser, D., Freeburn, J., Gregory, C., McKenzie, K., Miller, N., Patterson, J., Roth, C., Roy, N., Short, J., Utianski, R., van Mersbergen, M., Vertigan, A., McWhirter, L. (2021). Management of functional communication, swallowing, cough and related disorders: Consensus recommendations for speech and language therapy. Journal of Neurology, Neurosurgeryand Psychiatry. Substance Abuse and Mental Health Services Administration. (2014). SAMHSA's concept of trauma and guidance for a trauma-informed approach.  Schiavone, F. L., Frewen, P., McKinnon, M., & Lanius, R. A. (2018). The dissociative subtype of PTSD: an update of the literature. PTSD Research Quarterly, 29, 1-13.
Dismantling Power Imbalances
Oct 7 2022
Dismantling Power Imbalances
In episode 6, Dismantling Power Imbalances, co-hosts Kristen Ruiz and Geneva Mayne discuss manual therapy as an agentic practice with special guest, Walt Fritz, PT. Though manual therapies can be highly effective, it is important for clinicians to explain what they are doing and why before palpating, massaging or repositioning a patient’s larynx. We also discussed how shared decision-making can help build trust and create psychologically safe interactions where power is shared between clinicians and patients or educators and students. Shared decision-making is integrated in trauma-informed approaches under the key principles of collaboration and mutuality; empowerment, voice and choice; and trustworthiness and transparency. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. Our guests and speakers reflect a variety of viewpoints that do not necessarily represent the views of The Agentic Voice Podcast. If you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately. Baker, J., Barnett, C., Cavalli, L., Dietrich, M., Dixon, L., Duffy, J., Elias, A., Fraser, D., Freeburn, J., Gregory, C., McKenzie, K., Miller, N., Patterson, J., Roth, C., Roy, N., Short, J., Utianski, R., van Mersbergen, M., Vertigan, A., McWhirter, L. (2021). Management of functional communication, swallowing, cough and related disorders: Consensus recommendations for speech and language therapy. Journal of Neurology, Neurosurgery and Psychiatry. Ikeda, A. K., Hong, P., Ishman S. L., Joe, S. A., Randolph, G. W., Shin, J. J. (2018). Evidence-Based medicine in otolaryngology part 7: Introduction to shared decision making. Otolaryngology - Head and Neck Surgery. Institute of Medicine, and on Value and Science-Driven Health Care Roundtable. Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement : Workshop Proceedings, National Academies Press, 2014. ProQuest Ebook Central, http://ebookcentral.proquest.com/lib/lesley/detail.action?docID=3379341. Lincoln, Yvonna S., and Egon G. Guba. (2013). The Constructivist Credo, Taylor & Francis Group. http://ebookcentral.proquest.com/lib/lesley/detail.action?docID=1187038. Roy, N., Dietrich, M., Blomgren, M., Heller, A., Houtz, D. R., Lee, J. (2019). Exploring the neural bases of primary muscle tension dysphonia: A case study using functional magnetic resonance imaging. Journal of Voice. Stuart, T. S., Heckmann, S., Mattos, M., & Buffum, A. (2018). Personalized Learning in a PLC at Work TM : Student Agency Through the Four Critical Questions (Develop Innovative PLC- and RTI-Based Personalized Learning Programs). Solution Tree.
In Pursuit of Obligation or Freedom
Sep 27 2022
In Pursuit of Obligation or Freedom
In episode five, In Pursuit of Obligation or Freedom, co-hosts Geneva Mayne and Kristen Ruiz are joined by special guest, Jeremy Aye. They discuss the challenges singers encounter when faced with the competing loyalties of vocal expectation and vocal authenticity. “Should Statements” are cognitive distortions that can increase anxiety and create self-defeating energies within the singers’ inner world, that then manifest outwardly in their experience of the physical world. The agentic practice of cognitive reappraisal or “reframing” positively shifts the lens through which one perceives a situation; thereby changing the meaning, thinking and behavior. Numerous studies suggest reframing prevents burnout, reduces anxiety, enhances communication, improves function and elevates overall quality of life. To access Geneva’s Colorado Speech-Language and Hearing Association webinar on trauma-informed voice care, head over to the CSHA website at: https://www.cshassoc.org/webinars/. The webinar will be available during the month of November 2022. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. Our guests and speakers reflect a variety of viewpoints that do not necessarily represent the views of The Agentic Voice Podcast. If you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately. References Horn, S., & Feder, A. (2018). Understanding resilience and preventing and treating PTSD. Harvard Review of Psychiatry, 26(3), 158-174. Mueser, K. T., Gottlieb J. D., Xie H, Lu, W., Yanos, P. T., Rosenberg, S. D., Silverstein, S. M., Duva, S. M., Minsky, S., Wolfe, R. S., McHugo, G. J . (2015). Evaluation of cognitive restructuring for post-traumatic stress disorder in people with severe mental illness. British Journal of Psychiatry. 206(6), 501-508. Shikatani, B., Antony, M. M., Kuo, J. R., Cassin, S. E. (2014). The impact of cognitive restructuring and mindfulness strategies on post event processing and affect in social anxiety disorder. Journal of Anxiety Disorders. 28(6), 570-579. Shamblaw, A. L., Rumas, R. L., Best, M. W., (2021) Coping during the COVID-19 pandemic: Relations with mental health and quality of life. Canadian Psychology. 62(1), 92-100. Vernooij-Dassen M, Draskovic I, McCleery J, Downs M. (2011) Cognitive reframing for carers of people with dementia. Cochrane Database of  Systematic Reviews (11).
Petty Clapback
Sep 9 2022
Petty Clapback
In episode four, Petty Clapback, co-hosts Kristen Ruiz and Geneva Mayne are joined by special guest, Brian Petty, to discuss transitioning from a performance career to a clinical one. They also discuss discrimination and social support as social determinants of health. The peer support found in affinity groups such as L’Gasp – the LGBTQIA Caucus of the American Speech-Language and Hearing Association (ASHA), is a key principle of a trauma-informed approach. Peer support helps to establish safety and hope, build trust, and enhance collaboration. Shared stories and lived experiences promote recovery and healing. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. Our guests and speakers reflect a variety of viewpoints that do not necessarily represent the views of The Agentic Voice Podcast. If you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately.  References  Estlack, M. (2010, January 1) Conflict with Faith. The ASHA Leader.  Petty, Brian (2010, March 1) Focus on Professional Practice. The ASHA Leader.  Substance Abuse and Mental Health Services Administration (2014). SAMHSA's concept of trauma and guidance for a trauma-informed approach.
Agency in Forgiveness
Aug 11 2022
Agency in Forgiveness
In episode 3, Agency in Forgiveness, Kristen Ruiz and Geneva Mayne talk about forgiveness with special guest, Dr. Kittie Verdolini Abbott. Forgiveness is a shift in motivation away from retaliation and avoidance towards increased goodwill for the perceived wrongdoer. It plays a vital role in restoring social relationships, and positively impacts personal wellbeing and society at large. As a protective factor, forgiveness promotes resilience for people going through adversity or hardship. The choice to forgive (even if you have to make it repeatedly or over a period of time) is an act of agency where you are freeing yourself from the bondage of anger, resentment and living in the past. There is agency in forgiveness. The Agentic Voice Podcast does not contain medical/health advice. The medical/health information provided is for general informational and educational purposes only and is not a substitute for professional advice. Our guests and speakers reflect a variety of viewpoints that do not necessarily represent the views of The Agentic Voice Podcast. If you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately. References Cleare S, Gumley A, O’Connor RC. (2019) Self-compassion, self-forgiveness, suicidal ideation, and self-harm: A systematic review. Clinical Psychology & Psychotherapy. 26(5):511-530. Fourie, M., Ruud, H., Decety, J. (2020)  Parsing the components of forgiveness: Psychological and neural mechanisms, Neuroscience & Biobehavioral Reviews, 112, 437-451 Schaefer, L., Howell, K. H., Schwartz, L., Bottomley, J. S., & Crossnine, C. B. (2018). A concurrent examination of protective factors associated with resilience and posttraumatic growth following childhood victimization. Child Abuse & Neglect, 85, 17-27.
¡Viva Las Vagus! Counteracting Stress with the Relaxation Response
Jul 29 2022
¡Viva Las Vagus! Counteracting Stress with the Relaxation Response
In episode two, ¡Viva Las Vagus! Counteracting Stress with the Relaxation Response, Geneva Mayne and Kristen Ruiz talk about how we can cultivate the relaxation response to improve our vagal tone. This is an agentic practice for those dealing with stressors and trauma. Simple ways to improve vagal tone at home include: mindfulness, exercise, meditation and deep breathing. The Agentic Voice Podcast is provided for general informational and educational purposes only and is not a substitute for professional advice. The content is not intended to replace or substitute any professional medical, counseling, therapeutic, or other advice. Accordingly, if you have specific concerns or a situation in which you require professional advice, you should consult with an appropriately trained and qualified professional expert and specialist. If you are having a health or mental health emergency, please call 9-1-1 immediately. References Benson, H., Beary, J., & Carol, M. P. (1974). The relaxation response. Psychiatry, 37, 37-46. Caron, C. (2022, June 2). Can Stimulating the Vagus Nerve Improve Mental Health? The New York Times. Retrieved July 14, 2022 Dusek, J. A., & Benson, H. (2009). Mind body medicine: A model of the comparative clinical impact of the acute stress and relaxation responses. Minnesota Medicine, 92(5), 47-50. Franke, H. (2014). Toxic stress: Effects, prevention and treatment. Children, 1, 390-402.