Title:                Strengthening Learning through Interdisciplinary Collaboration

 

Category:          Voice Sciences/Disorders

 

Authors:            Lynette R. Goldberg, PhD, CCC-SLP, Communication Sciences and Disorders

                        Nancy M. Dion, MS, PA-C, Physician Assistant Studies Department

                        Sheila M. Gordon, MFA, Theatre and Dance Department

                        Cheryl A. Hellmann, MA, Department of Media, Journalism and Film

 

Abstract

 

This paper details an innovative, interdisciplinary approach to the study of vocal fold physiology in relation to vocal expression in performance. Students in Communication Sciences and Disorders and Theatre and Dance performed Shakespearean monologues and evaluated seven parameters of vocal production in these performances through perceptual analysis. This perceptual analysis followed students’ participation in a series of collaborative laboratory sessions emphasizing the use of flexible fiberoptic endoscopy to learn about laryngeal and vocal fold physiology. Additional visual aids included videotapes, medical images, articles and a model of the vocal tract.

 

Pre- and post-testing documented significant increases in knowledge and understanding of vocal fold physiology and optimal voice use for both groups of students. Overall, both groups of students responded similarly to the perceptual analysis of vocal parameters in 10 randomly presented monologues. The one parameter in which significant group differences were evident was vocal inflection. The Theatre students were more critical in their perceptual evaluation of this parameter. These results and an analysis of students’ reflective comments support this collaborative interdisciplinary approach to facilitate students’ understanding of the structure and function of the vocal mechanism and optimal voice use.

 

The Study and its Development

 

In this pilot study, 15 students in Communication Sciences and Disorders (CSD) and 15 students in Theatre and Dance (THE) were brought together for six laboratory sessions over the course of one 16-week semester.  These laboratory sessions began by filming the students reciting one-minute Shakespearean monologues and having them complete a test to assess their knowledge of pharyngeal and laryngeal anatomy and physiology. Students then participated in an interdisciplinary lecture on vocal tract anatomy and function.  In subsequent sessions, students were given the opportunity to participate in fiberoptic endoscopic examinations and thus to visualize pharyngeal and laryngeal anatomy and see it in action. The fiberoptic assessment protocol suggested by Colton and Casper (1996) was followed.  In addition, students were asked to recite Shakespearean monologues and to sing as they were endoscoped. In the final laboratory session, students were asked to view 10 Shakespearean monologues, randomly selected from the 30 monologues filmed earlier, and document their perceptions of seven parameters of voicing. These parameters were breathiness, volume, pitch, nasality, ease of production, rate of speech, and inflection. Students used the 9-point visual analog scale developed by Myers et al (2002) for their ratings. At the end of the study, the test used in the first session was re-administered. Throughout the study a documentary was made to capture the experiences and the reflections of the students. Details of this pilot study are provided in Goldberg, Gordon, Dion and Hellmann (2005).

 

The idea for this study began from a conversation. Faculty from Communication Sciences and Disorders and Theatre and Dance were sharing frustrations about finding the best ways in which to facilitate students’ understanding of the structure and function of the voice and how to use the voice optimally.  The following questions arose: “What if we worked together? Would sharing perspectives from our different disciplines enhance learning?  How could we measure the students’ learning about voice production and their perceptions of the experience?”  

 

In a traditional pedagogical approach, teachers impart knowledge that is discipline-specific and students learn about a subject from an accurate, but potentially narrow, perspective. Frequently, the same subjects are taught in several different disciplines.  We were not thinking that it would be appropriate or practical to combine entire courses across disciplines.  However, we were interested to see if students’ learning of information could be enhanced and strengthened by interdisciplinary collaboration when the subject was one that had content shared by the different disciplines, e.g., Voice Disorders being taught in CSD and Voice for the Stage being taught in Theatre and Dance. We hoped that learning about the voice from multiple perspectives would enable both students and faculty to appreciate the different “languages” and diversity of styles from the “culture” of each separate discipline. As the idea took shape, we learned that voice disorders also were addressed in the Physician Assistant Studies program. Further, effective voice production was an important issue for students involved in Media, Journalism and Film. Two additional faculty members, one from each of these departments, were invited to participate. Our “multicultural” team thus consisted of faculty from the fields of Communication Sciences and Disorders, Medicine, Theatre and Dance, and Media, Journalism and Film. Together with students from CSD and Theatre and Dance, we worked together for an entire semester to share our individual skills, insight, expertise, and perspectives and develop a comprehensive approach to teach each other and the students about an area we each had previously addressed individually.

 

Outcomes

 

The effectiveness of this interdisciplinary and multicultural experience was measured in three ways: through each student’s (a) pre- and post-test scores, (b) perceptual analysis of the 10 randomly-selected monologues, and (c) comments in conversations and on reflective questionnaires regarding his/her experience. A statistical analysis of each group’s pre- and post-test scores showed that both CSD and Theatre and Dance students understood significantly more about vocal fold physiology and optimal voice use at the end of the study. The use of the 9-point analog scale to measure varying vocal parameters appeared valuable. At the beginning of the study, the faculty member in Theatre and Dance was unfamiliar with this rating scale. Both she and the students in Theatre and Dance found it helpful in facilitating their ability to differentiate and rate the various vocal parameters.  CSD students were familiar with the scale in applying it to the voices of adults with voice disorders. Applying it to typical, non-disordered voices was a valuable and initially difficult task for these CSD students.

 

In addition to the quantitative data gained from the statistical analyses of the pre- and post-tests and perceptual ratings, valuable and complementary qualitative information was obtained from the reflective comments made by students during conversations and documented on a series of reflective questionnaires.  Examples of students’ insights with regard to the structure, function and optimal use of the voice included the following:

 

I now know a lot more about my own obstacles in vocal production.  I do things with my voice that I never realized I did.  Viewing the actual movement of the laryngeal system helped me appreciate its size and muscular involvement.

 

It was amazingly informative to watch the endoscopies. To see the workings of the voice from a medical standpoint gave me a clearer idea of what was happening and what I was trying to do with my voice.

 

Well, now that I understand what to do, I have been working on using breath support to sustain vocal support through the fluidity of phrases. I’m trying to open up in the chest area and become more comfortable with my voice as it is, and not change it to make it sound, what I thought, was more pleasing.

 

As a performer, my voice is one of my greatest tools. I need that tool working properly and now understand so much better what to do to keep it that way.

 

The voice is something that is truly valuable and I am making changes to keep it healthy and not abuse it.

 

Additional insights highlighted the value of the interdisciplinary approach:

 

It was good to have different perspectives, because the theatre students asked a lot of very good questions that I wouldn’t have thought of.

           

To really appreciate the words and do them justice.

 

The interaction of students can bring about new ways of learning.  The terminology used by the theatre students may be closer to what typical adult clients would use.  And, I have a hunch the theatre students could work up performance pieces that would help make learning memorable.

 

One final comment from a CSD student illustrated the additional positive effect of the collaborative sessions on overall communication.  She stated:

 

I saw myself in the video and realized that I am not a very good speaker.  I saw how well students in the Theatre class spoke and I see how important communication is, how much I can improve, and what I can do to achieve this.

 

A detailed discussion of the results of this study is presented in Goldberg et al. (2005). As a result of the positive experience and outcomes, we advocate a move away from the traditional teaching approach illustrated in Figure 1 to an approach where knowledge and skills that are relevant to a particular subject can be shared and discussed from a variety of perspectives, as shown in the model presented in Figure 2.

Phonetics

 

 

 

 

 

 

 

 

 

As mentioned before, we do not suggest that entire courses, such as Voice Disorders (in Communication Sciences and Disorders) and Voice for the Stage (in Theatre and Dance), can be combined across disciplines. Clearly, there is much content in each course that needs to remain discipline-specific. However, when the content of such courses is common to both disciplines, such as exploring the anatomy and function of the vocal tract, then the collaborative interdisciplinary approach that we used in this pilot study appears warranted. Logistical issues prevented the inclusion of students from Physician Assistant Studies and Media, Journalism, and Film in this study. To facilitate future collaborative work, it will be important to ensure that courses in the different disciplines are scheduled at the same time. This scheduling change will enable all involved students to meet and work together when this is appropriate. This collaborative interdisciplinary approach to teaching and learning will enable faculty and students to understand an area from multiple perspectives, be aware of the language (terminology) each discipline uses, and expand the ways in which student learning can be measured. In addition to enhancing the education of students in Communication Sciences and Disorders, the model for such an approach would appear applicable to many groups of speech and language disorders and a variety of service settings.

 

References

 

Colton, R.H., & Casper, J.K. (1996).  Understanding voice problems: A physiological perspective for diagnosis and treatment. Baltimore, MD: Williams & Wilkins.

 

Goldberg, L.R., Gordon, S.M., Dion, N.M., & Hellmann, C.A. (2005) Understanding the voice: The value of interdisciplinary collaboration. In M. Rees (ed). Shakespeare around the globe and other contemporary issues in professional voice and speech training. Cincinnati, OH: Voice and Speech Trainers Association, Inc.

 

Myers, F.M., St. Louis, K.O., Bakker, K., Raphael, L.J., Wiig, E.K., Katz, J., Daly, D.A., & Kent, R.D. (2002). Putting cluttering on the map: Looking back. American Speech-Language-Hearing Association Annual Convention, Atlanta, GA.

 

Rees, M (ed) (2005). Shakespeare around the globe and other contemporary issues in professional voice and speech training. Cincinnati, OH: Voice and Speech Trainers Association, Inc.