Abstract
Parents are core decision-makers and advocates for their pre-adolescent transgender and gender non-conforming (TGNC) children, yet there is a dearth of research on their experiences, particularly their relationships with extended family members. This study explored how parents make decisions of whether or not to disclose their children’s TGNC identity to extended family members. In Phase 1, 34 parents of TGNC youth under the age of 13 described in interviews their experiences pertaining to disclosure of their child’s TGNC status to extended family members. Phase 2 replicated and expanded these findings with 11 additional parents. Across both phases, two disclosure processes were identified: casual unfolding disclosure, where parents allowed extended family members to witness their child’s TGNC identity development, or explicit direct disclosure, in which parents wrote mailed or emailed letters to help organize their thoughts and direct the course of the conversation. Parents avoided disclosure to select family members, based on five factors: geographical or emotional distance, age, and how conservative or religious family members were. While some relationships were strengthened with disclosure, many parents described tense or unsupportive relationships with extended family members, and some relationships dissolved. The findings suggest extended family members are both potential supporters and stressors, and parents engage in a variety of strategies to bolster their supportive networks while anticipating rejection and mitigating stress. These findings have implications for social work research, practice, and policy.
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Data Availability
The datasets generated during and/or analyzed during the current study are not publicly available due to the sensitive nature of the data, but are available from the corresponding author on reasonable request.
References
Abreu, R. L., Rosenkrantz, D. E., Ryser-Oatman, J. T., Rostosky, S. S., & Riggle, E. D. B. (2019). Parental reactions to transgender and gender diverse children: A literature review. Journal of GLBT Family Studies, 15, 461–485. https://doi.org/10.1080/1550428X.2019.1656132.
Aramburu Alegria, C. (2016). Gender nonconforming and transgender children/youth: Family, community, and implications for practice. Journal of the American Association of Nurse Practitioners, 28, 521–527. https://doi.org/10.1002/2327-6924.12363.
Aramburu Alegria, C. (2018). Supporting families of transgender children/youth: Parents speak on their experiences, identity, and views. International Journal of Transgenderism, 19, 132–143. https://doi.org/10.1080/15532739.2018.1450798.
Asakura, K. (2016). It takes a village: Applying a social ecological framework of resilience in working with LGBTQ youth. Families in Society, 97, 15–22. https://doi.org/10.1606/1044-3894.2016.97.4.
Austin, A. (2018). Transgender and gender diverse children: Considerations for affirmative social work practice. Child and Adolescent Social Work Journal, 35, 73–78. https://doi.org/10.1007/s10560-017-0507-3.
Barron, C., & Capous-Desyllas, M. (2015). Transgressing the gendered norms in childhood: Understanding transgender children and their families. International Journal of Transgenderism, 13, 407–438. https://doi.org/10.1080/1550428X.2016.1273.
Birnkrant, J. M., & Prezowski, A. (2017). Communication, advocacy, and acceptance among support-seeking parents of transgender youth. Journal of Gay & Lesbian Mental Health, 21, 132–153. https://doi.org/10.1080/19359705.2016.1277173.
Brill, S., & Pepper, R. (2008). The transgender child: A handbook for families and professionals. New Jersey: Cleis Press.
Capous-Desyllas, M., & Barron, C. (2017). Identifying and navigating social and institutional challenges of transgender children and families. Child and Adolescent Social Work Journal, 34, 527–542. https://doi.org/10.1007/s10560-017-0491-7.
de Jong, K. (2015). ‘He wears pink leggings almost every day, and a pink sweatshirt…’ How school social workers understand and respond to gender variance. Child and Adolescent Social Work Journal, 32, 247–255.
Drescher, J. (2014). Controversies in gender diagnoses. LGBT. Health, 1, 10–14. https://doi.org/10.1089/lgbt.2013.1500.
Drescher, J., & Byne, W. (2012). Gender dysphoric/gender variant (GD/GV) children and adolescents: Summarizing what we know and what we have yet to learn. Journal of Homosexuality, 59, 501–510. https://doi.org/10.1080/00918369.2012.653317.
Ehrensaft, D. (2007). Raising girlyboys: A parent's perspective. Studies in Gender and Sexuality, 8(3), 269–302. https://doi.org/10.1080/15240650701226581.
Ehrensaft, D. (2012). From gender identity disorder to gender identity creativity: True gender self child therapy. Journal of Homosexuality, 59, 337–356. https://doi.org/10.1080/00918369.2012.653303.
Fish, J. N., Baams, L., Wojciak, A. S., & Russell, S. T. (2019). Are sexual minority youth overrepresented in foster care, child welfare, and out-of-home placement? Findings from nationally representative data. Child Abuse & Neglect, 89, 203–211. https://doi.org/10.1016/j.chiabu.2019.01.005.
Gold, M. L. (2008). A qualitative investigation into the process of family adjustment to transgender emergence [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering, 69(7–B), 4420.
Gregor, C., Hingley-Jones, H., & Davidson, S. (2014). Understanding the experience of parents of pre-pubescent children with gender identity issues. Child and Adolescent Social Work Journal, 32, 237–246. https://doi.org/10.1007/s10560-014-0359-z.
Gridley, S. J., Crouch, J. M., Evans, Y., Eng, W., Antoon, E., Lyapustina, M., et al. (2016). Youth and caregiver perspectives on barriers to gender-affirming health care for transgender youth. Journal of Adolescent Health, 59, 254–261.
Hill, D. B., Menvielle, E. J., Sica, K. M., & Johnson, A. (2010). An affirmative intervention for families with gender variant children: Parental ratings of child mental health and gender. Journal of Sex and Marital Therapy, 36(1), 6–23. https://doi.org/10.1080/00926230903375560.
Hill, D. B., Rozanski, C., Carfagnini, J., & Willoughby, B. (2005). Gender identity disorders in childhood and adolescence: A critical inquiry. Journal of Psychology & Human Sexuality, 17(3–4), 7–33. https://doi.org/10.1300/J056v17n03_02.
Ishii, Y. (2018). Rebuilding relationships in a transgender family: The stories of parents of Japanese transgender children. Journal of GLBT Family Studies, 14(3), 213–237.
Kolbuck, V. D., Muldoon, A. L., Rychlik, K., Hildago, M. A., & Chen, D. (2019). Psychological functioning, parenting stress, and parental support among clinic-referred prepubertal gender-expansive children. Clinical Practice in Pediatric Psychology, 7, 254–266. https://doi.org/10.1037/cpp0000293.
Kuvalanka, K. A., Weiner, J. L., & Mahan, D. (2014). Child, family, and community transformations: Findings from interviews with mothers of transgender girls. Journal of GLBT Family Studies, 10, 354–379. https://doi.org/10.1080/1550428X.2013.834529.
Kuvalanka, K. A., Weiner, J. L., Munroe, C., Goldberg, A. E., & Gardner, M. (2017). Trans and gender non-conforming children and their caregivers: Gender presentations, peer relations, and well-being at baseline. Journal of Family Psychology, 31, 889–899. https://doi.org/10.1037/fam0000338.
Kuvalanka, K. A., Gardner, M., & Munroe, C. (2019). All in the family: How extended family relationships are influenced by children’s gender diverse and transgender identities. In A. I. Lev & A. R. Gottlieb (Eds.), Families in transition: Parenting gender diverse children, adolescents, and young adults (pp. 102–117). New York: Harrington Park Press/The Haworth Press.
Lev, A. I. (2004). Transgender emergence: Therapeutic guidelines for working with gender-variant people and their families. Haworth Clinical Practice Press.
Mallon, G. P., & DeCrescenzo, T. (2006). Transgender children and youth: A child welfare practice perspective. Child Welfare, 85(2), 215–241.
McCormick, A., Schmidt, K., & Terrazas, S. (2017). LGBTQ youth in the child welfare system: An overview of research, practice, and policy. Journal of Public Child Welfare, 11(1), 27–39.
Menvielle, E. J., & Hill, D. B. (2010). An affirmative intervention for families with gender-variant children: A process evaluation. Journal of Gay & Lesbian Mental Health, 15(1), 94–123.
Menvielle, E. J., & Rodnan, L. A. (2011). A therapeutic group for parents of transgender adolescents. Child and Adolescent Psychiatric Clinics of North America, 20(4), 733–743.
Menvielle, E. J., & Turek, C. (2002). A support group for parents of gender non-conforming boys. Journal of the American Academy of Child and Adolescent Psychiatry, 41(8), 1010–1013.
Menvielle, E., Turek, C., & Perrin, E. C. (2005). To the beat of a different drummer: The gender-variant child. Contemporary Pediatrics, 22, 38.
Minter, S. P. (2012). Supporting transgender children: New legal, social, and medical approaches. Journal of Homosexuality, 59, 422–433.
Moller, B., Schreier, H., Li, A., & Romer, G. (2009). Gender identity disorder in children and adolescents. Current Problems in Pediatric and Adolescent Health Care, 39, 117–143.
Olson, K. R., Durwood, L., DeMeules, M., & McLaughlin, K. A. (2016). Mental health of transgender children who are supported in their identities. Pediatrics, 137(3), e20153223.
Olson, K. R., Blotner, C., Alonso, D., Lewis, K., Edwards, D., & Durwood, L. (2019). Family discussions of early childhood social transitions. Clinical Practice in Pediatric Psychology, 7(3), 229–240.
Patton, M. Q. (2002). Qualitative research and evaluation methods. Thousand Oaks, CA: Sage.
Piper, J., & Mannino, M. (2008). Identity formation for transsexual individuals in transition. Journal of GLBT Family Studies, 4, 75–93. https://doi.org/10.1080/15504280802084472.
Pyne, J. (2016). “Parenting is not a job … It’s a relationship”: Recognition and relational knowledge among parents of gender non-conforming children. Journal of Progressive Human Services, 27, 21–48. https://doi.org/10.1080/10428232.2016.1108139.
Ramirez, A. E. (2017). Investigating LGBTQ advocacy efforts among heterosexual parent allies. (Unpublished doctoral dissertation). University of Rhode Island: Kingston, RI.
Rahilly, E. P. (2015). The gender binary meets the gender-variant child: Parents’ negotiations with childhood gender variance. Gender and Society, 29, 338–361. https://doi.org/10.1177/0891243214563069.
Riley, E. A., Clemson, L., Sitharthan, G., & Diamond, M. (2013). Surviving a gender-variant childhood: The views of transgender adults on the needs of gender-variant children and their parents. Journal of Sex & Marital Therapy, 39(3), 241–263.
Riggs, D. W., & Due, C. (2014). Support experiences and attitudes of Australian parents of gender variant children. Journal of Child and Family Studies, 24, 1999–2017.
Rule, M. E. (2018). Parents’ emotional experiences of their transgender children coming out. (Unpublished doctoral dissertation). Baltimore, Maryland: Walden University.
Sansfaçon, A. P., Robichaud, M.-J., & Dumais-Michaud, A.-A. (2015). The experience of parents who support their children's gender variance. Journal of LGBT Youth, 12(1), 39–63. https://doi.org/10.1080/19361653.2014.935555.
Schlehofer, M. M., Cortez-Regan, L., & Bush, D. (under review). Experiences of parent-advocates of trans and gender non-conforming youth.
Simons, L. K., Leibowitz, S. F., & Hidalgo, M. A. (2014). Understanding gender variance in children and adolescents. Pediatric Annals, 43(6), e126–e131. https://doi.org/10.3928/00904481-20140522-07.
Stieglitz, K. A. (2010). Development, risk, and resilience of transgender youth. Journal of the Association of Nurses in AIDs Care, 21(3), 192–206. https://doi.org/10.1016/j.jana.2009.08.004.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Los Angeles: Sage.
Wallein, M. S. C., & Cohen-Kettenis, P. T. (2008). Psychosexual outcome of gender-dysphoric children. Journal of the American Academy of Child & Adolescent Psychiatry, 47(12), 1413–1423. https://doi.org/10.1097/CHI.0b013e31818956b9.
Wren, B. (2002). ‘I can accept my child is transsexual but if I ever see him in a dress I’ll hit him’: Dilemmas in parenting a transgendered adolescent. Clinical Child Psychology and Psychiatry, 7, 377–397.
Zucker, K. J. (2004). Gender identity development and issues. Child and Adolescent Psychiatric Clinics of North America, 13(3), 551–568. https://doi.org/10.1016/j.chc.2004.02.006.
Acknowledgements
Thank you to the participants who were willing to share their stories with us, and to Domonique Bush, Sabrina, Dixon, Claire Howard, Deija Spencer, and Juliet Vapsva for their assistance on this project. This work was supported by a Society for the Psychological Study of Social Issues Grants-In-Aid awarded to the first author. Correspondence concerning this manuscript can be directed to Dr. Michele Schlehofer, Psychology Department, Salisbury University at mmschlehofer@salisbury.edu.
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This project was funded by a Society for the Psychological Study of Social Issues Grant-in-Aid awarded to the first author.
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Conceptualization: MMS and LCR; Methodology: MMS and LCR; Formal analysis and investigation: MMS and JH; Writing—original draft preparation: MMS and JH; Writing—review and editing: MMS, LCR and JH; Funding acquisition: MMS; Resources: MMS and JH; Supervision: MMS.
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Schlehofer, M.M., Cortez-Regan, L. & Harbaugh, J. “If Extended Family Can’t Deal…” Disclosing Trans and Gender Non-Conforming Children’s Identity. Child Adolesc Soc Work J 39, 29–43 (2022). https://doi.org/10.1007/s10560-020-00709-w
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DOI: https://doi.org/10.1007/s10560-020-00709-w