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Gender Dysphoria and Family Dynamics and Culture: A Case Composite

  • Melissa MacNish
Chapter

Abstract

This article presents a model for conceptualizing information gathered from the biopsychosocial assessment into internal and external stressors of the youth, as well as the degree of their gender dysphoria. This therapeutic assessment tool will help clinicians differentiate the interplay between these three realms as treatment interventions are applied. A case composite will be used to highlight the means to tease apart the complexities while also taking into account the importance of the family’s cultural backgrounds. Assessment of the social location and intersecting identities that each individual in the family holds can help to inform the clinician of a family’s strengths and potential barriers to acceptance of a youth. Based on Caitlyn Ryan’s research at the Family Acceptance Project correlating parental rejection and negative mental health outcomes, the author encourages the use of this research as an intervention for families who exhibit rejecting behaviors. Finally, this article stresses the need for expanding the scope of care for families from the therapy office to community-based interventions. When clinicians are able to better understand and support the complex intersections of a family’s identities and their internal and external stressors, as well as the degree of gender dysphoria the youth is experiencing, they can help guide the youth and their family through a transition process of healing, growth, and connection.

Keywords

Transgender Gender dysphoria Family process of acceptance Transgender adolescent Assessment Rejecting behaviors Accepting behaviors Internal factors External factors 

References

  1. 1.
    Brill S, Pepper R. The transgender child: a handbook for families and professionals. San Francisco: Cleis Press, Inc.; 2008.Google Scholar
  2. 2.
    Lev AI, Alie L. Transgender and gender nonconforming children and youth: developing culturally competent systems of care. In: Fisher SK, Poirier JM, Blau GM, editors. Improving emotional and behavioral outcomes for LGBT youth: a guide for professionals. Baltimore, MD: Brookes Publishing Company; 2012. p. 43–66.Google Scholar
  3. 3.
    Wahlig J. Losing the child they thought they had: therapeutic suggestions for an ambiguous loss perspective with parents of a transgender child. J GLBT Fam Stud. 2014;10:1–22.CrossRefGoogle Scholar
  4. 4.
    MacNish M, Gold-Peifer M. Families in transition: supporting families of transgender youth. In: Nelson T, Winawer H, editors. Critical topics in family therapy. New York: Springer International Publishing; 2014. p. 119–29.CrossRefGoogle Scholar
  5. 5.
    Giammattei SV. Beyond the binary: trans-negotiations in couple and family therapy. Fam Process. 2015;54(3):418–34.CrossRefPubMedGoogle Scholar
  6. 6.
    Harvey RG, Stone FL. Queer youth in family therapy. Fam Process. 2015;54:396–417.CrossRefPubMedGoogle Scholar
  7. 7.
    de Vries KM. Intersectional identities and conceptions of the self: the experience of transgender people. Symb Interact. 2012;35(1):49–67.CrossRefGoogle Scholar
  8. 8.
    Sennott S, Smith T. Translating the sex and gender continuums in mental health: a transgeninist approach to client and clinician fears. J Gay Lesbian Ment Health. 2011;15:218–34.CrossRefGoogle Scholar
  9. 9.
    Hughto JMW, Reisner SL, Pachankis JE. Transgender stigma and health: a critical review of stigma determinants, mechanisms, and interventions. J Soc Sci Med. 2015;147:222–31.CrossRefGoogle Scholar
  10. 10.
    Coolhart D, Baker A, Farmer S, Malaney M, Shipman D. Therapy with transsexual youth and their families: a clinical tool for assessing youth’s readiness for gender transition. J Marital Fam Ther. 2013;39(2):223–43.CrossRefGoogle Scholar
  11. 11.
    Ryan C, Russell ST, Huebner D, Diaz R, Sanchez J. Family acceptance in adolescence and the health of lgbt young adults. J Child Adolesc Psychiatr Nurs. 2010;23(4):205–13.CrossRefPubMedGoogle Scholar
  12. 12.
    Wren B. “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. Clin Child Psychol Psychiatry. 2002;7:377–97.Google Scholar
  13. 13.
    Grossman AH, D’Augelli AR, Howell T, Hubbard S. Parents’ reactions to transgender youths’ gender nonconforming expression and identity. J Gay Lesbian Soc Serv. 2005;18(1):3–16.CrossRefGoogle Scholar
  14. 14.
    Madsen WC. Collaborative therapy with multi-stressed families. New York: NY Guilford Press; 2007.Google Scholar
  15. 15.
    Malpas J. Between pink and blue: a multi-dimensional family approach to gender nonconforming children and their parents. Fam Process. 2011;50(4):453–70.CrossRefPubMedGoogle Scholar
  16. 16.
    Hill DB, Menvielle E. “You have to give them a place where they feel protected and safe and loved”: the views of parents who have gender-variant children and adolescents. J LGBT Youth. 2009;6(2/3):243–71.CrossRefGoogle Scholar
  17. 17.
    Leibowitz S, de Vries ALC. Gender dysphoria in adolescence. Int Rev Psychiatry. 2016;28(1):21–35.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Licensed Mental HealthSAYFTEE, LLCJamaica PlainUSA

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