scholarly journals Blossoming Child, Mourning Parent: A Qualitative Study of Trans Children and Their Parents Navigating Transition

Author(s):  
Annie Pullen Sansfaçon ◽  
Denise Medico ◽  
Morgane Gelly ◽  
Valeria Kirichenko ◽  
Frank Suerich-Gulick ◽  
...  

AbstractAn increasing number of jurisdictions now facilitate transitions for trans and non-binary youth (TNBY), allowing them to legally change their name and gender marker and providing medical gender-affirming care to support transition needs. The literature demonstrates the benefits of such measures in reducing adverse mental health outcomes. Strong parental support is also identified as key to TNBY thriving. But studies also show that parents may struggle to accept their child’s identity during transition and beyond, rendering this life stage particularly challenging for both parents and TNBY. This qualitative project traces the experiences of TNBY and their parents as they evolve from the discovery of diverse gender identity to affirmation. Participants were recruited through three Canadian specialty clinics offering gender-affirming care and interviews were conducted separately with 36 dyads of trans youth and one of their parents, for a total of 72 interviews. Data reveal notable differences between the experiences of TNBY and that of their parents. Many TNBY began questioning their gender secretly, waiting to be sure of it before disclosing it to parents. While coming out was often a relief for TNBY, it was experienced differently for their parents, who often struggled to accept their child’s identity even while outwardly showing support. However, we found that TNBY and their parents were able to bridge this gap by engaging in the transition process together. Because TNBY’s experiences of realization and affirmation differ from those of their parents, we reiterate the importance of centering TNBY voices when attempting to understand their experience.

2021 ◽  
Vol 12 ◽  
Author(s):  
Antonia Dangaltcheva ◽  
Chris Booth ◽  
Marlene M. Moretti

Gender non-conforming and trans youth experience high rates of bullying and victimization, placing them at risk for serious mental health challenges. Parent support is one of the most significant protective factors in this population, and yet few programs are specifically developed to promote parenting sensitivity, understanding, and acceptance. Connect, a trauma-informed and attachment-based group program for caregivers of at-risk adolescents, has been shown to reduce parent stress and depressed mood, increase parents' sense of efficacy and satisfaction, and reduce parent-teen conflict. Teens benefit from increased attachment security and improved mental health and well-being. Treatment effects have been documented to continue for up to 2 years post-treatment. This paper describes the adaptation of the Connect program to create a new program, Transforming Connections, for caregivers of transgender and gender non-conforming youth. Participants in the first three groups were 20 parents of 16 gender non-conforming youth (ages 12–18). Common themes in group discussions related to gender included: coming out, connecting with peers, affirming pronouns/names, medical transition, parental reactions (e.g., confusion, isolation, grief, acceptance), and concerns about safety and mental health. All parents completed the full program, attending on average 9 of 10 sessions. Caregivers reported feeling respected, safe, and welcomed in the program and indicated that learning about attachment enhanced their understanding of their teen and their gender journey as well as themselves as a parent. Additionally, all parents reported applying the ideas discussed in the group frequently (60%) or somewhat frequently (40%). The majority indicated that their relationship with their teen had improved somewhat (65%) or a great deal (20%). Findings provide positive preliminary evidence of the fit and value of Transforming Connections for these families.


2012 ◽  
Author(s):  
Robert J. Cramer ◽  
Martha Shumway ◽  
Amanda M. Amacker ◽  
Dale E. McNiel ◽  
Sarah Holley ◽  
...  

2019 ◽  
Author(s):  
Taylor R. Thomas ◽  
Dabney Hofammann ◽  
Brooke G. McKenna ◽  
Anna I.R. van der Miesen ◽  
Mark A. Stokes ◽  
...  

ABSTRACTBiological sex is an important factor in mental health, and a non-binary view of how variation in sex and gender influence mental health represents a new research frontier that may yield new insights. The recent acceleration of research into sexual orientation, gender identity, and mental health has generally been conducted without sufficient understanding of the opinions of sexual and gender minorities (SGM) toward this research. We surveyed 768 individuals, with an enrichment of LGBTQ+ stakeholders, for their opinions regarding genetic research of SGM and mental health. We found that the key predictors of attitudes toward genetic research specifically on SGM are 1) general attitudes toward genetic and mental health research 2) tolerance of SGM and associated behaviors 3) non-cisgender stakeholder status and 4) age of the respondent. Non-heterosexual stakeholder status was significantly associated with increased willingness to participate in genetic research if a biological basis for gender identity were discovered. We also found that non-stakeholders with a low tolerance for SGM indicated their SGM views would be positively updated if science showed a biological basis for their behaviors and identities. These findings represent an important first step in understanding and engaging the LGBTQ+ stakeholder community in the context of genetic research.


2021 ◽  
Author(s):  
Adjunct Professor ◽  
Frances Furio

BACKGROUND The COVID-19 pandemic has had a significant impact on various sectors and industries around the world. Globally, healthcare workers and first responders have found themselves faced with unprecedented challenges, both within and outside of the workplace. OBJECTIVE The purpose of this research was to identify and explore the complex mental health outcomes resulting from the various new challenges experienced by healthcare workers and first responders during the COVID-19 pandemic. METHODS A phenomenological qualitative study was conducted in an effort to understand the mental health outcomes resulting from the various challenges and barriers faced while working during the pandemic. A total of 31 healthcare workers and first responders were interviewed. RESULTS The mental health outcomes described were not isolated to increased stress and anxiety; participants also described complex experiences, perspectives, and feelings related to guilt, stoicism, helplessness, fear, and anger. This paper adds to the current body of literature by further exploring the personal experiences and perspectives of healthcare workers and first responders related to these complex mental health outcomes. CONCLUSIONS Continued exploration, understanding, and awareness is needed in order to continue working towards addressing these outcomes and offering potential solutions.


2020 ◽  
Vol 6 (3) ◽  
pp. 217-229
Author(s):  
Gerald P. Mallon ◽  
Jazmine Perez

Purpose Recent research finds that youth who identify as transgender or gender-expansive are disproportionately incarcerated in juvenile justice systems and are treated differently from their non-trans peers (Himmelstein and Brückner, 2011; Hunt and Moodie-Mills, 2012; Irvine, 2010; Mitchum and Moodie-Mills, 2014). Juvenile justice systems have paid little attention to this group of young people in terms of their unique service needs and risk factors. Using qualitative methods, the researchers analyze in-depth interviews and focus group findings from formerly incarcerated trans youth in juvenile justice settings to better understand their experiences. This paper aims to examine the challenges for young people, and, as well as considered recommendations for juvenile justice professionals to study toward making changes in policies, practices and programs that are needed to support young people who are transgender or gender expansive. Design/methodology/approach Using qualitative, case examples and descriptive analysis, this paper describes the experiences of trans youth in juvenile justice settings and studies toward developing models of promoting trans-affirming approaches to enhance juvenile justice institutions for trans and gender-expansive youth placed in them. The paper describes the evolution of an approach used by the authors, in New York state juvenile justice settings to increase a trans-affirming perspective as a central role in the organization’s strategy and design, and the methods it is using to institutionalize this critical change. Findings culled from the focus groups and in-depth interviews with 15 former residents of juvenile justice settings and several (3) key staff members from the juvenile justice system, focusing on policies, practices and training models are useful tools for assessing progress and recommending actions to increase the affirming nature of such systems. At its conclusion, this chapter will provide clear outcomes and implications for the development of policies, practices and programs with trans and gender expansive youth in juvenile justice systems. Findings Finding are conceptualized in six thematic categories, namely, privacy, access to health and mental health care, the difference between sexual orientation and gender identity, name and pronoun use, clothing, appearance and mannerism, and housing issues. Research limitations/implications This study is limited as it focuses on formerly incarcerated youth in the New York City area. Practical implications The following implications for practice stemming from this study are as follows: juvenile justice professionals (including judges, defense attorneys, prosecutors, probation officers and detention staff) must treat – and ensure others treat – all trans and gender-expansive youth with fairness, dignity and respect, including prohibiting any attempts to ridicule or change a youth’s gender identity or expression. Having written nondiscrimination and anti-harassment policy is also essential. These policies can address issues such as prohibiting harassment of youth or staff who are trans or gender expansive, requiring the use of respectful and inclusive language and determining how gender rules (e.g. usage of “male or “female” bathrooms, gender-based room assignments) will be addressed for transgender and gender-nonconforming youth. Programs should also provide clients and staff with training and helpful written materials. Juvenile justice professionals must promote the well-being of transgender youth by allowing them to express their gender identity through choice of clothing, name, hair-style and other means of expression and by ensuring that they have access to appropriate medical care if necessary. Juvenile justice professionals must receive training and resources regarding the unique societal, familial and developmental challenges confronting trans youth and the relevance of these issues to court proceedings. Training must be designed to address the specific professional responsibilities of the audience (i.e. judges, defense attorneys, prosecutors, probation officers and detention staff). Juvenile justice professionals must develop individualized, developmentally appropriate responses to the behavior of each trans youth, tailored to address the specific circumstances of his or her or their life. Social implications Providing trans-affirming services to youth in juvenile justice settings is a matter of equity and should be the goal strived for by all systems that care for these young people. Helping trans and gender-expansive youth reenter and reintegrate into society should be a primary goal. There are many organizations and systems that stand ready to assist juvenile justice systems and facilities in supporting trans and gender expansive youth in their custody and helping them to rehabilitate, heal and reenter a society that welcomes their participation and where they can thrive and not just survive. Originality/value The paper is original in that it examines the lived experiences of trans and gender-expansive youth in juvenile justice systems. An area, which has not been fully explored in the professional literature.


2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Anna Chiumento ◽  
Theoneste Rutayisire ◽  
Emmanuel Sarabwe ◽  
M. Tasdik Hasan ◽  
Rosco Kasujja ◽  
...  

Abstract Background Refugees fleeing conflict often experience poor mental health due to experiences in their country of origin, during displacement, and in new host environments. Conditions in refugee camps and settlements, and the wider socio-political and economic context of refugees’ lives, create structural conditions that compound the effects of previous adversity. Mental health and psychosocial support services must address the daily stressors and adversities refugees face by being grounded in the lived reality of refugee’s lives and addressing issues relevant to them. Methods We undertook a rapid qualitative study between March and May 2019 to understand the local prioritisation of problems facing Congolese refugees living in two refugee settings in Uganda and Rwanda. Thirty free list interviews were conducted in each setting, followed by 11 key informant interviews in Uganda and 12 in Rwanda. Results Results from all interviews were thematically analysed following a deductive process by the in-country research teams. Free list interview findings highlight priority problems of basic needs such as food, shelter, and healthcare access; alongside contextual social problems including discrimination/inequity and a lack of gender equality. Priority problems relating to mental and psychosocial health explored in key informant interviews include discrimination and inequity; alcohol and substance abuse; and violence and gender-based violence. Conclusions Our findings strongly resonate with models of mental health and psychosocial wellbeing that emphasise their socially determined and contextually embedded nature. Specifically, findings foreground the structural conditions of refugees’ lives such as the physical organisation of camp spaces or refugee policies that are stigmatising through restricting the right to work or pursue education. This structural environment can lead to disruptions in social relationships at the familial and community levels, giving rise to discrimination/inequity and gender-based violence. Therefore, our findings foreground that one consequence of living in situations of pervasive adversity caused by experiences of discrimination, inequity, and violence is poor mental health and psychosocial wellbeing. This understanding reinforces the relevance of feasible and acceptable intervention approaches that aim to strengthening familial and community-level social relationships, building upon existing community resources to promote positive mental health and psychosocial wellbeing among Congolese refugees in these settings.


Author(s):  
Luca Fumarco ◽  
Eva Dils ◽  
Ben Harrell ◽  
David Schwegman ◽  
Patrick Button

2016 ◽  
Vol 24 (3) ◽  
pp. 213-229 ◽  
Author(s):  
Oriel J. Strickland ◽  
Stacie Davidson

Animal-Assisted Activity Programs have been shown to improve physiological and mental health outcomes among program participants. The purpose of this study was to assess the significance of gender, depression, and companion animal attitudes as predictors of interest in participation in an animal-assisted activity program. The participants were 62 residents (average age 82 years) at assisted-living centers who responded to survey measures including the Pet Attitude Scale (pas), Center for Epidemiological Studies Depression Scale (ces-d), and a newly developed scale to measure interest in an animal assisted activity program. Pet attitudes and gender significantly predicted willingness to participate in the program. These results provide a contribution to the literature, which has not yet documented predictors of interest in participation in such a program among elderly citizens.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Trevor MacDonald ◽  
Joy Noel-Weiss ◽  
Diana West ◽  
Michelle Walks ◽  
MaryLynne Biener ◽  
...  

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