scholarly journals IMPROVING THE ASSESSMENT OF CHILDREN AND YOUTH WHO PRESENT WITH GENDER DYSPHORIA: An investigation into patient and parent satisfaction

2020 ◽  
pp. 217-225
Author(s):  
Kathleen Walsh ◽  
◽  
Melissa Jonnson ◽  
Wallace Wong ◽  
Veronique Nguy ◽  
...  
Keyword(s):  
Health Assessment ◽  
Parent Satisfaction ◽  
Children And Youth ◽  
Standards Of Care ◽  
Multiple Perspectives ◽  
Gender Nonconforming ◽  
Gender Diverse ◽  
Assessment And Treatment ◽  
Individualized Approach ◽  
And Gender

Practitioners working with gender non-conforming children and youth ascribe to general guidelines based on the World Professional Association for Transgender Health Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People (2012). These guidelines inform clinical practice and assessment and emphasize the need for gender affirming care, but they do not include strict treatment criteria. Consequently, there are multiple perspectives and approaches in the field regarding effective assessment and treatment of gender diverse and transgender clients. Given the ongoing debate around best practices, the current exploratory research study investigates the perspectives and satisfaction of transgender youth and their parents actively seeking out gender health assessments (e.g., hormone readiness assessments). Twenty-five parents and 22 youth who were accessing gender health services through a community outpatient clinic completed a questionnaire about the gender health assessment process. Survey data was analyzed using descriptive statistics, and portions analyzed using thematic analysis. Similar responsepatterns were found between groups and themes emerged surrounding the need for an individualized approach to care. This study aims to increase clinical understanding of the experiences of those seeking gender health assessment services to inform and improve practices to better serve this community.

The Co-Occurrence of Autism and Gender Diversity

2020 ◽  
pp. 197-211
Author(s):  
Jill C. Fodstad ◽  
Rebecca Elias ◽  
Shivali Sarawgi
Keyword(s):  
Gender Dysphoria ◽  
Gender Diversity ◽  
Gender Nonconforming ◽  
Medical Interventions ◽  
Gender Diverse ◽  
Nonbinary Gender ◽  
Psychiatric Conditions ◽  
The Common ◽  
And Gender

Gender diversity refers to gender expressions and/or gender identity experiences that vary from the common experiences of gender. Gender-diverse people may be gender nonconforming, gender nonbinary, gender fluid, gender exploring, transgender, and so forth. Some gender-diverse individuals experience gender dysphoria and/or gender incongruence and may require gender-affirming supports, including gender-affirming medical interventions. The co-occurrence of autism and gender diversity has been highlighted in a series of studies internationally as well as through rich community expressions. Studies in gender-referred individuals reveal high rates of autism traits as well as high rates of existing autism diagnoses. Studies in autistic populations reveal greater gender diversity characteristics. The long-term course of gender diversity in autistic individuals is poorly understood. Clinical guidelines have been developed for adolescents with the co-occurrence, but much work remains: No gender-related measures have been developed and tested for use in neurodiverse populations, no programs exist to support gender-diverse neurodiverse adults, and little is known about co-occurring mental health profiles, risks, or protective factors for people with the co-occurrence. The inclusion of this chapter on co-occurring autism and gender diversity within a book on “co-occurring psychiatric conditions” is problematic, because gender diversity is not a “psychiatric condition,” but instead a form of human diversity. The diagnosis of Gender Dysphoria is useful only insomuch as it allows individuals to obtain necessary gender-related supports. The authors’ choice to include this chapter in this book reflects a compromise, motivated by the need for educating both autism and gender specialists in this common co-occurrence.

Providing Inclusive Care for Transgender Patients: Capturing Sex and Gender in the Electronic Medical Record

2020 ◽  
Author(s):  
Khushbu Patel ◽  
Martha E Lyon ◽  
Hung S Luu
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Standards Of Care ◽  
Sex And Gender ◽  
Care Providers ◽  
Care Environment ◽  
Gender Nonconforming ◽  
Gender Information ◽  
And Gender

Abstract Background Providing a positive patient experience for transgender individuals includes making the best care decisions and providing an inclusive care environment in which individuals are welcomed and respected. Over the past decades, introduction of electronic medical record (EMR) systems into healthcare has improved quality of care and patient outcomes through improved communications among care providers and patients and reduced medical errors. Promoting the highest standards of care for the transgender populations requires collecting and documenting detailed information about patient identity, including sex and gender information in both the EMR and laboratory information system (LIS). Content As EMR systems are beginning to incorporate sex and gender information to accommodate transgender and gender nonconforming patients, it is important for clinical laboratories to understand the importance and complexity of this endeavor. In this review, we highlight the current progress and gaps in EMR/LIS to capture relevant sex and gender information. Summary Many EMR and LIS systems have the capability to capture sexual orientation and gender identity (SOGI). Fully integrating SOGI into medical records can be challenging, but is very much needed to provide inclusive care for transgender individuals.

scholarly journals Toward More Inclusive Gender Identity Measurement in Speech, Language, and Hearing Practice and Research

2020 ◽  
Vol 5 (6) ◽  
pp. 1710-1715
Author(s):  
Brandon Merritt
Keyword(s):  
Gender Identity ◽  
Communication Disorders ◽  
Demographic Information ◽  
Gender Nonconforming ◽  
Research Participants ◽  
Related Information ◽  
Gender Diverse ◽  
Gender Minorities ◽  
Optimal Health ◽  
And Gender

Purpose This article discusses current trends in clinical and research settings for collecting gender identity demographic information and argues for clinicians and researchers in communication disorders and sciences to adopt a two-question method for measuring the gender identity of clients and research participants. Traditional collection of gender demographic information has been constrained to a single question format with a binary response option. Increasing numbers of individuals across the life span identify with gender minorities such as transgender, nonbinary, and gender nonconforming, among others, and the traditional format for obtaining gender-identity related information is insufficient to capture and document this increasing diversity. An example of a two-question method for measuring gender identity demographic information is provided. The benefits and challenges of adopting such a measure in clinical and laboratory settings are discussed. Conclusions Gender minorities constitute a growing proportion of clinical caseloads and research participants within speech-language pathology and audiology. The adoption of demographic measurement tools that are inclusive of varying gender identities is necessary to acknowledge and quantify this growth and is a first step in normalizing transgender visibility in clinical and research settings. Such a move advances cultural responsiveness within the professions and promotes competent care and optimal health outcomes for individuals who are gender diverse.

Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7

2012 ◽  
Vol 13 (4) ◽  
pp. 165-232 ◽  
Author(s):  
E. Coleman ◽  
W. Bockting ◽  
M. Botzer ◽  
P. Cohen-Kettenis ◽  
G. DeCuypere ◽  
...  
Keyword(s):  
Standards Of Care ◽  
Gender Nonconforming ◽  
And Gender

scholarly journals Review: Prevalence of Addictions among Transgender and Gender Diverse Subgroups

2021 ◽  
Vol 18 (16) ◽  
pp. 8843
Author(s):  
Ryan Ruppert ◽  
Shanna K. Kattari ◽  
Steve Sussman
Keyword(s):  
Substance Use ◽  
Illicit Drugs ◽  
Final Analysis ◽  
Behavioral Addictions ◽  
Prevalence Rates ◽  
Reference Groups ◽  
Gender Nonconforming ◽  
Gender Diverse ◽  
Internet Sex ◽  
And Gender

We conducted an analysis of the prevalence of substance and behavioral addictions across different transgender and gender diverse (TGD) subgroups. We performed a scoping review using MEDLINE and Google Scholar databases and examined 12 addictions, including alcohol, nicotine, cannabis, illicit drugs, gambling, eating/food, internet, sex, love, exercise, work, and shopping. We presented prevalence rates for each addiction as a function of an individual’s gender identity (stratified into transgender females, transgender males, and gender nonconforming), and used cisgender women and men as reference groups. We included 55 studies in our final analysis, the majority of which investigated substance use disorders among TGD subgroups. Overall findings indicated that substantial differences in substance use exist among US TGD subgroups. There were far fewer publications that examined the prevalence of behavioral addictions across TGD subgroups. However, despite limited research in this area, findings still suggest that notable differences in behavioral addictions may exist between individual TGD subgroups. The conclusions of our review may provide clinicians with a better ability to screen for and treat at-risk individuals within the TGD community.

Thud-Tempters and Mockingbirds: A Cognitive–Linguistic Approach to Acoustic Assumptions

2021 ◽  
pp. 1-12
Author(s):  
Fiona Beaton ◽  
Ava Ayers ◽  
John Pickering ◽  
Daniel Kayajian
Keyword(s):  
Single Case ◽  
Acoustic Parameter ◽  
First Person ◽  
Gender Nonconforming ◽  
Cognitive Linguistic ◽  
Communication Program ◽  
Individualized Approach ◽  
And Gender ◽  
Person Account ◽  
Future Work

Purpose This study analyzed information shared through journal reflections of a client and a student clinician participating in The College of Saint Rose Transgender Voice and Communication Program related to the application and implications of Acoustic Assumptions. This research note was generated by a client, a student clinician, and certified speech-language pathologists. Method This single-case study focused on an eclectic approach to gender-affirmative voice services that addressed factors related to resonance commonly explored with transgender clients. A first-person account of reactions to therapy served as the foundation for journal reflections made by the client and the student clinician. Therefore, first-person language appears in the journal entries to detail our perspectives of this clinical experience. Results Providing gender-affirmative voice services in a holistic manner helped the client align her communication with her gender identity. Creating a client-specific conceptual framework that prioritized elements of cognitive–linguistic therapy, education, and counseling supported the client as the resonance challenges frequently experienced by transgender and gender-nonconforming individuals outlined in Acoustic Assumptions were explored. Limitations regarding the clinical application of this highly individualized approach to resonance are acknowledged. The findings from this study may not generalize to entire clinical populations, given the format of the research design. Conclusions We found this therapeutic approach helped the client develop a personalized understanding of the resonance challenges she was experiencing (see below for a more detailed discussion of those challenges). And she was able to deepen her ability to produce voice with forward resonance, an acoustic parameter that researchers have found many listeners to associate with “femininity” and that, in this case, aligned with the client's perception of femininity. Techniques used and observations on them may be useful for future work in gender-affirmative voice services.

Gender and Gender Identity Development Among Young Trans People in North America

2021 ◽  
Author(s):  
Julia Sinclair-Palm
Keyword(s):  
North America ◽  
Identity Development ◽  
Gender Identity ◽  
Children And Youth ◽  
Gender Nonconforming ◽  
Trans People ◽  
Medical Discourses ◽  
And Gender ◽  
Trans Youth ◽  
The Way

When children are born, they are typically assigned a sex, male or female, based on the appearance of external genitalia. The gender of the newborn is assumed based on the assigned sex. Researchers debate the origins of gender and whether gender is largely biologically based or socially constructed. Sociologists tend to argue that children learn about their gender from their parents and experiences at school through a process known as gender role socialization, whereas medical discourses argue that one’s gender should be aligned with one’s assigned sex. Schools are one of the first sites outside the home where researchers have studied the way gender nonconforming and trans children and youth face discrimination and harassment. Education research about trans youth documents the need for trans youth to have a voice in school policies and practices. Trans adults offer a wide range of theories about gender and critique traditional models of gender for their failure to capture the complexity, fluidity, and diversity of gender experiences and identities. Trans youth have yet to enter these conversations and their gender, access to treatment and services, and rights are often determined by medical discourses about gender and gender identity development. In the 21st century, the parents and families of trans youth are beginning to play an important role in advocating for and supporting the needs of their trans child. Trans identity development models are shaped by theories about gender and are often designed as a stage model. In 2004, Aaron Devor created the first trans identity development model based on the CASS model that Viviane Cass developed in 1979. Scholars have critiqued these models for their rigid conceptualization of gender, the linear structure of stages in these models, and the lack of recognition of the role race, class, disability, and sexuality have in the complexity of gender. Scholars have also remarked on the way these models were developed for trans adults and fail to conceptualize trans youth. Theories about gender and gender identity development have shaped gender models used in the treatment of gender nonconforming children. The gender affirmative model takes a progressive approach to this treatment, allowing children and youth to be experts on their gender and to be supported in socially transitioning at any age. Research about gender and gender identity development among trans youth in North America is increasingly recognizing the need to center the voices and needs of young trans people.

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