Clinician competencies: Strengths and limitations for work with transgender and gender non-conforming (TGNC) clients

Whitman, Chassitty N.; Han, Heather

doi:10.1080/15532739.2016.1249818

Cited by 43 publications

(30 citation statements)

References 27 publications

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“…This is likely a reflection of the individual’s lack of education in the area (Dickey and Singh, 2017). Even mental health professionals who view themselves as competent in TGD health may sometimes use inappropriate language (Whitman and Han, 2017). TGD young people who are experiencing psychological distress or are reaching out for help need to be able to access support from professionals who are knowledgeable about gender diversity.…”

Section: Discussionmentioning

confidence: 99%

Options and realities for trans and gender diverse young people receiving care in Australia’s mental health system: findings from Trans Pathways

Strauss

Lin

Waters

et al. 2020

Aust N Z J Psychiatry

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Objective: Trans and gender diverse young people experience mental health difficulties self-harm and suicidality at markedly higher rates than the general population, yet they often feel isolated from mental health services. There is little qualitative research on the experiences of trans and gender diverse young people accessing mental health support in Australia. The objective of this study was to comprehensively explore the experiences of trans and gender diverse young people in Australia who have sought mental health support from therapists, counsellors, psychiatrists and/or inpatient care providers. Methods: We report on findings from the Trans Pathways study, which was a mixed-methods study to evaluate the experiences of trans and gender diverse young people accessing mental health services: specifically, therapy and counselling services, psychiatric services and mental health inpatient services. Results: A total of 859 trans and gender diverse young people aged 14–25 years across Australia completed an anonymous online questionnaire. Therapy and/or counselling services (64.4%) were most frequently sought by trans and gender diverse young people in this study, followed by psychiatric services (43.0%) and mental health inpatient services (12.3%). The findings demonstrated that many mental health professionals lacked expertise in gender diversity, and that trans and gender diverse young people found it difficult to locate mental health professionals who were able to meet their needs in a timely manner. Conclusion: These findings indicate that training is necessary for all mental health professionals to improve their knowledge of gender diversity, enhance the support provided to trans and gender diverse young people and help to address the high rates of poor mental health. The findings outlined here provide insight into the areas in which clinicians could optimise their care of trans and gender diverse young people.

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Section: Discussionmentioning

confidence: 99%

Options and realities for trans and gender diverse young people receiving care in Australia’s mental health system: findings from Trans Pathways

Strauss

Lin

Waters

et al. 2020

Aust N Z J Psychiatry

View full text Add to dashboard Cite

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“…Previous research has shown that transgender microaggressions are dependent on both context and time (Nadal, Skolnik, & Wong, 2012). Microaggressions are sensitive to identity differences within social relationships, and have been studied in friendships (Galupo, Henise, & Davis, 2014; Pulice-Farrow, Clements, & Galupo, 2017), workplace relationships (Galupo & Resnick, 2016), and in school (Francis & Reygan, 2016; Ylioja, Cochran, Woodford, & Renn, 2016) and counseling contexts (Whitman & Han, 2017). The present study utilizes a mixed methods approach to examine the nature and impact of transgender microaggressions that are experienced within romantic relationships as a way to understand relationship dynamics.…”

mentioning

confidence: 99%

Transgender microaggressions in the context of romantic relationships.

Pulice-Farrow

Brown

Galupo

2017

Psychology of Sexual Orientation and Gender Diversity

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Microaggressions can shape the everyday experiences of individuals who identify as transgender, and how they approach their relationships. Microaggressions involve subtle forms of discrimination that can come across as environmental, behavioral, or verbal slights. The present study focuses on transgender microaggressions that occur in the context of romantic relationships. Participants included 343 adults who identified as transgender, transsexual, gender non-conforming, and/or having a transgender history.These participants were either currently in a romantic relationship, or had been in a romantic relationship within the last five years. Participants completed an online survey and provided information regarding their experiences of microaggressions from their romantic partners. Responses were analyzed via thematic analysis resulting in four relationship-salient themes: 1) questioning identity; 2) gendered expectations; 3) public negotiation of transgender identity and relationship; and 4) relationship dynamics.Discussion focuses on understanding how microaggressions are shaped by expectations of the gender binary and how they serve to reinforce power differences in romantic relationships of transgender individuals.

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“…The Practice Adaptations assume that clinicians have basic knowledge of gender identity and terminology relevant to the experiences of TGD people. Many clinicians do not have this basic knowledge and should seek continuing education training on working with TGD clients and consult relevant scientific literature (Whitman & Han, 2017). This information is available from many sources, including recent books (Kauth & Shipherd, 2018;Singh & dickey, 2017), and APA guidelines and ACA competencies, so it is not provided here.…”

Section: Trans Collaborations Practice Adaptations Formentioning

confidence: 99%

Bridging the gap between practice guidelines and the therapy room: Community-derived practice adaptations for psychological services with transgender and gender diverse adults in the central United States.

Hope¹,

Holt²,

Woodruff³

et al. 2022

Professional Psychology: Research and Practice

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Individuals who identify as transgender and gender diverse (TGD) are presenting at mental health clinicians' offices with increasing frequency. Many TGD clients are seeking care related to affirming their gender identity but also may present with anxiety, depression, trauma, substance abuse, or other problems for which a clinician may commonly provide services. Some clinicians may hesitate to accept TGD clients into their practice if they have little specialized training to work with this population in an affirming manner, especially in more underserved areas where a generalist practice is the norm. Numerous professional associations and experts have developed guidelines for affirmative behavioral health care for TGD people. However, what is needed are community-informed recommendations to bridge from the official guidelines to clinicians' in-session activities. The Trans Collaborations Practice Adaptations for Psychological Interventions for Transgender and Gender Diverse Adults are derived from iterative interviews with TGD community members and affirming mental health clinicians in the Central United States. The 12 practice adaptations are intended to guide clinicians to adapt their usual treatment approach to be TGD affirming, especially in underserved and rural areas. The practice adaptations cover numerous aspects of practice including the office setting and paperwork, understanding gender identity and incorporating it into the case conceptualization, therapist's self-awareness, and referrals. The Trans Collaborations Practice Adaptations will help

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Clinician competencies: Strengths and limitations for work with transgender and gender non-conforming (TGNC) clients

Cited by 43 publications

References 27 publications

Options and realities for trans and gender diverse young people receiving care in Australia’s mental health system: findings from Trans Pathways

Options and realities for trans and gender diverse young people receiving care in Australia’s mental health system: findings from Trans Pathways

Transgender microaggressions in the context of romantic relationships.

Bridging the gap between practice guidelines and the therapy room: Community-derived practice adaptations for psychological services with transgender and gender diverse adults in the central United States.

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