Finding a Trans‐Affirmative Provider: Challenges Faced by Trans and Gender Diverse Psychologists and Psychology Trainees

dickey, lore m.; Singh, Anneliese A.

doi:10.1002/jclp.22508

Cited by 11 publications

(6 citation statements)

References 20 publications

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“…Previous research in Australia has highlighted issues relating to staff inexperience with TGD health (Hyde et al, 2014). 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).…”

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

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“…Cultivating collaborative environments where students can be involved in TGD inclusivity efforts that are a part of broader shared program goals promotes transparency and encourages sustainable change. These issues with lack of training, accompanied by the high levels of marginalization that TGD graduate students experience (Dickey & Singh, 2017a; Goldberg et al, 2021; Knutson et al, 2022), make it essential to engage in educational initiatives and reflection to address the biases embedded in most programs.…”

Section: Takeaway Points Related To Training Sites and Tgd Inclusivitymentioning

confidence: 99%

Clinical practice with transgender and gender diverse clients: Setting up an inclusive practice and training considerations.

Puckett¹,

Wiklund²,

Louis³

et al. 2023

Practice Innovations

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Transgender and gender diverse (TGD) people experience various minority stressors that drive health disparities. In the face of this marginalization, therapy may be helpful to manage these stressors and promote well-being. For some TGD people, they also may need to interact with mental health providers in order to gain access to gender-affirming medical procedures. As such, it is not unusual for mental health providers to have TGD clients at some point in their careers. Even so, there is little graduate training about working with TGD clients, which can result in providers being underprepared to work with TGD communities in affirming ways. Many TGD people report experiencing microaggressions or worse on the part of providers and even those who claim to be affirming may not be taking the steps needed to create a safe clinical context for care. This presents an important training point for graduate programs as well given that many of the professors or clinic staff may not have received the necessary training either. In this manuscript, we detail a summary of existing best practices for affirming mental health services with TGD clients that were informed by existing literature, community input, and clinical practice. These specific actions span from paperwork, to the clinical space, and specifics of interactions with clients. By carrying out these actions, providers will be able to live out their commitment to affirmation of TGD people. We also provide guidance for graduate programs to ensure that future generations of therapists are better trained in these areas.

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“…In addition, trans and nonbinary people often experience gender-based discrimination and violence in their lives (American Psychological Association [APA], 2015). For example, Dickey and Singh (2017) found that trans-specific discrimination can lead to concealment of trans identity, internalization of trans-negative beliefs and attitudes, and anticipation of anti-trans discrimination. Such experiences can lead to negative health outcomes including suicide, depression, anxiety, eating disorders, and substance abuse (Dickey & Singh, 2017; Dickey et al, 2017; Velez et al, 2016; White Hughto et al, 2017).…”

Section: The Present Studymentioning

confidence: 99%

“…For example, Dickey and Singh (2017) found that trans-specific discrimination can lead to concealment of trans identity, internalization of trans-negative beliefs and attitudes, and anticipation of anti-trans discrimination. Such experiences can lead to negative health outcomes including suicide, depression, anxiety, eating disorders, and substance abuse (Dickey & Singh, 2017; Dickey et al, 2017; Velez et al, 2016; White Hughto et al, 2017). Thus, traditional gender socialization practices, informed by traditional gender ideologies, can be particularly harmful for trans and nonbinary individuals.…”

Section: The Present Studymentioning

confidence: 99%

Measurement invariance of three gender ideology scales across cis, trans, and nonbinary gender identities.

McDermott¹,

Wolfe²,

Levant³

et al. 2021

Psychology of Men & Masculinities

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Popular measures of masculinity and femininity ideologies have been validated primarily with cisgender (cis) samples. The present study assessed the measurement equivalence/invariance (ME/I) of two versions of the Male Role Norms Inventory (MRNI; Short and Very Brief Forms), and the Femininity Ideology Scale-Short Form, across gender broadly conceived to include cis, transgender (trans), and nonbinary gender identities. Participants (N = 1233, 34.3 % trans) were recruited from community and college samples in the United States. Correlated factors models of the MRNI-SF and FIS-SF evidenced the best fit to data in the total sample. The MRNI-SF only provided a good fit for cis individuals, and some items from the MRNI-VB and the FIS-SF were significant sources of local misfit among trans and non-binary participants. After removing these items, however, acceptable fit was achieved for each gender group. Multigroup confirmatory factor analyses (CFA's) revealed (a) broad support for configural invariance for the MRNI-VB (9/9 gender comparisons) and the FIS-SF (8/9), as well as general support for metric invariance for the MRNI-VB (7/9) and the FIS-SF (7/9). More advanced levels of invariance (scalar and residuals) were generally not supported for the MRNI-VB but were supported for the FIS-SF. The effect size of measurement non-invariance among all possible gender comparisons was generally small, with a few exceptions. Finally, analysis of variance (ANOVAS) revealed that cis men endorsed traditional gender ideologies to the greatest extent, followed by cis women, followed by trans participants. The results are discussed in relationship to prior literature, future research directions, applications to practice, and limitations.

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Finding a Trans‐Affirmative Provider: Challenges Faced by Trans and Gender Diverse Psychologists and Psychology Trainees

Cited by 11 publications

References 20 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

Clinical practice with transgender and gender diverse clients: Setting up an inclusive practice and training considerations.

Measurement invariance of three gender ideology scales across cis, trans, and nonbinary gender identities.

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