Future Directions in Affirmative Psychological Interventions with Transgender Children and Adolescents

Spivey, Leigh A.; Edwards-Leeper, Laura

doi:10.1080/15374416.2018.1534207

Cited by 46 publications

(36 citation statements)

References 66 publications

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“…Many respondents emphasized the importance of working with families, who typically presented severe anxiety regarding the gender incongruence of the child or adolescent. As the literature reports, trans * youths often lack support from parents and peers [ 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 ]. In fact, several studies have shown correlations between family rejection and negative health outcomes, including depression, suicidality, and drug and alcohol use [ 76 , 77 ].…”

Section: Resultsmentioning

confidence: 99%

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Giovanardi

Fortunato

Mirabella

et al. 2020

IJERPH

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In recent years, Italy, similar to many other countries, has witnessed an increase in children and adolescents presenting gender incongruence. This trend has led to the development and implementation of specialized centers providing care and support for these youths and their families. The present study aimed at investigating the functioning of agencies specialized in working with transgender and gender non-conforming youths in the Italian territory. Professionals in these agencies were interviewed about their perspectives on their agency’s functioning, networks with other services, and work with trans* youths and their families. A semi-structured interview was developed and administered to professionals in specialized centers and associations dedicated to trans * youths, and deductive thematic analysis was applied to the transcripts. Eight professionals were interviewed: six working in specialized centers and two working in associations. The qualitative analyses of transcripts revealed four main themes, pertaining to service referrals, assessment protocols and intervention models, psychological support for youths and families, and agency shortcomings. The study explored the functioning of Italian agencies specialized in caring for transgender and gender non-conforming youths, from the perspective of professionals working in these agencies. While several positive aspects of the work emerged, the study highlighted a lack of uniformity across the Italian territory and the need for better networks between agencies and other medical professionals.

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Section: Resultsmentioning

confidence: 99%

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Giovanardi

Fortunato

Mirabella

et al. 2020

IJERPH

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“…Gender diverse children and adolescents are a heterogeneous group presenting, in most cases, an incongruence between the young person’s perceived gender identity and gender assigned at birth (Almirall & Chronis-Tuscano, 2016; Drescher et al, 2016; Spivey & Edwards-Leeper, 2019). The diagnosis of gender dysphoria (GD) was introduced by the Diagnostic and Statistical Manual of Mental Disorders (5th ed.…”

Section: Introductionmentioning

confidence: 99%

Caring for gender diverse children and adolescents in Italy: A mixed-method investigation of clinicians’ knowledge and approach to clinical practice

Fortunato

Giovanardi

Mirabella

et al. 2020

Clin Child Psychol Psychiatry

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Introduction: In today’s Italy, gender diversity has assumed a remarkable resonance and visibility in both scientific and popular literature, which has facilitated the development of studies regarding treatments and support for children and adolescents with gender-related issues. Aim: the aim of this study was to conduct a preliminary evaluation of how Italian clinicians (psychologists and pediatricians) perceive gender variant children and adolescents, evaluating their approach to clinical practice. Methods: An online questionnaire directed to clinicians regarding their experience with, and perceptions of, gender variant children and adolescents was used for the first part of the research. In the second part of this study, Consensual Qualitative Research (CQR) methodology was applied to semi-structured interviews aimed at investigating clinicians’ approach to clinical practice. Results: Professionals reported 374 cases, including 200 children (aged 2–11 years) and 174 adolescents (aged 12–19 years); a total of 10 interviews were conducted with professionals. Conclusion: This study highlights the increase of gender variant children and adolescents seen by professionals, but also the poor awareness of Italian professionals about gender diversity and their care, as well as an absence of a network model of intervention.

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“…18 In a recent study, children who were supported by their parents, extended family and schools in their preferred identities -that is, those who have undergone a social transition -were found to have only a small increase in anxiety symptoms and no elevation depression compared to a control group. 19 After completing this thorough evaluation, this organization encourages the organization of this massive amount of information, apparently disparate, providing a synthesis of the data collected to guide the process of nursing care. This composition is called Nursing diagnosis, representing the second stage of the NP.…”

Section:  Theoretical Perspective Of Support For the Application Of mentioning

confidence: 99%

“…It is understood that parents may have different opinions about which toys (for example, action figures and dolls) their child can play with and in which places, where and when the child can dress as they wish (for example, in their own room, at home, on the street or at school) and even by what name he or she prefers to be identified. 19 It is recommended that nurses support families, recognizing that the gender non-conformity of young people represents a deviation from the life they expected and the child they imagined. It is believed that families can feel the recognition of their incongruity as a loss, not only of the child they dreamed of, but also of the child they initially had, which can complicate their pain.…”

Section:  Theoretical Perspective Of Support For the Application Of mentioning

confidence: 99%

Instrumento para a avaliação familiar da criança com incongruência de gênero

Lopes

Toledo

2020

Rev enferm UFPE on line.

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Objetivo: apresentar a experiência do desenvolvimento de um instrumento de avaliação para sistematizar os cuidados de enfermagem da família da criança com incongruência de gênero. Método: trata-se de um estudo descritivo, tipo relato de experiência, sobre a construção de um instrumento para sistematizar a assistência de enfermagem à família da criança atendida em um ambulatório de gênero e sexualidades na infância e na adolescência de um hospital geral universitário. Desenvolveu-se a construção com base nas etapas do Processo de Enfermagem pelos Modelos Calgary de Avaliação e Intervenção Familiar. Conclusão: concluiu-se que o uso de um instrumento de avaliação permite, ao enfermeiro, obter uma macroavaliação dos pontos fortes e problemas da família, apoiando a tomada de decisão e fornecendo subsídios para o estabelecimento de problemas, pontos fortes e intervenções de enfermagem que respaldam a avaliação do cuidado integral da família assistida nessa clínica. Descritores: Processo de Enfermagem; Avaliação em Enfermagem; Família; Criança; Identidade de Gênero; Saúde Mental.AbstractObjective: to report the experience of building up an evaluation tool to systematize the nursing care of the child's family with gender incongruity. Method: this is a descriptive study, case report type, on the building up of a tool to systematize nursing care to the family of the child attended in an outpatient clinic for gender and sexualities in childhood and adolescence of a general university hospital. Building up was developed based on the stages of the Nursing Process using the Calgary Models of Family Assessment and Intervention. Conclusion: it was concluded that the use of an assessment tool allows nurses to obtain a macro-assessment of the family's strengths and problems, supporting decision making and providing support for the establishment of nursing problems, strengths and interventions that support the assessment of comprehensive care of the family assisted in this clinic. Descriptors: Nursing Process; Nursing Assessment; Family; Child; Gender Identity; Mental Health.ResumenObjetivo: presentar la experiencia del desarrollo de un instrumento de evaluación para sistematizar la atención de enfermería de la familia del niño con incongruencia de género. Método: se trata de un estudio descriptivo, tipo de informe de experiencia, sobre la construcción de un instrumento para sistematizar la atención de enfermería a la familia del niño atendido en una consulta externa de género y sexualidad en la infancia y adolescencia de un hospital universitario general. La construcción se desarrolló basada a las etapas del Proceso de Enfermería utilizando los Modelos de Evaluación e Intervención Familiar de Calgary. Conclusión: se concluyó que el uso de una herramienta de evaluación permite a las enfermeras obtener una macroevaluación de las fortalezas y problemas de la familia, apoyando la toma de decisiones y brindando apoyo para el establecimiento de problemas, fortalezas e intervenciones de enfermería que apoyan la evaluación de la atención integral de la familia asistida en esta clínica. Descriptores: Proceso de Enfermería; Evaluación en Enfermería; Familia; Niño; Identidad de Género; Salud Mental.

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Future Directions in Affirmative Psychological Interventions with Transgender Children and Adolescents

Cited by 46 publications

References 66 publications

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Caring for gender diverse children and adolescents in Italy: A mixed-method investigation of clinicians’ knowledge and approach to clinical practice

Instrumento para a avaliação familiar da criança com incongruência de gênero

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