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Group Therapy Program for Families with Transgender Member: Propelling Gender Differentiation
Eva Smidova
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DOI:10.17265/2159-5542/2016.12.004
Nova Southeastern University, Florida, USA
This study explored impacts of a newly developed gender affirmative Group Therapy Program informed by Bowen Family Therapy approach (Bowen, 1978) for transgender individuals and their families (BFTTG). All transgender participants met criteria of gender dysphoria classified by DSM-V (DSM-V, 2014). The recent research of gender dysphoria shows that the process of transitioning is accompanied by anxiety, depression, self-mutilating, and high rate of suicide attempts (Dargie, Blair, Pukall, & Coyle, 2014; Craig, Austin, & McInroy, 2014; Singh & Burnes, 2009; Levitt & Ippolito, 2014; Mitchell, Ybarra, & Korchmaros, 2014; Meier, Motmans, Ponnet, & T’Sipen, 2012). Involvement and support of family in this process is crucial and it is a predictor of successful transition and life satisfaction (Ryan, Huebner, Diaz, & Sanchez, 2010; Hill, Menvielle, Sica, & Johnson, 2010). We have no evidence of any research regarding a structured group therapy program for this at-risk population with the whole family system (parents, guardians, youths and their siblings) involved. The Group Therapy Program (BFTTG) was predicted to be effective for these families. The program was examined on transgender individuals and their family members who were monthly attending BFTTG. The total sample consisted of 22 participants. The results showed the newly developed program helped to mobilize social support in family and related social groups. Length of participants’ attendance in the group was related to decrease of anxiety in participants. Themes of the Group Program were also associated with improved level of life satisfaction perceived by participants.
family group therapy program, gender dysphoria, transgender individuals, emotional distress, life satisfaction
Eva Smidova. (2016). Group Therapy Program for Families with Transgender Member: Propelling Gender Differentiation. Psychology Research, 6(12), 735-747.
American Psychiatric Association. (2014). Diagnostic and statistical manual of mental disorders (5th ed., text revision). Washington, DC: Author.
Bauer, G. R., Deutsch, M. B., Massarella, C., & Scheim, A. I. (2014). Reported emergency department avoidance, use, and experiences of transgender persons in Ontario, Canada: Results from a respondent-driven sampling survey. Annals of Emergency Medicine, 63(6), 713-720.e1. doi:10.1016/j.annemergmed.2013.09.027
Beck, A. T., & Steer, R. A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX: Psychological Corporation.
Bostwick, W. B., Boyd, C. J., Hughes, T. L., & McCabe, S. E. (2010). Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. American Journal of Public Health, 100(3), 468-475.
Bowen, M. (1976). Theory in the practice of psychotherapy. In P. J. Guerin, Jr. (Ed.), Family therapy: Theory and practice (pp. 42-90). New York, NY: Garner Press.
Bowen, M. (1978). Family therapy in clinical practice. Northvale, NJ: Jason Aronson Inc.
Bowen, M., & Kerr, M. E. (1988). Family evaluation: An approach based on Bowen Theory. New York, N.Y.: W. W. Norton & Company.
Burnes, T. R., et al. (2003). Association for lesbian, gay, bisexual, and transgender issues in counseling (ALGBTIC): Competencies for counseling with transgender clients. Retrieved from: http://www.algbtic.org/resources/competencies.html
Cohen-Kettenis, P. T., Owen, A., Kaijser, V. G., Bradley, S. J., & Zucker, K. J. (2003). Demographic characteristics, social competence, and behavior problems in children with gender identity disorder: a cross-national, cross-clinic comparative analysis. Journal of Abnormal Child Psychology, 31, 41-53.
Coleman, E. et al. (2011). Standards of care for the health of transsexual, transgender, and gender—Nonconforming People version 7.0: Differentiation of Self Inventory. International Journal of Transgenderism, 13, 165-232, doi:10.1080/ 15532739.2011.700873
Craig, S. L., Austin, A., & McInroy, L. B. (2014). School-based groups to support multiethnic sexual minority youth resiliency: Preliminary effectiveness. Child Adolescence Social Work Journal, 31(87), 87-106, doi:10.1007/s10560-013-0311-7
Dargie, E., Blair, K. L., Pukall, C. F., & Coyle, S. M. (2014). Somewhere under the Rainbow: Exploring the identities and experiences of trans persons. The Canadian Journal of Human Sexuality, 23(2), 60-74.
Detrie, P. M., & Lease, S. H. (2008). The relation of social support, connectedness, and collective self-esteem to the psychological well-being of lesbian, gay, and bisexual youth. Journal of Homosexuality, 53(4), 173.
Drescher, J., & Byne, W. (2012). Gender Dysphoric/Gender Variant (GD/GV) children and adolescents: Summarizing what we know and what we have yet to learn. Journal of Homosexuality, 59(3), 501-510, doi:10.1080/00918369.2012.653317
Edwards-Leeper, L., & Spack, N. P. (2012). Psychological evaluation and medical treatment of transgender youth in an interdisciplinary gender management service (GeMS) in a major pediatric center. Journal of Homosexuality, 59(3), 321-336, doi:10.1080/ 00918369.2012.653302
Egbochuku, E. O., & Aihie, N. O. (2009). Peer group counseling and school influence on adolescents’ self-concept. Journal of Instructional Psychology, 36(1), 3-12.
Ehrensaft, D. (2012). From gender identity disorder to gender identity creativity: True gender self child therapy. Journal of Homosexuality, 59(3), 337-356, doi:10.1080/00918369
Fausto-Sterling, A. (2012). The dynamic development of gender variability. Journal of Homosexuality, 59(3), 398-421, doi:10.1080/00918369.2012.653310.2012.653303
Fydrich, T., Dowdall, D., & Chambless, D. L. (1992). Reliability and validity of the Beck Anxiety Inventory. Journal of Anxiety Disorders, 6, 55-61. doi:10.1016/0887-6185(92)90026-4
Hill, D. B., Menvielle, E., Sica, K. M., & Johnson, A. (2010). An affirmative intervention for families with gender variant children: Parental ratings of child mental health and gender. Journal of Sexual and Marital Therapy, 36(1), 6-23,doi:10.1080/00926230903375560
Kaye, L. W. (1996). Assessing the efficacy of a self-help support group program for older women. Journal of Women & Aging, 7(4), 11-30, doi:10.1300/J074v07n04_03
Kohut, H. (1984). How does analysis cure? New York, N.Y.: International Universities Press.
Lee, R. M., & Robbins, S. B. (1998). The relationship between social connectedness and anxiety, self-esteem, and social identity. Journal of Counseling Psychology, 45, 338-345.
Levitt, H. M., & Ippolito, M. R. (2014). Being transgender: The experience of transgender identity development. Journal of Homosexuality, 61(12), 1727-1758. doi: 10.1080/ 00918369.2014.951262
Mathy, R. M. (2002). Transgender identity and suicidality in a nonclinical sample: Sexual orientation, psychiatric history, and compulsive behaviors. Journal of Psychology & Human Sexuality, 14(4), 47.
Meier, P., Motmans, J., Ponnet, K., & T’Sjoen, G. (2012). Female and male transgender quality of life: Socioeconomic and medical differences. The Journal of sexual medicine, 9(3), 743-750. doi: 10.1111/j.1743-6109.2011.02569
Menvielle, E. (2012). A comprehensive program for children with gender variant behaviors and gender identity disorders. Journal of Homosexuality, 59(3), 357-368, doi:10.1080/ 00918369.2012.653305
Meyer, M. D. E. (2004). “We’re too afraid of these imaginary tensions”: Student organizing in lesbian, gay, bisexual, and transgender campus communities. Communication Studies, 55(4), 499-514.
Mitchell, K. J., Ybarra, M. L., & Korchmaros, J. D. (2014). Sexual harassment among adolescents of different sexual orientations and gender identities. Child Abuse & Neglect, 38(2), 280.
Minter, S. P. (2012). Supporting transgender children: New legal, social, and medical approaches. Journal of Homosexuality, 59(3), 422-433, doi:10.1080/00918369. 2012.653311
Phelps, K. W., Hodgson, J., Lamson, A. L., Swanson, M. S., & White, M. B. (2012). Satisfaction with life and psychosocial factors among underserved minorities with type 2 diabetes. Social Indicators Research, 106(2), 359-370. doi:10.1007/s11205-011-9811-z
Pitts, M., Couch, M., Mulcare, H., Croy, S., & Mitchell, A. (2009). Transgender people in Australia and New Zealand: Health, well-being and access to health services. Feminism & Psychology, 19(4), 475-495.
Rogers, M. N. (2012). Enhancing LGBTQ emotional health: The role of LGBT community centers in addressing access to mental health and social support services (Doctoral dissertation, University of California Santa Barbara). Retrieved from http://search.proquest.com
Rothblum, E. D. (2013). Lesbian, gay, bisexual, and transgender communities. Handbook of psychology and sexual orientation (pp. 297-308). New York, NY: Oxford University Press.
Ryan, C., Russell, S. T., Huebner, D., & Diaz, R. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23(4), 205.
San Francisco Dep. Of Public Health Study. (1999). The transgender community health project. Retrieved from http://hivinsite.ucsf.edu/InSite
Sánchez, F. J., & Vilain, E. (2009). Collective self-esteem as a coping resource for male-to-female transsexuals. Journal of Counseling Psychology, 56(1), 202.
Singh, A. A., & Burnes, T. R. (2009). Creating developmentally appropriate, safe counseling environments for transgender youth: The critical role of school counselors. Journal of LGBT Issues in Counseling, 3(3-4), 215-234.
Stein, E. (2012). Commentary on the treatment of gender variant and gender dysphoric children and adolescents: Common themes and ethical reflections. Journal of Homosexuality, 59(3), 480-500. doi: 10.1080/00918369.2012.653316
Verkuyten, M. (2008). Life satisfaction among ethnic minorities: The role of discrimination and group identification. Social Indicators Research, 89, 391-404, doi:10.1007/s11205- 008-9239-2
Vries, A. L. C., & Cohen-Kettenis, P. T. (2012). Clinical management of gender dysphoria in children and adolescents: The Dutch approach. Journal of Homosexuality, 59(3), 301- 320, doi:10.1080/00918369.2012.653300
Wyman, P. A., Sandler, I. N., Wolchik, S., & Nelson, K. (2000). Resilience as cumulative competence promotion and stress protection: Theory and intervention. In R. P. Weissberg (Ed.), The promotion of wellness in children and adolescents (pp. 133-184). Washington, DC: CWLA Press.
Zucker, K. J., Wood, H., Singh, D., & Bradley, S. J. (2012). A developmental, bio-psycho-social model for the treatment of children with gender identity disorder. Journal of Homosexuality, 59(3), 369-397, doi:10.1080/00918369.2012.653309