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Transgender grand rounds
 

Transgender grand rounds

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CULTURALLY COMPETENT CARE FOR TRANSGENDER INDIVIDUALS

CULTURALLY COMPETENT CARE FOR TRANSGENDER INDIVIDUALS

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  • Working through one’s own gender issues is an important first step to increasing competence with doing psychotherapy with transgender clients.
  • Psychoanalytic theories saw transgender individuals as victims of negative childhood events; some of these theories, for example, postulated that gender identity issues might stem from physically or emotionally absent parents, while others attributed transgender wishes or behavior to the influence of an overbearing mother (Brown & Rounsley, 1996). Transsexualism in DSM (1980): officially pathologized/mental illness GID: This diagnosis was an improvement over the diagnostic category of transsexualism in that it acknowledged that not all people with transgender expressions experience distress; unfortunately, it also furthered the perspective that, in order to be treated, gender variance had to be seen as an illness. Psychomedical gatekeeping: The process of “psychomedical gatekeeping” is defined as the practice that requires transgender people to acquire authenticating letters from one, or sometimes two, mental health professionals in order to obtain gender-confirming hormones or surgery (will discuss later)
  • But things are getting better…
  • So what does all this mean for psychotherapy?
  • Mental health screen/assessment can be sufficient
  • Posttranistion adjustment: passing and/or not passing
  • Depression: due to discrimination

Transgender grand rounds Transgender grand rounds Presentation Transcript