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The Gender Affirmative Model by Colt Keo-Meier,Diane Ehrensaft Pdf
This book provides mental health professionals with a guide to the Gender Affirmative Model, the leading approach to providing culturally competent care to transgender and gender expansive children and their families.
In recent years, there has been an explosion in the number of children and young people who diagnose themselves as gender dysphoric, or trans. In the UK, and worldwide, there is a growing tendency to refer them on to 'specialist' gender services almost as soon as they express any confusion or distress about their biological sex or gender identity. Due to the rapidly rising numbers and various pressures on the system, patients are increasingly likely to be offered life-altering medication and/or surgical treatments, often with little exploration of their emotional world. As so little is yet known or understood regarding this increase in gender incongruent patients, it seems precipitous to proceed onto physical treatments before any assessment work is undertaken. Many who present as gender dysphoric have complex needs with comorbid problems such as autism, histories of abuse or trauma, social phobias, depression, eating disorders, and other mental health symptoms. Therefore, all aspects of the individual's life deserve thorough assessment and therapeutic work. This book is aimed primarily at clinicians working in the field to provide a model for understanding, assessing, and treating gender dysphoria. The model uses a psychoanalytic framework to help explain disturbed states of mind and how psychic defences can be enlisted unconsciously to avoid overwhelming psychic pain. This offers professionals a way of trying to think with, and offer understanding to, their trans-identifying clients. Clinical examples are given to illustrate these processes and promote the understanding of transgender children, adolescents, and young people and their internal worlds, their thinking, and their interpersonal relationships. As well as clinical exploration and understanding, the book includes an overview of the current political, social, and clinical environments which have all impacted on the clinical care of trans-identifying individuals. As well as professional and trainee clinicians, this book might also prove useful to parents, other professionals, and possibly the gender dysphoric person too.
The Gender Creative Child: Pathways for Nurturing and Supporting Children Who Live Outside Gender Boxes by Diane Ehrensaft Pdf
From a leading US authority on a subject more timely than ever—an up-to-date, all-in-one resource on gender-nonconforming children and adolescents In her groundbreaking first book, Gender Born, Gender Made, Dr. Diane Ehrensaft coined the term gender creative to describe children whose unique gender expression or sense of identity is not defined by a checkbox on their birth certificate. Now, with The Gender Creative Child, she returns to guide parents and professionals through the rapidly changing cultural, medical, and legal landscape of gender and identity. In this up-to-date, comprehensive resource, Dr. Ehrensaft explains the interconnected effects of biology, nurture, and culture to explore why gender can be fluid, rather than binary. As an advocate for the gender affirmative model and with the expertise she has gained over three decades of pioneering work with children and families, she encourages caregivers to listen to each child, learn their particular needs, and support their quest for a true gender self. The Gender Creative Child unlocks the door to a gender-expansive world, revealing pathways for positive change in our schools, our communities, and the world.
Affirmative Counseling for Transgender and Gender Diverse Clients by lore m. dickey,Jae A. Puckett Pdf
A how-to guide to affirmative counseling with transgender clients Presents the best evidence-based care Instructions for strategies to improve inclusivity Illustrated with case studies Printable tools for clinical use Expert guidance on how to provide competent gender-affirming care to trans people This volume provides fundamental and evidence-based information on working with transgender and gender diverse people in mental health settings. It provides background information on the historical context of care with transgender clients, clarifying terminology, and helping the reader understand diverse experiences of gender. The expert authors outline the key qualities of competent practice with trans clients, such as the use of affirming language and providing a safe environment, and strategies for improving inclusivity and evidence-based care. dickey and Puckett provide insight into current topics, such as the proper use of pronouns, working with youth, suicide and self-injury, and problematic approaches such as conversion therapy and rapid onset gender dysphoria. Practitioners will find the printable resources invaluable for their clinical practice, including sample letters of support for trans clients who are seeking gender-affirming medical care.
Affirmative Mental Health Care for Transgender and Gender Diverse Youth by Aron Janssen,Scott Leibowitz Pdf
This unique resource offers an in-depth, comprehensive look at different types of mental health needs of transgender and gender diverse youth, how these intersect with gender identity, gender expression, and sexual orientation, and provides practical information on how to ethically, responsibly, and sensitively care for these patients. Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide begins with three introductory chapters which contain practical information regarding assessment, psychological interventions, and the potential medical and surgical interventions that are indicated for youth with gender identity concerns. The remaining chapters are illustrated by multiple cases build around overarching chapter themes. Each case chapter opens with broad questions applicable to clinical practices, while the cases themselves focus on a particular co-occuring mental health condition. The case chapters are structured with intersectionality in mind, including elements of ethnic, racial, and cultural diversity, and the patients range over the full developmental spectrum, from pre-pubertal children to older adolescents. Chapter cases range in complexity as well, to provide readers with the tools they need to evaluate patients, and to assist in the decision of which presenting factors to prioritize in treatment at which time. Ending each chapter are clinical take-home messages, closing with additional practical knowledge that can be applied to other cases providers may see in their own practices. Written by expert clinicians in the field, Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide is an ideal resource not only for child and adolescent psychiatrists, but for clinicians across all mental health disciplines working with gender non-conforming youth, and who are interested in providing informed, affirmative, and intersectional care.
Affirmative Counseling and Psychological Practice with Transgender and Gender Nonconforming Clients by Anneliese A. Singh,Lore M. Dickey Pdf
This clinical guide reviews theory-based strategies for affirmative, competent practice with transgender and gender nonconforming clients of different ages, ethnicities, sexual orientations, and religious backgrounds. Readers will learn how to develop collaborative, client-driven partnerships to ensure optimal therapeutic outcomes. Less than 30% of psychologists report familiarity with transgender and gender nonconforming (TGNC) clients' needs. The clients, in turn, report a lack of support in their gender journeys. There is clearly a large gap in knowledge, skill, and competence in this area of practice. This clinical guide aims to fill that gap by providing mental health practitioners with an affirmative approach that emphasizes a collaborative partnership guided by client-driven goals. An expert panel of contributors teaches readers strategies for working with a diverse array of TGNC clients, including adolescents, older adults, parents, and people of color. Client factors, including sexual orientation, religious and spiritual beliefs, and traumatic experiences, are also given special attention. Readers will learn how to address the impact of the injustices TGNC people face in everyday life, work with clients' strengths to enhance their resilience and coping skills, and advocate for their rights to obtain mental and physical health services. Readers will also learn how to negotiate complex issues, such as interdisciplinary care, ethical and legal obligations, and gender-affirming surgeries and medications. Contributors draw from evidence-based theories and APA's Guidelines for Psychological Practice With Transgender and Gender Nonconforming People to help readers meet the latest standards of care.
Trans-Affirmative Parenting by Elizabeth Rahilly Pdf
First-hand accounts of how parents support their transgender children There is a new generation of parents and families who are identifying, supporting, and raising transgender children. In Trans-Affirmative Parenting, Elizabeth Rahilly presents their fascinating stories, interviewing parents of children who identify across the gender spectrum, as well as the doctors, mental health practitioners, educators, and advocates who support their journeys. Rahilly provides a window into parents' experiences, exploring how they come to terms with new ideas about gender, sexuality, identity, and the body, as well as examining their complex deliberations about nonbinary possibilities and medical interventions. Ultimately, Rahilly compassionately shows how parents can best advocate for transgender awareness and move beyond traditional gendered expectations. She also shows that child-centered, child-driven parenting is as central to this new trans-affirmative paradigm as growing LGBTQ awareness. In an era that is increasingly trans-aware, Trans-Affirmative Parenting offers provocative new insights into transgender children and the parents who raise them.
A Clinician's Guide to Gender-Affirming Care by Sand C. Chang,Anneliese A. Singh,lore m. dickey Pdf
Transgender and gender nonconforming (TNGC) clients have complex mental health concerns, and are more likely than ever to seek out treatment. This comprehensive resource outlines the latest research and recommendations to provide you with the requisite knowledge, skills, and awareness to treat TNGC clients with competent and affirming care. As you know, TNGC clients have different needs based on who they are in relation to the world. Written by three psychologists who specialize in working with the TGNC population, this important book draws on the perspective that there is no one-size-fits-all approach for working with TNGC clients. It offers interventions tailored to developmental stages and situational factors—for example, cultural intersections such as race, class, and religion. This book provides up-to-date information on language, etiquette, and appropriate communication and conduct in treating TGNC clients, and discusses the history, cultural context, and ethical and legal issues that can arise in working with gender-diverse individuals in a clinical setting. You’ll also find information about informed consent approaches that call for a shift in the role of the mental health provider in the position of assessment and referral for the purposes of gender-affirming medical care (such as hormones, surgery, and other procedures). As changes in recent transgender health care and insurance coverage have provided increased access for a broader range of consumers, it is essential to understand transgender and gender nonconforming clients’ different needs. This book provides practical exercises and skills you can use to help TNGC clients thrive.
A Clinician’s Guide to Gender Actualization by Caitlin Yilmazer Pdf
A Clinician’s Guide to Gender Actualization provides an essential guide for mental health professionals working with gender diverse clients, delivering material that challenges clinicians to provide affirming specialized care for their clients. Gender actualization is the social, expressive, and existential process of becoming and integrating one’s authentic self through the context of gender identity, and this book introduces an effective clinical model for competent gender therapy care. Building upon the reader’s foundational knowledge, chapters provide useful assessment tools, interventions, and treatment strategies to implement in their clinical practice, with accompanying personal narratives and client experiences woven throughout. Challenging readers to explore intersectionality and the crucial awareness of their own privileges, this book is a critical read for providers working with or seeking to educate themselves regarding gender diverse clients.
Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities by John E. Pachankis,Steven A. Safren Pdf
Historically, mental health clinical research has taken inadequate account of psychosocial disorders experienced by those who identify as sexual and gender minorities, however, researchers have recently begun developing and adapting evidence-based mental health treatment approaches for use with these groups. Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities offers a comprehensive array of evidence-based approaches for treating sexual and gender minority clients' mental health concerns. The interventions detailed here span a diverse spectrum of populations, including sexual and gender minority youth, transgender populations, same-sex couples, sexual minority parents, and bisexual individuals. Chapters also address numerous mental and behavioral health problems, including anxiety disorders, depression, substance abuse, trauma, body image disturbance, and sexual health. In addition to an overview of the research evidence supporting each clinical presentation and approach, chapters contain practical how-to guidance for therapists to use in their clinical practice. This book reflects a true integration of the best of sexual and gender minority research and the best of evidence-based practice research, presented by the leading experts in the field. As such it is essential reading for mental health professionals who work with these groups, as well as trainees in social work, counseling, and clinical psychology.
Increasingly adopted by therapists and mental health professionals, Acceptance and Commitment Therapy (ACT) helps clients to cope with social, emotional and mental health issues by using the six core ACT processes: Acceptance, Cognitive Defusion, Being Present, the Self as Context, Values and Committed Action. This is the go-to-guide for evidence-based ACT techniques to be used by professionals to help their transgender, genderqueer, genderfluid, third gender and agender clients. It provides the tools to help these clients develop emotional processing skills they can implement throughout their life, from coping with mental health issues and substance abuse, to navigating prejudice and social pressure, to building a career and developing a family.
The Queer and Transgender Resilience Workbook by Anneliese A. Singh Pdf
How can you build unshakable confidence and resilience in a world still filled with ignorance, inequality, and discrimination? The Queer and Transgender Resilience Workbook will teach you how to challenge internalized negative messages, handle stress, build a community of support, and embrace your true self. Resilience is a key ingredient for psychological health and wellness. It’s what gives people the psychological strength to cope with everyday stress, as well as major setbacks. For many people, stressful events may include job loss, financial problems, illness, natural disasters, medical emergencies, divorce, or the death of a loved one. But if you are queer or gender non-conforming, life stresses may also include discrimination in housing and health care, employment barriers, homelessness, family rejection, physical attacks or threats, and general unfair treatment and oppression—all of which lead to overwhelming feelings of hopelessness and powerlessness. So, how can you gain resilience in a society that is so often toxic and unwelcoming? In this important workbook, you’ll discover how to cultivate the key components of resilience: holding a positive view of yourself and your abilities; knowing your worth and cultivating a strong sense of self-esteem; effectively utilizing resources; being assertive and creating a support community; fostering hope and growth within yourself, and finding the strength to help others. Once you know how to tap into your personal resilience, you’ll have an unlimited well you can draw from to navigate everyday challenges. By learning to challenge internalized negative messages and remove obstacles from your life, you can build the resilience you need to embrace your truest self in an imperfect world.
Affirmative Aesthetics and Wilful Women by Maud Ceuterick Pdf
Fifty years of feminist thought have made the idea that women stay at home while men dominate the streets seem outdated; nevertheless, Ceuterick argues that theoretical considerations of gender, space, and power in film theory remain limited by binary models. Looking instead to more fluid models of spatial relations inspired by Sara Ahmed, Rosi Braidotti, and Doreen Massey, this book discovers wilful, affirmative, and imaginative activations of gender on screen. Through close, micro-analysis of historic European Messidor (Alain Tanner, 1979) and contemporary world cinema: Vendredi Soir (Claire Denis, 2002), Wadjda (Haifaa Al-Mansour, 2012), and Head-On (Fatih Akin, 2004), this book identifies affirmative aesthetics: light, texture, rhythm, movement and sound, all of which that participate in a rewriting of bodies and spaces. Ultimately, Ceuterick argues, affirmative aesthetics can challenge the gender categories and power structures that have been thought to determine our habitation of cars, homes, and city streets. Wilful women drive this book forward, through their movement and stillness, imagination and desire, performance and abjection.
NAMED A BOOK OF THE YEAR BY THE ECONOMIST AND ONE OF THE BEST BOOKS OF 2021 BY THE TIMES AND THE SUNDAY TIMES "Irreversible Damage . . . has caused a storm. Abigail Shrier, a Wall Street Journal writer, does something simple yet devastating: she rigorously lays out the facts." —Janice Turner, The Times of London Until just a few years ago, gender dysphoria—severe discomfort in one’s biological sex—was vanishingly rare. It was typically found in less than .01 percent of the population, emerged in early childhood, and afflicted males almost exclusively. But today whole groups of female friends in colleges, high schools, and even middle schools across the country are coming out as “transgender.” These are girls who had never experienced any discomfort in their biological sex until they heard a coming-out story from a speaker at a school assembly or discovered the internet community of trans “influencers.” Unsuspecting parents are awakening to find their daughters in thrall to hip trans YouTube stars and “gender-affirming” educators and therapists who push life-changing interventions on young girls—including medically unnecessary double mastectomies and puberty blockers that can cause permanent infertility. Abigail Shrier, a writer for the Wall Street Journal, has dug deep into the trans epidemic, talking to the girls, their agonized parents, and the counselors and doctors who enable gender transitions, as well as to “detransitioners”—young women who bitterly regret what they have done to themselves. Coming out as transgender immediately boosts these girls’ social status, Shrier finds, but once they take the first steps of transition, it is not easy to walk back. She offers urgently needed advice about how parents can protect their daughters. A generation of girls is at risk. Abigail Shrier’s essential book will help you understand what the trans craze is and how you can inoculate your child against it—or how to retrieve her from this dangerous path.
Pediatric Gender Identity by Michelle Forcier,Gerrit Van Schalkwyk,Jack L. Turban Pdf
This book serves as a guide to key topics regarding pediatric gender identity to help clinicians better care for transgender and gender diverse youth. Written by experts in the field, it covers critical considerations for child health providers from a variety of disciplines in a range of clinical settings. Patients, families and other community agencies can also find useful information about current practices and recommendations for care and support. The text begins by overviewing terminology, epidemiology, gender identity development, and relevant neurobiology. Next, the text focuses on the emergence of affirmative treatment paradigms using a patient-centered, consent based framework. Topics include psychotherapeutic support, gender-affirming medical and surgical care, management of co-existing psychiatric conditions, sexual health and fertility, legal considerations, international considerations, and more. Pediatric Gender Identity can be used as a framework to address core clinical issues and offers practical considerations for gender-affirming care. Using the growing science and understanding of gender development, this book is an excellent resource for all professionals working with gender diverse youth, including child and adolescent psychiatrists, pediatricians, pediatric surgeons, psychologists, therapists, researchers, school and educational leaders, and students.