Transgender

About: Transgender is a research topic. Over the lifetime, 13813 publications have been published within this topic receiving 266252 citations. The topic is also known as: transgender & transgender persons.

Feasibility, Acceptability, and Initial Efficacy of an Online Sexual Health Promotion Program for LGBT Youth: The Queer Sex Ed Intervention

Abstract: Lesbian, gay, bisexual, and transgender (LGBT) youth experience multiple sexual health inequities driven, in part, by deficits in parental and peer support, school-based sex education programs, and community services. Research suggests that the Internet may be an important resource in the development of sexual health among LGBT youth. We examined the feasibility of recruiting youth in same-sex relationships into an online sexual health intervention, evaluated intervention acceptability, and obtained initial estimates of intervention efficacy. LGBT youth (16 to 20 years old) completed Queer Sex Ed (QSE), an online, multimedia sexual health intervention consisting of five modules. The final sample (N = 202) completed the pretest, intervention, and posttest assessments. The primary study outcomes were sexual orientation identity and self-acceptance (e.g., coming-out self-efficacy), sexual health knowledge (e.g., sexual functioning), relationship variables (e.g., communication skills), and safer sex (e.g., se...

“I Am My Own Gender”: Resilience Strategies of Trans Youth

Abstract: A growing body of literature has described the barriers trans youth experience related to gender identity and expression (Gonzalez & McNulty, 2010; Grossman & D'Augelli, 2007), yet less information is known about trans youth's resilience in terms of their ability to manage societal discrimination in their lives. The words trans or transgender have been used to describe individuals whose sex assigned at birth (i.e., male or female) is not in alignment with their gender identity (e.g., woman or man) and expression (American Counseling Association [ACA], 2010). The prevalence rates of trans youth are difficult to specify, especially because there has been little research with this group and the few youth surveys (e.g., Youth Risk Behavior Surveillance System) that typically assess attitudes and behaviors of young people have not included a place for trans youth to self-identify (Winter & Conway, 2011). In addition, knowledge about gender identity and trans health is very low among health providers (counselors, medical doctors, etc.), translating to inadequate or nonexistent health care access (Bockting, Robinson, Benner, & Scheltema, 2004). These deficits in trans competency became more relevant for the counseling profession, because for the first time the most recent Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People (World Professional Association of Transgender Health, 2011) has included master's-level counselors as potential providers for writing letters for hormone replacement therapy and other trans-related surgeries. Recently, ACA endorsed the Competencies for Counseling with Transgender Clients (2010), which grounded counselor training competencies in strength-based, feminist, multicultural, and social justice theories. However, the focus of this document was primarily on trans adults, so there continues to be very little information about the resilience trans youth have developed to resist trans prejudice (i.e., discrimination against trans people) and adultism (the system of oppression where adults hold greater power regarding decision making in their lives than do young people; Bell, 2003). The purpose of this study was to explore the supports of and challenges to resilience that trans youth experience in their everyday lived experiences. We defined resilience as the strategies and contexts that assist trans youth to navigate life stressors related to their gender identity and/ or gender expression with success (Hartling, 2004; Mizcock & Lewis, 2008; Werner, 1995). * Challenges to Trans Youth Resilience To understand what helps trans youth develop resilience--what helps them "bounce back" from adversity (Reivich & Shatte, 2002)--to societal discrimination, it is important to understand the many challenges that trans youth currently face. Despite the efforts of national advocacy groups (e.g., National Center for Transgender Equality [NCTE]) that have helped to develop positive portrayals of and education about trans people in media and other contexts, many societal barriers still exist in a variety of areas that directly affect a trans person's quality of life. These barriers may reside in social and family structures, employment discrimination, health care access, or schools. The detrimental effects of these societal barriers can often put trans youth at risk for dropping out of school, running away from home, substance abuse, HIV/AIDS, and becoming homeless (Grossman & D'Augelli, 2006; Singh, Hays, & Watson, 2011). Furthermore, the National Transgender Discrimination Survey (Grant et al., 2011) reported that 78% of trans children in grades K-12 reported some form of harassment related to their gender identity and expression, 35% of the children reported incidences of physical violence, and 12% of the children reported sexual violence. Other challenges trans youth face include obtaining satisfactory medical care, instead encountering physicians' negative beliefs (Kitts, 2010), refusal of care, and a general lack of knowledge (Grant et al. …

Patient satisfaction with transgender health services

Abstract: Measuring patient satisfaction (i.e., patients' subjective evaluation of health care services received) is increasingly important in assessing health care outcomes because of the current emphasis on greater partnership between providers (therapist, doctor, staff) and consumers (patients) in health care. In care of transgender persons, achieving good patient satisfaction is particularly challenging given the primary role mental health professionals play as arbiters of who has access to sex reassignment and when such candidates are ready. Dependence on a mental health professional in this "gate-keeping" role is perceived by some members of the transgender community as unnecessarily pathologizing. This study compared satisfaction ratings of 180 transgender and 837 other sexual health patients with psychotherapeutic, psychiatric, and sexual medicine services provided at a university-based sexual health clinic. Five consecutive surveys conducted during 1993-2002 showed high patient satisfaction. We found few significant differences between transgender and other sexual health patients, except that in 1995, transgender patients had higher satisfaction on their perceived ability to handle the problems that originally had led them to therapy. Survey results helped target areas in need of improvement (e.g., friendliness and courtesy of staff, handling of phone calls), and efforts by the providers to improve services resulted in significant increases in patient satisfaction. These findings put individual complaints in perspective and showed that despite the challenges inherent in providing transgender care good satisfaction can be achieved. We encourage providers to implement quality assurance and improvement procedures to give patients the opportunity to provide feedback and have a voice in shaping their own health care.

Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People: An Introduction

Abstract: This chapter provides an overview of the Standards of Care (SOC) of the World Professional Association for Transgender Health. The chapter describes the underlying principles of the SOC and highlights key issues which the clinician faces in providing the best possible care. The basic competencies for clinicians are described as well as the criteria for hormonal and surgical treatment. This chapter is a useful introduction and summary of essential elements of the SOC. Health professionals can use the SOC to help patients consider the full range of health services open to them, in accordance with their clinical needs and goals for gender expression.

Gender & sexuality : Critical theories, critical thinkers

Abstract: PART 1: GENDER/FEMINIST STUDIES Gender and Feminism An Overview Modernist Emancipatory Feminism Liberal Feminism-Wollstonecraft to Wolf Liberal Feminism: Nussbaum Gender Difference Feminism 'Women-centred' Identity Politics to Sexual Difference-Rich to Grosz Postmodern Psychoanalytic Feminism Sexual Difference Differences Feminism and 'Race'/Ethnicity/Imperialism (REI)- Hooks to Spivak REI Feminism Hooks Postmodern Feminism Butler Queering Gender/Queer Feminism Butler, Whittle PART TWO: SEXUALITY STUDIES Sexuality Studies An Overview Modernist Liberationism Altman Social Constructionism Jackson, Weeks Social Constructionism Weeks Transgender Theorising Califia Queer Theory Jagose, Seidman PART THREE: GENDER/MASCULINITY STUDIES Gender and Masculinity Studies An Overview Gender, Masculinity/Men's Studies and Feminism Brod Radical Pro-Feminism Between Gender Difference and Categorical Social Constructionism -Stoltenberg Differences Race/Ethnicity/Imperialism and Gay masculinities-Dowsett, Carbado Socialist Pro-Feminism and Relational Social Constructionism-Connell Queer(ing) Masculinity Studies Female Masculinity-Halberstam