A QUALITATIVE STUDY OF TRANSGENDER CHILDREN WITH EARLY SOCIAL TRANSITION: PARENT PERSPECTIVES AND CLINICAL IMPLICATIONS
DOI:
https://doi.org/10.20319/pijss.2017.32.19701985Keywords:
Transgender, Gender Dysphoria, Children, Social Transition, Family ExperiencesAbstract
Social transition for young children is a field fraught with conflicting perspectives and limited research. This paper examines experiences of families allowing social transition for young children from the parent’s perspectives and introduces practical ideas from our clinical experiences. Participants were parents of children ages 4 to 9 with gender dysphoria (n=15) in British Columbia, Canada. The children ranged in gender identity and had been under the care of the gender health clinic for a period of one to four years. Participants were self-referred the study and participated in a focus group to describe experiences allowing social transition. Results were transcribed and analyzed using constant comparison qualitative method. Five major themes emerge from this study, including positive changes in the relationship between the child and the parent/family, improvement in social relationship, parent flexibility in the relationship between the child and the parent/family, improvement in social relationship, parent flexibility and preparation for change, and expansion of different gender roles and expressions. Findings indicate social transition for young children results in positive changes in the mood of the child and the child-caregiver relationship as well as improvement in general social relationships. Different clinical implications of permitting early social transition on social development are discussed.
References
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). Washington, D.C.: American Psychiatric Publishing.
Austin, A. & Goodman, R. (2016). The impact of social connectedness and internalized transphobic stigma on self- esteem among transgender and gender non-conforming adults. Journal of Homosexuality, 1-17. https://doi.org/10.1080/00918369.2016.1236587
Bryant, K. (2006). Making gender identity disorder of childhood: Historical lessons for contemporary debates. Sexuality Research & Social Policy, 3(3), 23-39. https://doi.org/10.1525/srsp.2006.3.3.23
Byrne, J. (2013). Transgender health and human rights [Discussion Paper]. New York, NY: United Nations Development Programme.
Carver, P. R., Yunger, J. L., & Perry, D. G. (2003). Gender identity and the adjustment in middle childhood. Sex Roles, 49, 95-109. https://doi.org/10.1023/A:1024423012063
Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., Fraser, L., Green, J., Knudson, G., Meyer, W. J., Monstrey, S., Adler, R. K., Brown, G. R., Devor, A. H., Ehrbar, R., Ettner, R., Eyler, E., Garofalo, R., Karasic, D. H., Lev., A. I., Mayer, G., Meyer-Bahlburg, H., Hall, B. P., Pfaefflin, F., Rachlin, K., Robinson, B., Schechter, L.S., Tangpricha, V., van Trotsenburg, M., Vitale, A., Winter, S., Whittle, S., Wyle, K. R., & Zucker, K. (2011). Standards of care for the health of transsexual, transgender, and gender-nonconforming people, Version 7. International Journal of Transgenderism, 13, 165-232. https://doi.org/10.1080/15532739.2011.700873
Cohen-Kettenis, P. T. (2001). Gender identity disorder in DSM? Journal of the American Academy of Child & Adolescent Psychiatry, 40(4), 391–391. https://doi.org/10.1097/00004583-200104000-00006
Cohen-Kettenis, P. T., & Pfäfflin, F. (2003). Transgenderism and intersexuality in childhood and adolescence: Making choices. Thousand Oaks, CA: Sage.
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(1), 41–53. https://doi.org/10.1023/A:1021769215342
Cohen-Kettenis, P. T., Wallien, M., Johnson, L. L., Owen-Anderson, A. F. H., Bradley, S. J., & Zucker, K. J. (2006). A parent-report gender identity questionnaire for children: A cross-national, cross-clinic comparative analysis. Clinical Child Psychology and Psychiatry, 11(3), 397–405. https://doi.org/10.1177/1359104506059135
Egan, S. K., & Perry, D. G. (2001). Gender identity: A multidimensional analysis with implications for psychosocial adjustment. Developmental Psychology, 37, 451–463. https://doi.org/10.1037/0012-1649.37.4.451
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, 321-336. https://doi.org/10.1080/00918369.2012.653302
Ehrensaft, D. (2013). “Look, mom, I’m a boy—Don't tell anyone I was a girl”. Journal of LGBT Youth, 10(1-2), 9-28, https://doi.org/10.1080/19361653.2012.717474
Glasser, B. (1992). Basics of grounded theory analysis: Emergence vs. forcing. Mill Valley, CA: Sociology Press.
Grossman, A. H. & D’Augelli, A. R. (2007). Transgender youth and life-threatening behaviours. Suicide and Life Threatening Behaviour, 37(5), 527-537. https://doi.org/10.1521/suli.2007.37.5.527
Hidalgo, M. A., Ehrensaft, D., Tishelman, A. C., Clark, L. F., Garofalo, R.O., Rosenthal, S. M., Spack, N. P., & Olson, J. (2013). The gender affirmative model: What we know and what we aim to learn. Human Development, 56, 285-290. https://doi.org/10.1159/000355235
Knudson, G., De Cuypere, G., & Bockting, W. (2010). Process toward consensus on recommendations for revision of the DSM diagnoses of gender identity disorders by the World Professional Association for Transgender Health. International Journal of Transgenderism, 12(2), 54–59. https://doi.org/10.1080/15532739.2010.509213
Leibowitz, S. F., & Spack, N. P. (2011). The development of a gender identity psychosocial clinic: Treatment issues, logistical consideration, interdisciplinary cooperation, and future initiatives. Child and Adolescent Psychiatric Clinics of North America, 20, 701-724. https://doi.org/10.1007/s11920-012-0259-x
Leibowitz, S. F., & Telingator, C. (2012). Assessing gender identity concerns in children and adolescents: Evaluation, treatments, and outcomes. Current Psychiatric Reports: 14, 111-120. doi: 10.1007/s11920-012-0259-x
Lev, A. I. (2004). Transgender emergence: Therapeutic guidelines for working with gender-variant people and their families. New York: The Haworth Press, Inc.
Minter, S. P. (2012). Supporting transgender children: New legal, social, and medical approaches. Journal of Homosexuality, 59, 422-433. https://doi.org/10.1080/00918369.2012.653311
Pyne, J. (2014). The governance of gender non-conforming children: A dangerous enclosure. Annual Review of Critical Psychology, 11, 79-94.
Wallien, M. S. C., & Cohen-Kettenis, P. T. (2008). Psychosexual outcome of gender-dysphoric children. Journal of the American Academy of Child & Adolescent Psychiatry, 47(12), 1413–1423. https://doi.org/10.1097/CHI.0b013e31818956b9
Wallien, M. S. C., Swaab, H., & Cohen-Kettenis, P. T. (2007). Psychiatric comorbidity among children with gender identity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 46(10), 1307–1314. https://doi.org/10.1097/chi.0b013e3181373848
Wong, W., Gaitonde, S. & Young T. (2012). Am I the only going through this? A qualitative research on parents raising a transgender youth. Journal of Teaching and Education, 1(7), 61-71.
Zucker, K. J. (1999). Intersexuality and gender identity differentiation. Annual Review of Sex Research, 10(1), 1-69.
Zucker, K. J., Owen, A., Bradley, S. J., & Ameeriar, L. (2002). Gender–dysphoric children and adolescents: A comparative analysis of demographic characteristics and behavioral problems. Clinical Child Psychology and Psychiatry, 7(3), 398–411. https://doi.org/10.1177/1359104502007003007
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Authors
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.