scholarly journals Addressing the health care needs of people who identify as transgender: What do nurses need to know?

2020 ◽  
Vol 6 (2) ◽  
pp. 14
Author(s):  
Ilana Boucher ◽  
Sharon L. Bourke ◽  
Janet Green ◽  
Elianna Johnson ◽  
Linda K. Jones
Keyword(s):  
Support Service ◽  
Care Needs ◽  
Marginal Population ◽  
Medical Interventions ◽  
Gender Diverse ◽  
Self Harm ◽  
Post Traumatic ◽  
Multiple Challenges ◽  
And Gender ◽  
Post Traumatic Disorder

Being transgender (TG) is part of the natural spectrum of human diversity, and its visibility has increased with societal change. The TG population is comprised of individuals identifying themselves as the opposite gender to that which they were born. Adult TG people are calculated as a part of Australia’s non-heterosexual marginal population; therefore, exact numbers are unknown. As a result of not being recognised, TG people have faced multiple challenges, fairing worse in all socioeconomic and health measures, including not being able to afford and access appropriate healthcare. Many of these challenges arise from a lack of understanding resulting in social exclusion, bullying, and physical attacks. The isolation and physical assaults on this community creates anxiety and mental health conditions, including self-harm, suicide, depression, personality disorder, psychosis, post traumatic disorder, and eating disorders. To affirm a gender identity that is different from the gender a person was born to is referred to as “transition”. The lengths to which an individual will go to transition is varied with some people choosing to change only their dress and mannerisms and others to undertake medical interventions such as hormonal therapy and/or surgery. In Australia, there is limited capacity within the health system to support the needs of the trans and gender diverse (TGD) population. Initiatives such as nurse-led post-operative support service need to be created as a way to address this. This service could provide patients with nurse advocates working collaboratively with other health professionals to provide primary health solutions.

The Co-Occurrence of Autism and Gender Diversity

2020 ◽  
pp. 197-211
Author(s):  
Jill C. Fodstad ◽  
Rebecca Elias ◽  
Shivali Sarawgi
Keyword(s):  
Gender Dysphoria ◽  
Gender Diversity ◽  
Gender Nonconforming ◽  
Medical Interventions ◽  
Gender Diverse ◽  
Nonbinary Gender ◽  
Psychiatric Conditions ◽  
The Common ◽  
And Gender

Gender diversity refers to gender expressions and/or gender identity experiences that vary from the common experiences of gender. Gender-diverse people may be gender nonconforming, gender nonbinary, gender fluid, gender exploring, transgender, and so forth. Some gender-diverse individuals experience gender dysphoria and/or gender incongruence and may require gender-affirming supports, including gender-affirming medical interventions. The co-occurrence of autism and gender diversity has been highlighted in a series of studies internationally as well as through rich community expressions. Studies in gender-referred individuals reveal high rates of autism traits as well as high rates of existing autism diagnoses. Studies in autistic populations reveal greater gender diversity characteristics. The long-term course of gender diversity in autistic individuals is poorly understood. Clinical guidelines have been developed for adolescents with the co-occurrence, but much work remains: No gender-related measures have been developed and tested for use in neurodiverse populations, no programs exist to support gender-diverse neurodiverse adults, and little is known about co-occurring mental health profiles, risks, or protective factors for people with the co-occurrence. The inclusion of this chapter on co-occurring autism and gender diversity within a book on “co-occurring psychiatric conditions” is problematic, because gender diversity is not a “psychiatric condition,” but instead a form of human diversity. The diagnosis of Gender Dysphoria is useful only insomuch as it allows individuals to obtain necessary gender-related supports. The authors’ choice to include this chapter in this book reflects a compromise, motivated by the need for educating both autism and gender specialists in this common co-occurrence.

Reflections on ‘Thinking an Ethics of Gender Exploration: Against Delaying Transition for Transgender and Gender Variant Youth’

2019 ◽  
Vol 24 (2) ◽  
pp. 237-240
Author(s):  
Bernadette Wren
Keyword(s):  
Young People ◽  
Identity Development ◽  
Ethical Issues ◽  
Short Article ◽  
Medical Interventions ◽  
Gender Variant ◽  
Gender Diverse ◽  
Diverse Children ◽  
And Gender ◽  
The Uk

In this short article are offered some brief reflections on the commissioned response to my article on ethical issues arising in the provision of medical interventions for gender diverse children. Ashley argues for the importance of ‘an ethics of exploration’ which prioritises making opportunities for fluid, open-ended reflection by gender diverse children and young people, operating through and alongside, rather than prior to, social and medical transition. While noting significant areas of shared outlook between Ashley and myself, I correct some assumptions that Ashley may be making about the range of young people seen at the UK Gender Identity Development Service (GIDS) and the way we work clinically within a developmental framework. I highlight my reasons for thinking that there are particular concerns arising in the care of the very young. Finally, I reiterate my view that professionals cannot so easily abandon altogether an ‘ethic of prediction’ and surrender their responsibilities and accountabilities in this area of clinical practice.

scholarly journals Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach

2021 ◽  
Vol 18 (23) ◽  
pp. 12700
Author(s):  
Megan E. Gandy ◽  
Kacie M. Kidd ◽  
James Weiss ◽  
Judith Leitch ◽  
Xavier Hersom
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Rural Areas ◽  
Health Care Systems ◽  
Community Advisory Board ◽  
Care Needs ◽  
Gender Diverse ◽  
Care Systems ◽  
Quantitative Results ◽  
And Gender

Research indicates that rural transgender and gender diverse (TGD) populations have a greater need for health services when compared with their urban counterparts, face unique barriers to accessing services, and have health disparities that are less researched than urban TGD populations. Therefore, the primary aim of this mixed-methods study (n = 24) was to increase research on the health care needs of TGD people in a rural Appalachian American context. This study was guided by a community-engaged model utilizing a community advisory board of TGD people and supportive parents of TGD children. Quantitative results indicate that travel burden is high, affirming provider availability is low, and the impacts on the health and mental health of TGD people in this sample are notable. Qualitative results provide recommendations for providers and health care systems to better serve this population. Integrated mixed-methods results further illustrate ways that rural TGD people and families adapt to the services available to them, sometimes at significant economic and emotional costs. This study contributes to the small but growing body of literature on the unique needs of rural TGD populations, including both adults and minors with supportive parents, by offering insights into strategies to address known disparities.

Association of Depression and Post-Traumatic Stress with Polyvictimization and Emotional Transgender and Gender Diverse Community Connection Among Black and Latinx Transgender Women

LGBT Health ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. 358-366
Author(s):  
Athena D.F. Sherman ◽  
Tonia C. Poteat ◽  
Chakra Budhathoki ◽  
Ursula Kelly ◽  
Kristen D. Clark ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Transgender Women ◽  
Post Traumatic Stress ◽  
Gender Diverse ◽  
Diverse Community ◽  
Post Traumatic ◽  
And Gender

Values and Gender Equality between Islam and the West

2016 ◽  
Vol 33 (3) ◽  
pp. 79-94
Author(s):  
Moulay Rachid Mrani
Keyword(s):  
Gender Equality ◽  
Virtual Space ◽  
Value Systems ◽  
Women And Gender ◽  
The West ◽  
Living Together ◽  
The Status ◽  
Muslim Intellectuals ◽  
Multiple Challenges ◽  
And Gender

If the development of technology, means of communication, and rapid transportation have made continents closer and made the world a small village, the outcome of the ensuing encounters among cultures and civilizations is far from being a mere success. Within this new reality Muslims, whether they live in majority or minority contexts, face multiple challenges in terms of relating to non-Muslim cultures and traditions. One of these areas is the status of women and gender equality. Ali Mazrui was one of the few Muslim intellectuals to be deeply interested in this issue. His dual belonging, as an African and as a westerner, enable him to understand such issues arising from the economic, political, and ethical contrasts between the West and Islam. This work pays tribute to this exceptional intellectual’s contribution toward the rapprochement between the western and the Islamic value systems, illustrating how he managed to create a “virtual” space for meeting and living together between two worlds that remain different yet dependent upon each other. 

An analysis of suicidal thoughts and behaviors among transgender and gender diverse adults

2021 ◽  
Author(s):  
Robert J. Cramer ◽  
Andrea R. Kaniuka ◽  
Farida N. Yada ◽  
Franck Diaz-Garelli ◽  
Ryan M. Hill ◽  
...  
Keyword(s):  
Suicidal Thoughts ◽  
Gender Diverse ◽  
And Behaviors ◽  
And Gender ◽  
Suicidal Thoughts And Behaviors

scholarly journals Paranoia in patients attending child and adolescent mental health services

2021 ◽  
pp. 000486742098141
Author(s):  
Jessica C Bird ◽  
Emma C Fergusson ◽  
Miriam Kirkham ◽  
Christina Shearn ◽  
Ashley-Louise Teale ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Network Analyses ◽  
Self Harm ◽  
Post Traumatic ◽  
Peer Difficulties

Objective: Paranoia may be particularly prevalent during adolescence, building on the heightened social vulnerabilities at this age. Excessive mistrust may be corrosive for adolescent social relationships, especially in the context of mental health disorders. We set out to examine the prevalence, symptom associations, and persistence of paranoia in a cohort of young people attending child and adolescent mental health services. Method: A total of 301 patients (11–17 years old) completed measures of paranoia, affect, peer difficulties and behavioural problems. Clinicians also rated each participant’s psychiatric symptoms. Patterns of association were examined using linear regressions and network analyses. In total, 105 patients repeated the measures several months later. Results: Most of the adolescents had affective disorders ( n = 195), self-harm/suicidality ( n = 82), or neurodevelopmental conditions ( n = 125). Few had suspected psychosis ( n = 7). Rates of paranoia were approximately double compared with previous reports from the general population. In this patient sample, 35% had at least elevated paranoia, 15% had at least moderate paranoia, and 6% had high paranoia. Paranoia had moderate associations with clinician-rated peer difficulties, self-harm, and trauma, and small associations with clinician-rated social anxiety, depression, generalised anxiety, and educational problems. Network analyses showed paranoia had the strongest unique relationship with peer difficulties. Paths from peer difficulties to anxiety, self-harm, post-traumatic stress disorder symptoms, and behavioural problems were all via paranoia. Both self-harm and post-traumatic stress disorder were solely associated with paranoia in the network. Paranoia remained persistent for three-quarters and was associated with greater psychological problems over time. Conclusion: Paranoia is relatively common and persistent across a range of clinical presentations in youth. When paranoia occurs alongside emotional problems, important peer interactions may be adversely affected. Wider consideration of paranoia in adolescent patients is needed.

scholarly journals Transgender and gender diverse health education for future nurses: Students' knowledge and attitudes

2021 ◽  
Vol 97 ◽  
pp. 104690
Author(s):  
Athena D.F. Sherman ◽  
Alex McDowell ◽  
Kristen D. Clark ◽  
Monique Balthazar ◽  
Meredith Klepper ◽  
...  
Keyword(s):  
Health Education ◽  
Knowledge And Attitudes ◽  
Gender Diverse ◽  
And Gender
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