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Expectations for Providing Affirmative Care

For more information about what affirmative care/therapy is click here: 

According to the American Psychological Association Task Force on Gender Identity and Gender Variance, "less than 30% of psychologist and graduate student participants reported familiarity with issues that TGNC [Transgender and Gender Non-Conforming] people experience," in a 2009 study (APA TFGIGV, 2009). Though this number has risen over the years, there is still a need for increased knowledge and training for working with trans and/or non-binary folks. 

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Below you will find the list of guidelines that the APA recommends psychologists and mental health professionals to follow when working with transgender and/or non-binary individuals as well as a link to an additional page of more information about the guidelines and ways these guidelines can be applied.

 

If you are interested in reading the document provided by the APA in its entirety:

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Guideline #1:

"Psychologists understand that gender is a non-binary construct that allows for a range of gender identities and that a person's gender identity may not align with sex assigned at birth."

Guideline #2:

"Psychologists understand that gender identity and sexual orientation are distinct but interrelated constructs."

Guideline #3:

"Psychologists seek to understand how gender identity intersects with the other cultural identities of TGNC people."

Guideline #4:

"Psychologists are aware of how their attitudes about and knowledge of gender identity and gender expression may affect the quality of care they provide to TGNC people and their families. 

Guideline #5:

"Psychologists recognize how stigma, prejudice, discrimination, and violence affect the health and well-being of TGNC people."

Guideline #6:

"Psychologists strive to recognize the influence of institutional barriers on the lives of TGNC people and to assist in developing TGNC-affirmative environments.

Guideline #7:

"Psychologists understand the need to promote social change that reduces the negative effects of stigma on the health and well-being of TGNC people."

Guideline #8:

"Psychologists working with gender questioning and TGNC youth understand the different developmental needs of children and adolescents, and that not all youth will persist in a TGNC identity into adulthood."

Guideline #9

"Psychologists strive to understand both the particular challenges that TGNC elders experience and the resilience they can develop. "

Guideline #10:

"Psychologists strive to understand how mental health concerns may or may not be related to a TGNC person's gender identity and the psychological effects of minority stress."

Guideline #11:

"Psychologists recognize that TGNC people are more likely to experience positive life outcomes when they receive social support or trans-affirmative care."

Guideline #12: 

"Psychologists strive to understand the effects that changes in gender identity and gender expression have on romantic and sexual relationships of TGNC people."

Guideline #13: 

"Psychologists seek to understand how parenting and family formation among TGNC people take a variety of forms."

Guideline #14:

"Psychologists recognize the potential benefits of an interdisciplinary approach when providing care to TGNC people and strive to work collaboratively with other providers."

For more information about the listed guidelines, including explanations, statistical contexts, additional resources, and tips on how to apply these guidelines to one's practice:  

Definitional Elements

1. Affirmative: (In context to self-affirming results in therapy) Affirmative results in a therapeutic setting would include comprehending the validity of one's own identity and a boost in self-esteem in regard to that same identity (McNulty Counseling, 2019). The hope is to feel confident that one's identity is not a hindrance to one's life nor the lives of those around them (McNulty Counseling, 2019). Affirmation of identity will ideally lessen symptoms of severe mental illness and increase quality of life. 

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2. Gender Non-Conforming: This term has been coined in recent gendered developments within the larger LGBTQ+ community. This term is often used under the umbrella term, transgender, which describes someone who feels as though their assigned sex at birth deviates from or does not align with the gender identity they feel within themselves (Nadal et al., 2012). The term gender non-conforming alludes to an individual who does not identify within the gender binary. For the purposes of this site, we refer to these individuals as TGNC (transgender & gender non-conforming). These individuals can also be categorized as gender diverse.

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3. Therapy: (In context to LGBTQ+-specific counseling) Conducted by a counselor that is knowledgable and informed on issues related to LGBTQ+ identities. According to Clarity Clinic, a therapy office that provides LGBTQ+ therapy, the sessions typically do not focus on the specific LGBTQ+ identity itself, but rather explores the challenges that one may encounter in daily life (n.d.). Since daily experiences can be greatly influenced by these identities, being knowledgeable on the topics, and marking oneself as such when marketing their practice will be important to LGBTQ+ people who are seeking treatment. 

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4. LGBTQ+: This acronym has commonly been used to describe members of a community who do not identify within the confines of the labels "heterosexual" and/or "cisgender" (one who identifies as the gender the were given at birth). This term has been used to describe those people as lesbian, gay, bisexual, transgender, questioning, and/or other sexualities/gender identities not represented by the corresponding letters (i.e., the +) ("Defining LGBTQ", 2020). 

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5. Age/Age Cohorts: For purposes of our research project, we are designing this website for TGNC individuals, regardless of age group, and professional mental health clinicians. We wish to offer resources and education to TGNC individuals in need of affirmative therapeutic services, as well as guidelines and codes of ethics for mental health professionals seeking to learn methods of allyship towards this vulnerable community. 

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