“I just want to be treated like a normal person”

Macdonald, David W.; Grossoehme, Daniel H.; Mazzola, Amanda; Pestian, Teresa; Schwartz, Stuart B.

doi:10.1016/j.adaj.2019.03.025

Cited by 12 publications

(11 citation statements)

References 15 publications

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“…Minority Stress Theory, a concept developed by Meyer (1995) is commonly used in the fields of psychology and psychiatry to describe why a vulnerabilized cohort experience higher rates of mental ill‐health or illness. This theory was used in five articles, in the context of explaining high rates of mental ill‐health, illness or suicide in trans young people (Acosta et al, 2019; Carlile, 2020; Eisenberg et al, 2020; Goldenberg et al, 2021; Horton, 2022; Macdonald et al, 2019). However, Carlile (2020) and Horton (2022) were the only authors who used recent adaptations of Minority Stress Theory, drawing upon the conceptual works of the Gender Minority Stress Framework (Hendricks & Testa, 2012; Testa et al, 2015), adapted from Meyer's (1995) original Minority Stress Theory.…”

Section: Resultsmentioning

confidence: 99%

“…The phrase, “internalizing psychopathology”, understood in the psychiatric field as an individual's predisposition to develop mental illnesses such as anxiety and depression (Krueger & Markon, 2006), is used broadly in the literature to describe trans young people (Acosta et al, 2019; Eisenberg et al, 2020; Goldenberg et al, 2021; Macdonald et al, 2019; Strauss et al, 2017). Almost half of the articles reviewed highlighted the mental ill‐health of the trans young person in the context of their gender identity.…”

Section: Resultsmentioning

confidence: 99%

“…Almost half of the articles reviewed highlighted the mental ill‐health of the trans young person in the context of their gender identity. Gridley et al (2016) and Macdonald et al (2019) described participants' mental illness diagnoses as “comorbidities” of gender dysphoria. Additionally, Acosta et al (2019) chose to report participants' reasons for admission to an in‐patient adolescent psychiatric unit, alongside their gender identity and “birth‐assigned gender” (p. 604), where six out of nine participants' reasons for admission included a diagnosis of “gender dysphoria”, followed by a psychiatric diagnosis such as “mood disorder” (Acosta et al, 2019, p. 604).…”

Section: Resultsmentioning

confidence: 99%

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Erasure of the young trans person: A critical discursive review of contemporary health care literature

Sitas,

Peters,

Luck

et al. 2023

J of Nursing Scholarship

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IntroductionTrans youth experience significantly higher rates of societal violence and ill‐health compared to their cisgender peers. Although recent clinical guidelines for trans young people in health have paved the way for revolutionizing care, many trans young people still experience adversity in clinical settings. This discursive literature review provides a novel approach in exploring why trans young people experience violence in health care despite the availability of evidence‐based resources and guidelines.DesignDatabases (CINAHL and Scopus) were systematically searched to identify qualitative literature on the experiences of trans young people (<18 years) in health care settings.MethodRather than synthesizing and presenting the literature, Fairclough's (2001) CDA methodology was used to critically analyze the literature as texts in a data corpus. The authors engaged with the data from a critical social theory perspective.ResultsFifteen qualitative articles and one report (n = 16) on the experiences of trans young people (3–24 years) in health care settings were included. Two key discourses were identified in the literature. First, discourses that constituted the trans young person were identified in the definitions of ‘trans’ as a pathological incongruence and as alternate, self‐determined ways of being. Further discourses were identified in the constitution of trans young people as victims, extra‐pathological, and alternatively problematised as socially dysphoric. Second, discourses in health provider responses were identified in dismissive, gatekeeping, regulatory, and respectful practices.DiscussionThe discursive constitution of the trans young person as incongruent, vulnerable, and pathological is constituted and generated by dismissive, gatekeeping, and regulatory practices of health care providers. The analysis reveals how trans young people are considered pathological and deemed treatable (at the site of the body), in the interest of ‘protecting’ them from a perceived abject future of trans adulthood. The logic and violence of cisgenderism is uncovered as the foundation of these dominant discourses, whereby growing up cisgender is often presented as the only option in health care settings. The dominant discourses that constitute the trans young person in health care as incongruent, pathological, and vulnerable, alongside the reifying health care responses of dismissal, gatekeeping, and regulation contribute to the erasure of the young trans person.ConclusionThis paper identified key discourses in the literature in how trans young people are constituted and regulated in health care. This review highlights an urgent need for further critical scholarship in trans health by trans researchers, from critical perspectives. Furthermore, it provides a starting point for critical reflection of health care provider and researcher practices and the re‐imagination of trans‐futurity for all young people in health care.Clinical relevanceNurses are situated at the forefront of health care delivery and play a crucial role in the advocacy and provision of culturally safe care. With this ideal proximity to clients, nurses can powerfully affect change through better understanding and reflecting on how regulatory practices constitute and position trans young people in health care. Nursing knowledge, such as cultural safety, can offer novel approaches in working towards safer ways of meeting the needs of trans young people.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Erasure of the young trans person: A critical discursive review of contemporary health care literature

Sitas,

Peters,

Luck

et al. 2023

J of Nursing Scholarship

View full text Add to dashboard Cite

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“…However, the spectra of the oral mucosal lesions, oral health status in this special group have not been completely reported 6,7 . This information will help to direct the resources from the health care system and oral health care providers to efficiently deliver the best standard of care to this community 8 …”

Section: Introductionmentioning

confidence: 99%

“…6,7 This information will help to direct the resources from the health care system and oral health care providers to efficiently deliver the best standard of care to this community. 8 They are socially vulnerable communities who have been facing rejection and discrimination from early age of their lives often resulting in alcoholism, substance abuse and consumption of smokeless tobacco leading to oral health problems. 9 There are few studies that shed light on oral health status with treatment needs amongst transgender community.…”

mentioning

confidence: 99%

Prevalence of dental caries and periodontal disease among transgenders in Belagavi district, Karnataka, India: A cross‐sectional study

Gadhiraju

Jalihal

Ankola

et al. 2022

Special Care in Dentistry

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AimTo assess the oral health practices and the prevalence of dental caries, and periodontal disease among transgenders.Methods and ResultsThe study was conducted on a sample of 180 participants from the transgender community in Belagavi district over a course of two months. A trained and calibrated examiners recorded oral health status according to WHO dentition status and treatment needs (1997) and Community Periodontal Index (CPI) under the supervision of the subject expert. Chi‐square test, spearman's rank correlation coefficient test, multiple linear regression and logistic regression were applied. The statistical significance was set at p ≤ .05 for all the tests. The prevalence of dental caries and periodontal disease among transgenders was 72.2% and 92.2%, respectively. A positive linear correlation and a significant relationship was found between the oral hygiene practices/deleterious habits and dental caries among the transgenders. Multiple linear regression model revealed that the prevalence of dental caries and periodontal disease was significantly associated with age and oral hygiene practices.ConclusionThe prevalence of dental caries and periodontal diseases among transgenders was high. These results may be of use to promote oral health promotion and establishing a paradigm for dentists to work toward improving oral health.

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Understanding the transgender patient

Cohen¹

2020

The Journal of the American Dental Association

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I have been contacted by one of my male patients who informed me that he is transitioning to female. The patient is a long-standing patient with a long relationship with my staff. What, if any, are the ethical considerations in preparing my staff, and how can we work to ensure the comfort of all involved? A transgender person is defined as a person who identifies differently than their assigned sex at birth. 1 In 2016, the Williams Institute at the University of California, Los Angeles, stated that there are 1.4 million people (0.6% of US adults) who identify as transgender in the United States. 2 According to the American Dental Association Principles of Ethics and Code of Professional Conduct (ADA Code), the profession makes a commitment to society that its members will adhere to high ethical standards of conduct. 3 Applying the principles set forth in the ADA Code as well as the advisory opinions will help guide you and your staff members. Under Section 1, the principle Patient Autonomy ("selfgovernance"), "the dentist has a duty to respect the patient's rights to self-determination and confidentiality." 3 To best reflect respect for patient autonomy and when communicating with the patient, one should use the patient's preferred name and appropriate pronouns. The patient's gender identity should be recorded in the chart or electronic record, and the office staff members should be made aware of the preferred gender identity. If you are not aware of which pronoun to use for a patient, you can ask the patient for their preferred pronouns. If this is uncomfortable, referring to the patient by their proper name is appropriate. This level of respect will enable "the patient to become involved in treatment decisions." 3 In Section 2, the principle Nonmaleficence ("do no harm") is another principle to take into consideration. Under this principle, "The dentist has a duty to refrain from harming the patient." 3 This implies that we as professionals commit to being competent by means of minimizing any harm to our patients. Harm can take many forms, including barriers to care, limiting access to care, discrimination, perpetuation of stigma, and avoiding discussing potential risks. Considering your own attitude and assessing your knowledge and acceptance of gender nonconforming patients is

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“I just want to be treated like a normal person”

Cited by 12 publications

References 15 publications

Erasure of the young trans person: A critical discursive review of contemporary health care literature

Erasure of the young trans person: A critical discursive review of contemporary health care literature

Prevalence of dental caries and periodontal disease among transgenders in Belagavi district, Karnataka, India: A cross‐sectional study

Understanding the transgender patient

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