This document contains suggested competencies for use in counseling with transgender clients. These competencies are geared toward professionally trained counselors who work with transgender individuals, families, groups, or communities. These competencies are based on a wellness (e.g., Myers & Sweeney, 2005), resilience (Singh, Hays, & Watson, in press), and strength-based approach (e.g., Bockting, Knudson &…
Societal norms of speech, voice, and non-verbal communication are often strongly gendered. For transgender individuals who experience a mismatch between existing communication behaviours and felt sense of self, changes to the gendered aspects of communication can help reduce gender dysphoria, improving mental health and quality of life. While peer resources are often beneficial in changing…
For many transgender patients, access to healthcare – and specifically gender-affirming care (such as hormone replacement therapy) – is limited by a variety of different barriers. Despite evidence showing that access to medical transition is not only safe, but also improves suicide risk in transgender patients, these services are often subject to excessive gatekeeping by…
In providing care to transgender patients, surgeons interact with health care providers of other disciplines, including medical and mental health providers. Mental health or medical providers often see a patient first, when hormones are initiated. The Standards of Care recommend that mental health professionals assess patients for surgery according to set criteria and send surgeons…
Historically, only individuals with a cross-gender identity who wanted to receive a full treatment, were eligible for “complete sex reassignment” consisting of feminizing/masculinizing hormone treatment and several surgical interventions including genital surgery (full treatment). Currently, it is unclear what motives underlie a request for hormones only or surgery only or a combination of hormones and…
A recent feature in The BMJ implied that new services are all that’s needed to improve transgender healthcare.1 Providing timely, sensitive services for all, including those who decide to not pursue treatment or detransition, is important.2 But the article did not question the steep rise in referrals of mainly young women or the potential harms…
The stories about how sexual violence comes to be constituted as an object of research offer complex commentaries about the operations of public secrecy in the realm of law, kinship, nation, and the state. Rape emerged as an anthropological object of research when anthropologists compared whole cultures to challenge the universalistic assumptions underlying a natural…
The increasing visibility of transgender people and others who do not conform to traditional gender norms challenges us to think about gender in new ways, and to use new terminology when communicating with patients. People who describe themselves as nonbinary have a gender identity that is not exclusively girl/woman or boy/man. A small but growing…
Introduction: Gender-affirmation surgery is essential in the management of gender dysphoria. For male-to-female transgender women (transwomen), feminization of the chest is a component in this process. There is minimal literature describing effective and safe techniques for breast augmentation in transwomen. Here we describe our operative techniques and considerations. Methods: A retrospective review of a single…
Even after long-term hormone therapy, many transwomen still have challenges in the size and shape of their breasts and also of the contour of their trunk areas. Though distinct anthropomorphic differences in skeletal structure exist and pose limitations to an ideal result, considerable improvements can be obtained through breast augmentation and trunk feminization. There are…