Navigating Loss and Grief and Constructing New Meaning: Therapeutic Considerations for Caregivers of Transgender Youth

References

• Abreu, R. L., Rosenkrantz, D. E., Ryser-Oatman, T., & Rostosky, S. S. (2019). Parental reactions to transgender and gender diverse children: A literature review. Journal of GLBT Family Studies, 15(5), 461–485. https://doi.org/10.1080/1550428X.2019.1656132
   Web of Science ®Google Scholar
• Averett, K. H. (2016). The gender buffet: LGBTQ parents resisting heteronormativity. Gender & Society, 30(2), 189–212. https://doi.org/10.1177/0891243215611370
   Web of Science ®Google Scholar
• Bergstrom-Lynch, C. (2020). Free to be you and me, maybe: Lesbian, gay, bisexual, and transgender parents doing gender with their children. Journal of Gender Studies, 29(3). https://doi.org/10.1080/09589236.2019.1635000
   Google Scholar
• Boivin, L., Notredame, C. E., Jardri, R., & Medjkane, F. (2020). Supporting parents of transgender adolescents: Yes, but how? Archives of Sexual Behavior, 49(1), 81–83. https://doi.org/10.1007/s10508-020-01629-7
   PubMed Web of Science ®Google Scholar
• Bonanno, G. A., Wortman, C. B., Lehman, D. R., Tweed, R. G., Haring, M., Sonnega, J., & Nesse, R. M. (2002). Resilience to loss and chronic grief: A prospective study from preloss to 18-months postloss. Journal of Personality and Social Psychology, 83(5), 1150–1164. https://doi.org/10.1037/0022-3514.83.5.1150
   PubMed Web of Science ®Google Scholar
• Boss, P. (1999, November). Ambiguous loss: Living with frozen grief. The Harvard Mental Health Letter, 16(5), 4–5.
   PubMedGoogle Scholar
• Coolhart, D., Ritenour, K., & Grodzinski, A. (2018). Experiences of ambiguous loss for parents of transgender male youth: A phenomenological exploration. Contemporary Family Therapy, 40(1), 28–41. https://doi.org/10.1007/s10591-017-9426-x
   Web of Science ®Google Scholar
• Coolhart, D., & Shipman, D. L. (2017). Working toward family attunement: Family therapy with transgender and gender-nonconforming children and adolescents. Psychiatric Clinics of North America, 40(1), 113–125. http://dx.doi.org/10.1016/j.psc.2016.10.002
   PubMed Web of Science ®Google Scholar
• de Vries, A. L. C., McGuire, J. K., Steensma, T. D., Wagenaar, E. C. F., Doreleiers, T. A. H., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134(4), 696–704. https://doi.org/10.1542/peds.2013-2958
   PubMed Web of Science ®Google Scholar
• Dierckx, M., Motmans, J., Mortelmans, D., & T’sjoen, G. (2016). Families in transition: A literature review. International Review of Psychiatry, 28(1), 36–43. https://doi.org/10.3109/09540261.2015.1102716
   PubMed Web of Science ®Google Scholar
• Doka, K. J. (1989). Disenfranchised grief: Recognizing hidden sorrow. Lexington Books.
   Google Scholar
• Ehrensaft, D. (2011). Boys will be girls, girls will be boys: Children affect parents as parents affect children in gender nonconformity. Psychoanalytic Psychology, 28(4), 528–548. https://doi.org/10.1037/a0023828
   Web of Science ®Google Scholar
• Ellis, K. M., & Eriksen, K. (2002). Transsexual and transgenderist experiences and treatment options. The Family Journal, 10(3), 289–299. https://doi.org/10.1177/10680702010003005
   Google Scholar
• Field, T. L., & Mattson, G. (2016). Parenting transgender children in PFLAG. Journal of GLBT Family Studies, 12(5), 413–429. https://doi.org/10.1080/1550428X.2015.1099492
   Web of Science ®Google Scholar
• Gillies, J., & Neimeyer, R. A. (2006). Loss, grief, and the search for significance: Toward a model of meaning reconstruction in bereavement. Journal of Constructivist Psychology, 19(1), 31–65. https://doi.org/10.1080/10720530500311182
   Web of Science ®Google Scholar
• Hidalgo, M. A., & Chen, D. (2019). Experiences of gender minority stress in cisgender parents of transgender/gender-expansive prepubertal children: A qualitative study. Journal of Family Issues, 40(7), 865–886. https://doi.org/10.1177/0192513X19829502
   Web of Science ®Google Scholar
• Johnson, K. C., LeBlanc, A. J., Sterzing, P. R., Deardorff, J., Antin, T., & Bockting, W. O. (2020). Trans adolescents’ perceptions and experiences of their parents’ supportive and rejecting behaviors. Journal of Counseling Psychology, 67(2), 156–170. https://dx.doi.org/10.1037/cou0000419
   PubMed Web of Science ®Google Scholar
• Katz-Wise, S. L., Budge, S. L., Orovecz, J. J., Nguyen, B., Nava-Coulter, B., & Thomson, K. (2017). Imagining the future: Perspectives among youth and caregivers in the trans youth family study. Journal of Counseling Psychology, 64(1), 26–40. https://doi.org/10.1037/cou0000186
   PubMed Web of Science ®Google Scholar
• Keo-Meier, C., & Ehrensaft, D. (2018). The gender affirmative model: An interdisciplinary approach to supporting transgender and gender expansive children (1st ed.). American Psychological Association.
   Google Scholar
• Koken, J. A., Bimbi, D. S., & Parsons, J. T. (2009). Experiences of familial acceptance–rejection among transwomen of color. Journal of Family Psychology, 23(6), 853–860. https://doi.org/10.1037/a0017198
   PubMed Web of Science ®Google Scholar
• Kuvalanka, K. A., Allen, S. H., Munroe, C., Goldberg, A. E., & Weiner, J. L. (2018). The experiences of sexual minority mothers with trans* children. Family Relations, 67(1), 70–87. https://doi.org/10.1111/fare.12226
   Web of Science ®Google Scholar
• Kuvalanka, K. A., Weiner, J. L., & Mahan, D. (2014). Child, family, and community transformations: Findings from interviews with mothers of transgender girls. Journal of GLBT Family Studies, 10(4), 354–379. https://doi.org/10.1080/1550428X.2013.834529
   Google Scholar
• Lev, A. I. (2010). How queer! -The development of gender identity and sexual orientation in LGBTQ-headed families. Family Process, 49(3). https://doi.org/10.1111/j.1545-5300.2010.01323.x
   Google Scholar
• Malpas, G. E., & Giammattei, S. V. (2018). Building resilience in transgender and gender expansive children, families, and communities: A multidimensional family approach. In C. Keo-Meier & D. Ehrensaft (Eds.), The gender affirmative model: An interdisciplinary approach to supporting transgender and gender expansive children (pp. 141–156). American Psychological Association. https://doi.org/10.1037/0000095-009
   Google Scholar
• Martin-Storey, A. (2016). Gender, sexuality, and gender nonconformity: Understanding variation in functioning. Child Development Perspectives, 10(4), 257–262. https://doi.org/10.1111/cdep.12194
   Web of Science ®Google Scholar
• McConnell, E. A., Birkett, M., & Mustanski, B. (2016). Families matter: Social support and mental health trajectories among lesbian, gay, bisexual, and transgender youth. Journal of Adolescent Health, 59(6), 674–680. https://doi.org/10.1016/j.jadohealth.2016.07.026
   PubMed Web of Science ®Google Scholar
• McGuire, J. K., Catalpa, J. M., Lacey, V., & Kuvalanka, K. A. (2016). Ambiguous loss as a framework for interpreting gender transitions in families. Journal of Family Theory & Review, 8(3), 373–385. https://doi.org/10.1111/jftr.12159
   Web of Science ®Google Scholar
• Menvielle, E. J., & Rodnan, L. A. (2011). A therapeutic group for parents of transgender adolescents. Child and Adolescent Psychiatric Clinics of North America, 20(4), 733–743. https://doi.org/10.1016/j.chc.2011.08.002
   PubMed Web of Science ®Google Scholar
• National Center for Transgender Equality. (2016, January). 2015 U.S. transgender survey report. https://www.transequality.org/sites/default/files/docs/usts/USTS%20Full%20Report%20-%20FINAL%201.6.17.pdf
   Google Scholar
• Neimeyer, R., Burke, L. A., Mackay, M. M., & Van Dyke Stringer, J. G. (2010). Grief therapy and the reconstruction of meaning: From principles to practice. Journal of Contemporary Psychotherapy, 40(2), 73–83. https://doi.org/10.1007/s10879-009-9135-3
   Google Scholar
• Olezeski, C. L., & Kamody, R. C. (2020). Parents matter: Considering evidence-based relationship variables within families when working with gender expansive youth. Practice Innovations, 5(3), 218–229. https://doi.org/10.1037/pri0000131
   Google Scholar
• Olson, K. R., Durwood, L., DeMeules, M., & McLaughlin, K. A. (2016). Mental health of transgender children who are supported in their identities. Pediatrics, 137(3). https://doi.org/10.1542/peds.2015-3223
   PubMed Web of Science ®Google Scholar
• Rahilly, E. P. (2018). Re-interpreting gender and sexuality: Parents of gender-nonconforming children. Sexuality & Culture, 22(4), 1391–1411. https://doi.org/10.1007/s12119-018-9532-4
   Web of Science ®Google Scholar
• Riley, E. A., Sitharthan, G., Clemson, L., & Diamond, M. (2013). Recognising the needs of gender-variant children and their parents. Sex Education, 6(6), 644–659. https://doi.org/10.1080/14681811.2013.796287
   Google Scholar
• Rosenfeld, C., & Emerson, S. (1998). A process model of supportive therapy for families of transgender individuals. In D. Denny (Ed.), Current concepts in transgender identity (pp. 391–400). Routledge.
   Google Scholar
• Schimmel-Bristow, A., Haley, S. G., Crouch, J. M., Evans, Y. N., Ahrens, K. R., McCarty, C. A., & Inwards-Breland, D. J. (2018). Youth and caregiver experiences of gender identity transition: A qualitative study. Psychology of Sexual Orientation and Gender Diversity, 5(2), 273–281. https://doi.org/10.1037/sgd0000269
   Google Scholar
• Singh, A. A., Meng, S. E., & Hansen, A. W. (2014). “I am my own gender”: Resilience strategies of trans youth. Journal of Counseling and Development, 92(2), 208–218. https://doi.org/10.1002/j.1556-6676.2014.00150.x
   Web of Science ®Google Scholar
• Society for Sexual, Affectional, Intersex, and Gender Expansive Identities SAIGE. (2020). Initialism. SAIGE Counseling. https://saigecounseling.org/initialism/
   Google Scholar
• Taliaferro, L. A., McMorris, B. J., Rider, G. N., & Eisenberg, M. E. (2019). Risk and protective factors for self-harm in a population-based sample of transgender youth. Archives of Suicide Research, 23(2), 203–221. https://doi.org/10.1080/13811118.2018.1430639
   PubMed Web of Science ®Google Scholar
• Testoni, I., & Pinducciu, M. A. (2020). Grieving those who still live: Loss experienced by parents of transgender children. Gender Studies, 18(1), 142–162. https://doi.org/10.2478/genst-2020-0011
   Google Scholar
• The Trevor Project. (2021). 2021 national survey on LGBTQ youth mental health. https://www.thetrevorproject.org/survey-2021/?section=Introduction
   Google Scholar
• Tyler, T. R., & Abetz, J. S. (2020). Relational turning points in the parent and LGBTQ child coming out process. Journal of Family Studies, 26(2), 243–259. https://doi.org/10.1080/13229400.2020.1761863
   PubMedGoogle Scholar
• Tyler, T. R., Huddleston, B. S., Barnett, F. A., Kohring, C. L., & Spaeth, C. M. (2020). Parents learning about their children’s TGNC identities. Journal of Gay & Lesbian Social Services, 32(4), 393–420. https://doi.org/10.1080/10538720.2020.1763224
   Web of Science ®Google Scholar
• Wahlig, J. L. (2015). Losing the child they thought they had: Therapeutic suggestions for an ambiguous loss perspective with parents of a transgender child. Journal of GLBT Family Studies, 11(4), 305–326. https://doi.org/10.1080/1550428X.2014.945676
   Web of Science ®Google Scholar
• Wheat, L. S., & Thacker, N. E. (2019). LGBTQ+ loss experiences and the use of meaning reconstruction with clients. Journal of LGBT Issues in Counseling, 13(3), 232–251. https://doi.org/10.1080/15538605.2019.1627973
   Web of Science ®Google Scholar
• Yalom, I., & Leszcz, M. (2021). The theory and practice of group psychotherapy (6th ed.). Basic Books.
   Google Scholar