Abstract
The primary aim of the present study is to extend discussions of navigating an emerging transgender or gender nonconforming (TGNC) identity during youth and young adulthood in a society in which TGNC identities remain invisible and marginalized. Participants include 13 racially/ethnically diverse TGNC young adults ages 18–29 in the United States. Constructivist grounded theory methods were used to collect, analyze, and interpret data. Navigating a TGNC Identity in the Dark emerged as a journey from initial recognition of an existing, but unidentifiable, difference toward awareness and acceptance of a TGNC identity. Analyses revealed six themes associated with navigating identity: Moving from Uncertainty to Knowing, Recognizing Self in Others, Finding Me, Explaining Work, Struggling for Authenticity, and Evolving Self-Acceptance. Narratives highlighted the complex journeys toward authenticity that included pervasive oppression. Findings from my study can be used to inform clinical work aimed at supporting TGNC individuals as they recognize and make meaning of their TGNC identities. Moreover, findings underscore the importance of increasing the level of visibility and affirmation of a range of TGNC identities and experiences in dominant institutions (e.g., media, schools, health care) in the lives of youth as a way to facilitate self-understanding and acceptance at earlier ages and with fewer obstacles.
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References
ALGBTIC Transgender Committee. (2010). American Counseling Association competencies for counseling with transgender clients. Journal of LGBT Issues in Counseling, 4(3–4), 135–159.
American Psychological Association. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. Retrieved from http://www.apa.org/practice/guidelines/transgender.pdf.
Archer, J. (2009). Intersecting feminist theory and ethnography in the context of social work research. Qualitative Social Work, 8(2), 143–160.
Austin, A., & Craig, S. L. (2015). Transgender affirmative cognitive behavioral therapy: Clinical considerations and applications. Professional Psychology Research and Practice, 46(1), 21–29. doi:10.1037/a0038642.
Bariola, E., Lyons, A., Leonard, W., Pitts, M., Badcock, P., & Couch, M. (2015). Demographic and psychosocial factors associated with psychological distress and resilience among transgender individuals. American Journal of Public Health, 105(10), 2108–2116.
Beemyn, B. G. (2005). Making campuses more inclusive of transgender students. Journal of Gay & Lesbian Issues in Education, 3, 77–87. doi:10.1300/J367v03n01_08.
Bockting, W. O. (2014). Transgender identity development. In D. Tolman, L. M. Diamond, J. A. Bauermeister, W. H. George, J. G. Pfaus, & M. L. Ward (Eds.), APA handbook of sexuality and psychology, vol. 1: Person-based approaches (pp. 185–208). Washington: American Psychological Association.
Bockting, W. O., & Coleman, E. (2007). Developmental stages of the transgender coming out process: Toward an integrated identity. In R. Ettner, S. Monstrey, & E. Eyler (Eds.), Principles of transgender medicine and surgery (pp. 185–208). New York: Haworth Press.
Bockting, W. O., Knudson, G., & Goldberg, J. M. (2006). Counseling and mental health care for transgender adults and loved ones. International Journal of Transgenderism, 9(3–4), 35–82. doi:10.1300/j485v09n03_03.
Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the U.S. transgender population. American Journal of Public Health. doi:10.2105/AJPH.2013.301241. Advance online publication.
Charmaz, K. (2014). Grounded theory in global perspective: Reviews by international researchers. Qualitative Inquiry, 20(9), 1074–1084. doi:10.1177/1077800414545235.
Checkoway, B. (n.d.). Adults as allies. Retrieved from https://www.ppoe.at/scoutdocs/yi/Adults%20as%20Allies.pdf.
Collazo, A., Austin, A., & Craig, S. L. (2013). Facilitating transition among transgender clients: Components of effective clinical practice. Clinical Social Work Journal, 41(3), 228–237. doi:10.1007/s10615-013-0436-3.
D’Augelli, A. R., Grossman, A. H., & Starks, M. T. (2006). Childhood gender atypicality, victimization, and PTSD among lesbian, gay, and bisexual youth. Journal of Interpersonal Violence, 21(11), 1462–1482.
D'Augelli, A. R., Pilkington, N. W., & Hershberger, S. L. (2002). Incidence and mental health impact of sexual orientation victimization of lesbian, gay, and bisexual youths in high school. School Psychology Quarterly, 17(2), 148–167. doi:10.1521/scpq.17.2.148.20854.
Davis, S. A., & Meier, C. (2014). Effects of testosterone treatment and chest reconstruction surgery on mental health and sexuality in female-to-male transgender people. International Journal of Sexual Health, 26, 113–128. doi:10.1080/19317611.2013.833152.
de Vries, A., Steensma, T., Doreleijers, T., & Cohen-Kettenis, P. (2011). Puberty suppression in adolescents with gender identity disorder: A prospective follow-up study. The Journal of Sexual Medicine, 8(8), 2276–2283.
Frost, D. M., & Meyer, I. H. (2012). Measuring community connectedness among diverse sexual minority populations. Journal of Sex Research, 48, 36–49.
Goldblum, P., Testa, R., Pflum, S., Hendricks, M., Bradford, J., & Bongar, B. (2012). Gender-based victimization and suicide attempts among transgender people. Professional Psychology Research and Practice, 43(5), 465–475.
Grant, J. M., Mottet, L. A., Tanis, J., Harrison, J., Herman, J. L., & Keisling, M. (2011). Injustice at every turn: A report of the National Transgender Discrimination Survey. Washington, DC: National Center for Transgender Equality and National Gay and Lesbian Task Force. Retrieved from http://endtransdiscrimination.org/report.html.
Greytek, E., Kosciw, J. C., & Boesen, M. J. (2013). Putting the “T” in “Resource”: The benefits of LGBT-related school resources for transgender youth. Journal of LGBT Youth, 10(1–2), 45–63.
Grossman, A. H., & D’Augelli, A. R. (2006). Transgender youth: Invisible and vulnerable. Journal of Homosexuality, 51(1), 111–128. doi:10.1300/J082v51n01_06.
Grossman, A. H., & D’Augelli, A. R. (2007). Transgender youth and life-threatening behaviors. Suicide & Life-Threatening Behavior, 37(5), 527–537.
Hall, D., Vine, C., Gardner, S., & Molloy, C. (2010). Resilience. Toronto: Ministry of Children and Youth Services.
Herthel, J., & Jennings, J. (2014). I am Jazz. New York: Penguin Group.
Hill, D. B., & Willoughby, B. L. B. (2005). The development and validation of the genderism and transphobia scale. Sex Roles, 53(7), 531–544.
Lev, A. I. (2004). Transgender emergence: Therapeutic guidelines for working with gender-variant people and their families. New York: The Haworth Clinical Practice Press.
Lev, A. I. (2007). Transgender communities: Developing identity through connection. In K. J. Bieschke, R. M. Perez, & K. A. DeBord (Eds.), Handbook of counseling and psychotherapy with lesbian, gay, bisexual and transgender clients (2nd ed., pp. 147–174). Washington: American Psychological Association.
Meier, S., Fitzgerald, K., Pardo, S., & Babcock, J. (2011). The effects of hormonal gender affirmation treatment on mental health in female-to-male transsexuals. Journal of Gay and Lesbian Mental Health, 15, 281–299.
Mustanski, B., & Liu, R. T. (2013). A longitudinal study of predictors of suicide attempts among lesbian, gay, bisexual, and transgender youth. Archives of Sexual Behavior, 42, 437–448. doi:10.1007/s10508-012-0013-9.
Mustanski, B., Newcomb, M. E., & Garofalo, R. (2011). Mental health of lesbian, gay, and bisexual youths: A developmental resiliency perspective. Journal of Gay & Lesbian Social Services, 23, 204–225.
Nadal, K. L. (2008). Preventing racial, ethnic, gender, sexual minority, disability, and religious microaggressions: Recommendations for promoting positive mental health. Prevention in Counseling Psychology Theory, Research, Practice and Training, 2(1), 22–27.
Newfield, E., Hart, S., Dibble, S., & Kohler, L. (2006). Female-to-male transgender quality of life. Quality of Life Research, 15(9), 1447–1457.
Orr, A., Baum, J., Brown, J., Gill, E., & Kahn, E. (2015). Schools in transition: A guide for supporting transgender students in K-12 schools. Retrieved from https://www.genderspectrum.org/staging/wp-content/uploads/2015/08/Schools-in-Transition-2015.pdf.
Perez-Brumer, A., Hatzenbuehler, M. L., Oldenburg, C. E., & Bockting, W. (2015). Individual- and structural-level risk factors for suicide attempts among transgender adults. Behavioral Medicine, 41(3), 164–171. doi:10.1080/08964289.2015.1028322.
PFLAG National. (2014). The guide to being a trans ally. Retrieved from http://www.straightforequality.org/document.doc?id=893.
Riggle, E. D. B., Scales-Rostosky, S., McCants, L. E., & Pascale-Hague, D. (2011). The positive aspects of a transgender self-identification. Psychology & Sexuality, 2(2), 147–158. doi:10.1080/19419899.2010.534490.
Sánchez, F., & Vilain, E. (2009). Collective self-esteem as a coping resource for male-to-female transsexuals. Journal of Counseling Psychology, 56(1), 202–209.
Sherer, I., Baum, J., Ehrensaft, D., & Rosenthal, S. (2015, January 1). Affirming gender: Caring for gender-atypical children and adolescents. Contemporary Pediatrics. Retrieved from http://contemporarypediatrics.modernmedicine.com/contemporary-pediatrics/news/affirming-gender-caring-gender-atypical-children-and-adolescents?page=full.
Simons, L., Schrager, S. M., Clark, L. F., Belzer, M., & Olson, J. (2013). Parental support and mental health among transgender adolescents. Journal of Adolescent Health, 53, 791–793.
Singh, A. A. (2013). Transgender youth of color and resilience: Negotiating oppression and finding support. Sex Roles, 68(11–12), 690–702. doi:10.1007/s11199-012-0149-z.
Singh, A. A., & McKleroy, V. S. (2011). Just getting out of bed in the morning is a revolutionary act: The resilience of trans people of color who have survived traumatic life events. Traumatology, 17(2), 34–44.
Stafford, G. (2015, August 26). Woman killed in Illinois is 19th transgender homicide reported this year. The Guardian. Retrieved from http://www.theguardian.com/us-news/2015/aug/26/keyshia-blige-trangender-homicide-illinois.
Substance Abuse and Mental Health Services Administration. (2015). Ending conversion therapy and affirming LGBTQ youth. HHS Publication No. (SMA) 15–4928. Rockville, MD: Author.
Testa, R., Jimenez, C., & Rankin, S. (2014). Risk and resilience during transgender identity development: The effects of awareness and engagement with other transgender people on affect. Journal of Gay & Lesbian Mental Health, 18, 31–46. doi:10.1080/19359705.2013.805177.
Toomey, R. B., Ryan, C., Diaz, R. M., Card, N. A., & Russell, S. T. (2010). Gender-nonconforming lesbian, gay, bisexual, and transgender youth: School victimization and young adult psychosocial adjustment. Developmental Psychology, 46(6), 1580–1589.
Wallien, M. S. C., & Cohen-Kettenis, P. T. (2008). Psychosexual outcome of gender-dysphoric children. Journal of the American Academy of Child and Adolescent Psychiatry, 47(12), 1413–1423.
Woodford, M. R., Kulick, A., Sinco, B. R., & Hong, J. S. (2014). Contemporary heterosexism on campus and psychological distress among LGBQ students: The mediating role of self-acceptance. American Journal of Orthopsychiatry, 84(5), 519–529. doi:10.1037/ort0000015.
Ybarra, M. L., Mitchell, K. J., Kosciw, J. G., & Korchmaros, J. D. (2015). Understanding linkages between bullying and suicidal ideation in a national sample of LGB and heterosexual youth in the United States. Prevention Science, 16, 451–462. doi:10.1007/s11121-014-0510-2.
Acknowledgments
I would like to extend sincere gratitude to the courageous and resilient transgender and gender nonconforming young people who so openly shared their lives and experiences in an effort to improve understanding and circumstances for future generations. I also thank the Barry University School of Social Work MSW research assistants, Chelsea Baker, Ashley Elrod-Mason, Marvin Taylor, and Jennifer Urrutia, who worked diligently to support this project. Finally, I thank Aiden Collazo for his guidance and consultation on trans experiences.
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All ethical guidelines were followed in the preparation and submission of this research. The manuscript has not been submitted to more than one journal for simultaneous consideration nor has it been published previously (partly or in full).
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Austin, A. “There I am”: A Grounded Theory Study of Young Adults Navigating a Transgender or Gender Nonconforming Identity within a Context of Oppression and Invisibility. Sex Roles 75, 215–230 (2016). https://doi.org/10.1007/s11199-016-0600-7
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DOI: https://doi.org/10.1007/s11199-016-0600-7