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Heiden-Rootes K, Meyer D, Sledge R, Davis BK, Drallmeier T, Linsenmeyer W, Levine S, Dalton MR. Seeking gender-affirming medical care: A phenomenological inquiry on skillful coping with transgender and non-binary adults in the United States Midwest. QUALITATIVE RESEARCH IN MEDICINE & HEALTHCARE 2023; 7:11485. [PMID: 38213669 PMCID: PMC10782890 DOI: 10.4081/qrmh.2023.11485] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 11/19/2023] [Indexed: 01/13/2024] Open
Abstract
This study sought to understand how transgender and gender non-binary (TGNB) individuals skillfully cope with healthcare services and to explore how childhood experiences impact expectations, habits, and meaning-making when utilizing healthcare services. Using an interpretive phenomenological approach, we sampled 17, White TGNB adults in the United States, ages 19 to 57, using semi-structed interviews about childhood experiences with healthcare utilization and adult experiences seeking genderaffirming healthcare. Analysis identified one main theme-Anticipate the worst in healthcare and be pleasantly surprised-and three subthemes: i) contrast between positive childhood and negative adulthood experiences in medical care; ii) coping practices for the worst; and iii) finding your unicorn doctor and medical staff for pleasant experiences. Results indicate participants experienced a disruption and acquisition of new coping practices in healthcare settings and the cultivation of a radical imagination for a more liberated medical world for TGNB people. Implications for providers and medical offices for empowering TGNB adults are described.
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Affiliation(s)
- Katie Heiden-Rootes
- Department of Family & Community Medicine, Saint Louis University, St. Louis, Missouri
| | - Dixie Meyer
- Department of Family & Community Medicine, Saint Louis University, St. Louis, Missouri
| | - Renata Sledge
- Department of Family & Community Medicine, Saint Louis University, St. Louis, Missouri
| | - Bryce K. Davis
- Clinical Psychology Program, Department of Psychology, Saint Louis University, St. Louis, Missouri
| | - Theresa Drallmeier
- Department of Family & Community Medicine, Saint Louis University, St. Louis, Missouri
| | - Whitney Linsenmeyer
- Doisy College of Health Science, Department of Nutrition and Dietetics, Saint Louis University, St. Louis, Missouri, United States
| | - Samantha Levine
- Department of Family & Community Medicine, Saint Louis University, St. Louis, Missouri
| | - Michelle R. Dalton
- Department of Family & Community Medicine, Saint Louis University, St. Louis, Missouri
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Rivera PM, Armes S, Cheon HS, Prouty A. A comparison of classroom-based and online multicultural training course within a marriage and family therapy training program. JOURNAL OF MARITAL AND FAMILY THERAPY 2023; 49:431-446. [PMID: 36682067 DOI: 10.1111/jmft.12631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 12/19/2022] [Accepted: 01/03/2023] [Indexed: 06/17/2023]
Abstract
This study contributes to an emerging area of research on online learning within marriage and family therapy training programs while responding to the need for research on the effectiveness of multicultural training marriage and family therapists receive. Using 32 students in a marriage and family therapy program and a pretest-posttest design, this study focused on student outcomes across a classroom-based multicultural training course and an online section of the same course. Support was found for the effectiveness of each instructional modality in delivering multicultural training. Findings also indicated that student gains did not significantly differ across students in the two course sections. This is the first study to provide evidence that online learning does not compromise the effectiveness of multicultural training for marriage and family therapists and adds evidence to the claim that the multicultural training marriage and family therapists receive is effective in achieving its aims.
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Affiliation(s)
- Peter M Rivera
- Department of Marriage and Family Therapy, Seattle Pacific University, Seattle, Washington, USA
| | - Stephanie Armes
- Department of Marriage and Family Therapy, Seattle Pacific University, Seattle, Washington, USA
| | - Hee-Sun Cheon
- Department of Marriage and Family Therapy, Seattle Pacific University, Seattle, Washington, USA
| | - Anne Prouty
- Department of Marriage and Family Therapy, Seattle Pacific University, Seattle, Washington, USA
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Coburn KO, McGeorge CR. Perspectives of Mainline Protestant Christian Pastors on the Consequences of Familial Acceptance and Rejection of LGB Members: Understanding the Role of Religion for Family Therapists. CONTEMPORARY FAMILY THERAPY 2022. [DOI: 10.1007/s10591-022-09652-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Przeworski A, Peterson E, Piedra A. A systematic review of the efficacy, harmful effects, and ethical issues related to sexual orientation change efforts. CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE 2021. [DOI: 10.1111/cpsp.12377] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Qureshi NA, Khalil AA, Alsanad SM. Spiritual and Religious Healing Practices: Some Reflections from Saudi National Center for Complementary and Alternative Medicine, Riyadh. JOURNAL OF RELIGION AND HEALTH 2020; 59:845-869. [PMID: 30066265 DOI: 10.1007/s10943-018-0677-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Traditional practices constituting spiritual and religious (S/R) healing are an important component of the holistic healthcare model and are used in health, well-being, and treating a variety of diseases around the world. The main focus of this review is to summarize the Complementary and Alternative Medicine (CAM) studies that especially target S/R healing practices in Saudi Arabia (SA) and discuss the results in light of relevant international literature. From year 2013-2017, electronic searches of PubMed, OvidSP, Google Scholar, and two publishing housing Web sites (Sciencedomain.com and Dove Medical Press.com) were made using key words and Boolean operators and retrieved thousands of published papers from peer-reviewed journals. Two independent reviewers decided to include a total of 108 articles: 48 from SA and 60 from other international literature. The sociodemographic variables of the participants varied in local studies and were comparable with international data. The frequency and types of religious and spiritual practices reported in local and international zones varied in accordance with religious belief, gender, age, education, and prevalent chronic diseases. Most of professionals and practitioners showed fairly good knowledge and positive attitude toward spiritual and religious practices used in diverse clinical and non-clinical situations across the world. Furthermore, it was observed that in the international scenario, S/R researches using specific religious screening tools have been conducted on different aspects of clinical application including self-care, social cohesion, negative impact, and child development, whereas regional studies targeting varied participants mainly focused on the epidemiological trends of S/R therapies in Saudi Arabia. CAM practitioners and public tend to show great interest in prescribed and self-use of religious and spiritual therapies across the world because of multiple dynamic forces, including positive effects on health, sense of well-being and disease control, cost-effectiveness, easy access to services, and improvement in quality of life. Further studies are needed to assess the effectiveness of different types of religious and spiritual therapies and practices used in specific diseases, their role in promotion of health and well-being, and prevention of diseases nationwide and across the world. Besides integration of S/R into mainstream treatment modalities, medical education curriculum, continuous medical education, and training programs are needed for bridging the knowledge, attitude, and practice gaps concerning CAM in targeted population groups such as medical professionals, CAM practitioners, medical students, public and traditional healers, not only in SA but also around the world.
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Affiliation(s)
- Naseem Akhtar Qureshi
- Research Publication Unit, National Center for Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia.
| | - Asim Abdelmoneim Khalil
- Islamic Medicine Unit, National Center for Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia
| | - Saud Mohammad Alsanad
- National Center for Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia
- College of Medicine, Imam Muhammad ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia
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Williams-Reade JM, Lobo E, Gutierrez G. Integrating Spirituality into MFT Training: A Reflexive Curriculum and Qualitative Evaluation. JOURNAL OF MARITAL AND FAMILY THERAPY 2019; 45:219-232. [PMID: 29370462 DOI: 10.1111/jmft.12314] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
When clients enter the therapy room they bring unique spiritual beliefs and values in with them; however, marital and family therapists (MFTs) often lack training to assist in this important area of diversity. Current training recommendations encourage therapists to explore their own spirituality to identify personal limitations that may occlude positive client outcomes; however very little information exists on the implementation and usefulness of this type of training. This article will describe a curriculum and report results from a qualitative study of students who participated in a reflexive spirituality practicum course offered in a COAMFTE accredited doctoral program at a private, religious institution. Through this, we hope to provide a training model to further spiritual integration activities in MFT.
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Coburn KO, McGeorge CR. What do Christian Clergy Say?: Advice from Christian Pastors to Family Therapists about Working with LGB Clients. CONTEMPORARY FAMILY THERAPY 2019. [DOI: 10.1007/s10591-019-09490-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Shipman D, Martin T. Clinical and Supervisory Considerations for Transgender Therapists: Implications for Working with Clients. JOURNAL OF MARITAL AND FAMILY THERAPY 2019; 45:92-105. [PMID: 29193164 DOI: 10.1111/jmft.12300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Transgender therapists have unique and valuable perspectives into how gender organizes the therapeutic process. Currently, in the MFT field, there is discussion of the cisgender therapist's experience in the therapy room, but no known articles on the transgender therapist's experience. This article provides insight into the experiences of transgender therapists around issues of self-disclosure, social locations of both therapist and client, and clinical supervision. Drawing from our clinical experiences as transmen, we highlight special considerations for working with cisgender, queer, and transgender clients. Implications for supervision of transgender therapists are also discussed. As more gender diverse students seek MFT training, there is an urgent need to acknowledge their perspectives. This article is a call for beginning conversations in this direction.
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Benson K, Westerfield E, van Eeden-Moorefield B. Transgender people’s reflections on identity, faith, and Christian faith communities in the U.S. SEXUAL AND RELATIONSHIP THERAPY 2018. [DOI: 10.1080/14681994.2018.1472375] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Kristen Benson
- Department of Human Development and Psychological Counseling, Appalachian State University, Boone, NC, USA
| | - Eli Westerfield
- Gladys Ray Shelter and Veterans Drop-In Center, Fargo, ND, USA
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Minnix GM. Reconciling Counselors’ Christian Beliefs and Lesbian, Gay, Bisexual, and Transgender Affirmation: A Grounded Theory. COUNSELING AND VALUES 2018. [DOI: 10.1002/cvj.12076] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Gena M. Minnix
- Department of Counseling and Human Services; St. Mary's University
- Now at Department of Counselor Education; Seminary of the Southwest
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Hartwell EE, Serovich JM, Reed SJ, Boisvert D, Falbo T. A Systematic Review of Gay, Lesbian, and Bisexual Research Samples in Couple and Family Therapy Journals. JOURNAL OF MARITAL AND FAMILY THERAPY 2017; 43:482-501. [PMID: 28295436 DOI: 10.1111/jmft.12220] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The purpose of this study is to review samples from research on gay, lesbian, and bisexual (GLB) issues and to evaluate the suitability of this body of research to support affirmative and evidence-based practice with GLB clients. The authors systematically reviewed the sampling methodology and sample composition of GLB-related research. All original, quantitative articles focusing on GLB issues published in couple and family therapy (CFT)-related journals since 1975 were coded (n = 153). Results suggest that within the GLB literature base there is some evidence of heterocentrism as well as neglect of issues of class, race, and gender. Suggestions to improve the diversity and representativeness of samples-and, thus, clinical implications-of GLB-related research in CFT literature are provided.
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McGeorge CR, Stone Carlson T, Farrell M. To Refer or Not to Refer: Exploring Family Therapists' Beliefs and Practices Related to the Referral of Lesbian, Gay, and Bisexual Clients. JOURNAL OF MARITAL AND FAMILY THERAPY 2016; 42:466-480. [PMID: 26714928 DOI: 10.1111/jmft.12148] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This study explored how negative beliefs toward lesbian, gay, and bisexual (LGB) individuals and LGB clinical competence influenced family therapists' beliefs and practices regarding referring based on the sexual orientation of the client. The sample consisted of 741 experienced clinicians. The results of this study indicated that the majority of the participants believe it is ethical to refer LGB clients; however, most had never made such a referral. Furthermore, participants who had referred based solely on the client's sexual orientation reported higher levels of negative beliefs toward LGB individuals and lower levels of LGB clinical competence. Finally, negative beliefs toward LGB persons not only predicted the practice of referring, but also the belief that it is ethical to refer an LGB client.
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