Abstract
Whilst in recent times there has been an increasing interest in the popular media in families with gender variant children, there is still a paucity of academic research into the experience of parenting a pre-pubescent child with gender identity issues. Gender dysphoria in young children brings about emotive reactions in adults meaning that social workers need to be aware of the various discourses surrounding gender identity in order to work sensitively with families affected. This research explores highly sensitive and intimate aspects of family life, requiring parents to talk and think about difficult issues and explores how it might feel for families to parent a child with gender identity issues. The psychosocial research method of Free Association Narrative Interviews was used in order to gather the data which was then coded and analysed drawing on a constructivist version of grounded theory. Five key themes relating to the process of mourning emerged from the data: loss, uncertainty, ambivalence, being unable to think and acceptance. Recommendations for both social work and clinical practice are also offered
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM V) (5th ed.). Washington, DC: APA.
Beeler, J., & DiProva, V. (1999). Family adjustment following disclosure of homosexuality by a member, themes discerned in narrative accounts. Journal of Marital and Family Therapy, 25(4), 443–459.
Bouman, W. P., & Richards, C. (2013). Diagnostic and treatment issues for people with gender dysphoria in the United Kingdom. Sexual and Relationship Therapy, 28(3), 165–171.
Bracchi, P. (2012). Mixed up five year olds and the alarming growth in the gender identity industry. http://www.dailymail.co.uk/news/article-2106215/Mixed-year-olds-alarming-growth-gender-identity-industry.html. Accessed 11/11/13.
Bryman, A. (2008). Social research methods (3rd ed.). Oxford: Oxford University Press.
Charmaz, K. (2001). Qualitative interviewing and grounded theory analysis. In J. Gubrium & J. Holstein (Eds.), Handbook of interview research: Context and method. Thousand Oaks, CA: Sage.
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Thousand Oaks, CA: Sage.
Charmaz, K., & Bryant, A. (2011). Grounded theory and credibility. In D. Silverman (Ed.), Qualitative research: Issues of theory, method and practice (3rd ed.). Thousand Oaks, CA: Sage.
Clarke, S., & Hoggett, P. (2009). Researching beneath the surface. Karnac: London.
Coulter, S. (2010). Parenting a child with gender identity issues, unpublished clinical psychology. Doctoral thesis, University of East London.
Dearden, G. (2009) Transwomen‘s memories of parental relationships, an interpretative phenomenological analysis study. https://uhra.herts.ac.uk/dspace/bitstream/2299/4518/1/Georgina%20Dearden%20-%20DClinPsy%20research%20thesis.pdf. Accessed 3/6/11.
Di Ceglie, D. (Ed.). (1998). A stranger in my own body, atypical gender identity development and mental health. London: Karnac.
Di Ceglie, D., Freedman, D., McPherson, S., & Richardson, P. (2002). Children and adolescents referred to a specialist gender identity development service, clinical features and demographic characteristics. International Journal of Transgenderism, 6(1). http://www.symposion.com/ijt/ijtvo06no01_01.htm. Accessed 1/6/09.
Dickenson, D., & Johnson, M. (Eds.). (1993). Death dying and bereavement. London: Sage.
Drummond, K., Bradley, S., Peterson-Badali, M., & Zucker, K. (2008). A follow-up study of girls with gender identity disorder. Developmental Psychology, 44, 34–45.
Ehrensaft, D. (2007). Raising girlyboys, a parent’s perspective. Studies in Gender and Sexuality, 8(3), 269–302.
Ehrensaft, D. (2011). Gender born, gender made, raising healthy gender non-conforming children. New York: The Experiment.
Emerson, S., & Rosenfeld, C. (1996). Stages of adjustment in family members of transgendered individuals. Journal of Family Psychotherapy, 7(3), 1–12.
Frosh, S., & Saville Young, L. (2008). Psychoanalytic approaches to qualitative psychology. In C. Willig & W. Stainton-Rogers (Eds.), The SAGE handbook of qualitative research in psychology. London: SAGE.
Grant, J., Mottet, L., Tanis, J., Herman, J., Harrison, J., & Keisling, M. (2010). National Transgender Discrimination Survey, Report on health and health care. National Centre for Transgender Equality Washington DC http://www.thetaskforce.org/downloads/resources_and_tools/ntds_report_on_health.pdf. Accessed 18/10/12.
Gregor, C. (2013). How might parents of pre-pubescent children with gender identity issues understand their experience? Unpublished Thesis Professional Doctorate in Social Work, University of East London in collaboration with the Tavistock Clinic. http://repository.tavistockandportman.ac.uk/803/. Accessed 10/12/14.
Gregor, C., Davidson, S., & Hingley-Jones, H. (2014). The experience of gender dysphoria for pre-pubescent children and their families, a review of the literature. Child and Family Social Work,. doi:10.1111/cfs.12150.
Grossman, A., D’Augelli, A., Jarrett Howell, T., & Hubbard, S. (2005). Parents’ reactions to transgender youths’ gender nonconforming expression and identity. Journal of Gay and Lesbian Social Services, 18(1), 3–16.
Harden, J. (2005). Uncharted waters, the experience of parents of young people with mental health problems. Qualitative Health Research, 15(2), 207–223.
Hegedus, J. (2009). When a daughter becomes a son, parents’ acceptance of their transgender children. Unpublished dissertation Alliant International University, San Franciso Bay.
Hembree, W., Cohen-Kettenis, P., Delemarre-van de Waal, H., Gooren, L., Meyer, W., Spack, N., et al. (2009). Endocrine treatment of transsexual persons, an Endocrine Society Clinical Practice Guideline. Journal of Clinical Endocrinology & Metabolism, 94(9), 3132–3154.
Hill, D., & Menvielle, E. (2009). You have to give them a place where they feel protected and safe and loved, the views of parents who have gender-variant children and adolescents. Journal of LGBT Youth, 6, 243–271.
Hill, D., Menvielle, E., Sica, K., & Johnson, A. (2010). An affirmative intervention for families with gender variant children, parental ratings of child mental health and gender. Journal of Sex and Marital Therapy, 36, 6–23.
Hollway, W., & Jefferson, T. (2000). Doing qualitative research differently, free association, narrative and the interview method. London: Sage.
Kubler-Ross, E. (1969). On death and dying. New York: Simon & Shuster.
Kunst, J. (2012) In search of the good enough mother psychology today. http://www.psychologytoday.com/blog/headshrinkers-guide-the-galaxy/201205/in-search-the-good-enough-mother. Accessed 29/9/12.
Lev, A. (2004). Transgender emergence, therapeutic guidelines for working with gender-variant people and their families. Binghamton: The Haworth Press.
Manning, S., & Adams, S. (2014). NHS to give sex change drugs to nine-year-olds: Clinic accused of ‘playing God’ with treatment that stops puberty. http://www.dailymail.co.uk/news/article-2631472/NHS-sex-change-drugs-nine-year-olds-Clinic-accused-playing-God-treatment-stops-puberty.html. Accessed 7/6/14.
Möller, B., Schreier, H., Li, A., & Romer, G. (2009). Gender identity disorder in children and adolescents. Current Problems in Paediatric Adolescent Health Care, 39, 117–143.
Rosenberg, M. (2002). Children with gender identity issues and their parents in individual and group treatment. American Academy of Child and Adolescent Psychiatry, 41(5), 619–621.
Ruane, J. (2005). Essentials of research methods. Oxford: Blackwell.
Ruch, G. (2007). Reflective practice in contemporary child-care social work the role of containment. British Journal of Social Work, 37, 659–680.
Rycroft, C. (1995). Critical dictionary of psychoanalysis. London: Penguin.
Steensma, T., Biemond, R., de Boer, F., & Cohen-Kettnis, P. (2010). Desisting and persisting gender dysphoria after childhood, a qualitative follow-up study. Clinical Child Psychology and Psychiatry, 16(4), 499–516.
Wallien, M. S., & Cohen-Kettenis, P. (2008). Psychosexual outcome of gender-dysphoric children. Journal of the American Academy of Adolescent Psychiatry, 47, 1413–1423.
Wengraf, T. (2006) Interviewing for life-histories, lived situations and personal experience: The Biographic-Narrative Interpretive Method (BNIM) on its own and as part of a multi-method full spectrum psycho-societal methodology. http://webcache.googleusercontent.com/search?q=cache:fp51U3u_IAIJ:www.uel.ac.uk/cnr/Wengraf06.rtf+&cd=1&hl=en&ct=clnk&gl=uk&client=firefox-a. Accessed 23/10/12.
Williams, J., & Lin, S. (2010). Acceptance. An historical and conceptual review imagination, cognition and personality, 30(1), 5–56.
Winnicott, D. (1958). Collected papers, through paediatrics to psycho-analysis. London: Tavistock.
Wiseman, M., & Davidson, S. (2011) Problems with binary gender discourse, using context to promote flexibility and connection in gender identity. Clinical Child Psychology and Psychiatry. http://ccp.sagepub.com/content/early/2011/11/09/1359104511424991. Accessed 23/2/2012.
Wren, B. (2002). I can accept my child is transsexual but if I ever see him in a dress I’ll hit him, dilemmas in parenting a transgendered adolescent. Clinical Child Psychology and Psychiatry, 7(3), 377–397.
Winnicott, D. (1965). The maturational process and the facilitating environment. London: Hogarth.
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Gregor, C., Hingley-Jones, H. & Davidson, S. Understanding the Experience of Parents of Pre-pubescent Children with Gender Identity Issues. Child Adolesc Soc Work J 32, 237–246 (2015). https://doi.org/10.1007/s10560-014-0359-z
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DOI: https://doi.org/10.1007/s10560-014-0359-z