6/13/2016 Client Centered and LBGTQI Participants will explain the major problems that affect A Client Centered Approach to members of the LGBTQI community Working with LGBTQI Individuals Participants will describe what it means to be gender variant Participants will assess if individuals fit the criteria for a Presented by Francien Chenoweth Dorliae Gender Dysphoria Diagnosis in DSM-V Psy.D. & Amanda Cyr B.A. Participants will be able to explain why Client Centered Therapies are a good fit when working with this population Participants will apply Client Centered principles in therapy with LGBTQI individuals Terms Cis-gender: A “match” between assigned gender and felt gender Cross-Dresser/Transvestite: Someone who occasionally wears clothing that is The LGBTQI Community typical of another gender. Cross-Dressers do not necessarily wish to change genders Drag King/Queen: Wearing the clothing of another gender, sometimes in an exaggerated or stereotypical way. People use the terms Drag King and Drag Queen when performing gender as parody, entertainment, or art Female to Male: Used to identify a person assigned female at birth who identifies as male or masculine, or lives as a man Gender: A social construct based on emotional and psychological characteristics that classify someone as feminine, masculine, androgynous, or other Gender Binary: The exclusive categories of male and female Gender Identity: The inner sense of being a man, a male, a woman, a female, both, neither, butch, femme, two-spirit, bi-gender, or another configuration of gender. A person’s “self- concept of their gender” (Moleiro & Pinto, 2015). Using These Terms Genderqueer/Gender Fluid: Used when someone feels they do not fit on the spectrum of It is important in practice you use the terms your trans but identifies their gender on the continuum between or outside of the gender binary client is most comfortable with Intersex: Term used for people born with a reproductive or sexual anatomy that does not fit the typical definitions of male or female If you begin working with someone who is transgender or gender nonconforming ask them what Male to Female: Used to identify a person assigned male at birth who identifies as female or feminine, or lives as a woman pronouns and proper names they prefer to be called Some clients may not identify as male or female so in Passing: The process by which a trans persons gender identity is perceived by others in a way that is consistent with their experience of their gender identity your reports and case notes try to avoid using those pronouns and use the client’s name Transgender: Those who transgress social gender norms. Often used as an umbrella term to encompass transsexuals, genderqueers, cross-dressers, and gender non-conformists. Transsexual: People who are severely uncomfortable with the mismatch of their assigned and felt genders and are working towards living as their felt gender. Transsexuals often take steps in order to bring their assigned gender into alignment with their felt gender (surgery, hormone injections, etc.) 1 6/13/2016 Examples Psychological Problems Faced This is What Trans Media Portrayals Internalized transphobia Looks Like Orange is the New Black Results from internalizing negative messages based on society's expectations of what is considered normal Being Intersex Uses a transgender actress to portray a trans character Increased rates of depression and anxiety compared to the Being Genderqueer Trans characters have been total population traditionally portrayed by Higher risk of suicide cis-gender actors and Decreased sense of social support from family and loved ones actresses Higher risk for mental distress because of experiences of Jared Leto (Dallas Buyer’s Club) discrimination Jeffrey Tambor (Transparent) Felicity Huffman (Transamerica) Psychological effects of trauma Kathleen Turner (Friends) Violence perpetrated against the individual or a close friend Eddie Redmayne (The Danish Girl) within the LGBTQI community could be very traumatic List of Trans Individuals Honored on Trans Remembrance Day Sociological Problems Faced (International List, 2015) 40. Carol Melo, (30 years old) Strangled to death 41. Priscilla da Silva, 1. Keyshia Blige (33 years old) Shooting 2. Tamara Dominguez (36 years (23 years old) Gunshot 42. Barbara Sodre, (29 years old) Stabbed to old) Repeatedly run over by vehicle 3. Kandis Capri (35 years old) death 43. Jean Waltrick, (27 years old) Multiple gunshot wounds to the Discrimination Shooting 4. Amber Monroe (20 years old) Gunshot 5. Ashton O'Hara (25 head 44. Vandressa Vinnitt (no age given) Gunshot 45. Ticiane years old) Stabbed to death, ran over by vehicle 6. Shade Schuler (22 years Abravanel, (21 years old) Gunshot 46. La Monique de Roma, (43 years old) Gunshot 47. Unidentified (no age given) Gunshot 48. Stefanny (no old) Unidentified, found dead in a field 7. K.C. Haggard (66 years old) age given) Gunshot 49. Job Rodrigues da Silva, (46 years old) Gunshot Employment, education, housing, health care Multiple stab wounds 8. India Clarke (22 years old) Gunshot to the head 50. Unidentified (no age given) Beaten and strangled to death 51. Bruna, and arm 9. Mercedes Williamson (17 years old) Beaten to death 10. Penny (47 years old) Gunshot 52. Bruna Quércia, (15 years old) Gunshot 53. Also being discriminated against in interpersonal Proud (21 years old) Shooting 11. Taja Gabrielle DeJesus (36 years old) Victória Camargo, (29 years old) Gunshot 54. Bruna Michele, (20 years Multiple stab wounds 12.Bri Golec (22 years old) Stabbed to death 13. old) Beaten to death 55. Vanessa Ganzaroli, (18 years old) Multiple stab wounds 56. Debora (no age given) Stoned to death 57. Lotinha (no age relationships and often times by family members Lamia Beard (30 years old) Shooting 14. Papi Edwards (20 years old) given) Stabbed 58. Adriana, (22 years old) Multiple gunshots 59. Bianca Shooting 15. Nephi Luthers (20 years old) Shooting 16. Diosvany Muñoz Araujo, (21 years old) Gunshot 60. Michael Lucas de Almeida Reginald, Robaina (24 years old) Stoning 17. C.N. Alves de Matos Jr (21 years old) (13 years old) Beaten, multiple stab wounds 61. Natália Ferraz, (21 years Stigma Stabbed and dismembered 18. Unidentified (41 years old) Severe head and old) Multiple gunshots 62. Ygor Fernando Oliveira Santos, (20 years neck trauma 19. L.A. de Souza, (22 years old) Found in landfill with knife old) Multiple gunshots 63. Keity, (23 years old) Stabbed 10 time 64. Lara, (16 years old) Stoned to death 65. Unidentified (no age given) Social exclusion in neck 20. Waleska Rayala, (21 years old) 27 stab wounds 21. Paulinha Multiple gunshot wounds 66. Raíssa, (19 years old) Multiple stab (no age given) Gunshots to head and chest 22. Flower, (39 years old) wounds to neck and chest 67. Capitú Santos, (31 years old) Stabbed 68. Beaten to death 23. V.H.A dos Santos , (25 years old) Multiple gunshot Joyce Akira, (teen) Multiple gunshot wounds 69. Pata, (35 years old) Economic alienation wounds 24. Patricia, (29 years old) Unidentified cause of death, thrown Strangled to death 70. Didinha, (18 years old) Multiple gunshot wounds into bush 25. Unidentified, (45 years old) Gunshot wound to the head 26. 71. Unidentified (no age given) Gunshot 72. LÉO, (26 years old) Gunshot 73. Piu da Silva, (25 years old) Beaten, multiple gunshot Gabi, (26 years old) Beaten to death 27. Erika Aguilera, (25 years old) wounds 74. Unidentified (no age given) Gunshot wound 75. Homelessness, especially among LGBTQI youths Gunshot wound to the back 28. India Nascimento, (29 years old) Beaten Unidentified (no age given) Gunshot wound 76. Diana Sacayán, (39 to death 29. L.R.O. Dorta, (26 years old) Decapitated 30. Vanessa Calaça, years old) Multiple stab wounds 77. Marcela Chocobar, (26 years old) (27 years old) Stoned to death 31. Unidentified (no age given) Multiple Dismembered and burned 78. Francela Méndez (no age given) Stab Violence perpetrated against transpersons and other non- gunshot wounds to the back and abdomen 32. Unidentified (no age given) wounds 79. Fernanda "Coty" Olmos (59 years old) Stab wounds, Stab wound to the neck 33. Bruna J. Mendes, (27 years old) Multiple suffocated with bag over head 80. Yoshi Tsuchida (38 years old) Face cut off, bag around head 81. Leticya Santos Ignácio (21 years old) binary individuals; bullying, abuse, persecution gunshot wounds 34. Sidney Araújo Claudino, (19 years old) Shotgun Gunshot to the forehead 82. Unidentified (19 years old) Gunshot to the gunshot wound to the chest 35. Laura Vermont, (18 years old) Beaten to face 83. Miscilene (25 years old) Blunt force trauma to the head 84. High rates of violent crime and murder against homosexuals death by police 36. Kauane da Silva, (35 years old) Gunshot to the head 37. Miscilene (20 years old) Gunshots 85. Tiffany Latifah (24 years old) Unidentified (no age given) Unidentified cause of death, buried in shallow Stab wound to the neck 86. Unidentified woman (no age given) grave 38. Kelly Silva, (31 years old) Stabbed in neck and arm 39. Andréia Gunshot wounds to head and abdomen 87. Tiffany Latifah (17 years old) and transgenders Gunshot wounds to face and back 88. Anusha (no age given) Murdered Amado, (29 years old) Gunshot and burned 89. Pravalika (24 years old) Bludgeoned to death 90. Hande Ö (35 years old) Strangled Statistics Other Sociological Problems In the first 10 months of 2011, 225 transgender people were Higher High School drop out rates for teenagers killed Inappropriate use of pronouns and inappropriate personal questions These questions are usually about the persons physical genitalia and sexual Transgender women accounted for 44% of gay and orientation transgender murder victims in 2009 though they only account Job discrimination for 9% of the LGBT population Marriage equality 14% of transgender people report being a victim of rape “In 1999 a court in Texas invalidated a seven-year marriage between Christine Littleton, a transgender woman, and her deceased husband.