Lived experiences of parenting transgender and gender nonconforming youth: Implications for clinical social work practice
Authors: Powell, Z., Angeltveit, E., Davis, C & Dodds, L.
Date of publication: 2024
Journal: Clinical Social Work Journal
Summary: This Australian study sought to understand the experiences of parents of Transgender and gender nonconforming (TGNC) children aged 10-18 years old through Photovoice methods.
Eight parents were recruited and asked to take five photographs they felt represented their experience of parenting a TGNC child. The photographs were then used as the basis to guide their interviews with researchers.
Many of the experiences the parents identified in this study were centred around discovering their child’s identity, sharing and navigating this transition with others and negotiating a “new normal”. The researchers found that there was little change to the attachment in the parent/child relationship following their TGNC child “coming out” and this was maintained through parents rethinking the importance of gender, advocating for their children, remaining child focussed and maintaining unconditional positive regard for their child.
Parents spoke about experiencing their own transition which presented a journey through grief and loss even whilst being supportive and accepting of their TGNC child. The authors found that parents often did not seek support for their own mental health rather focussing on the needs of their child.
The authors highlight the importance of supporting parents of TGNC children by providing targeted information, trauma informed care and acknowledging and supporting their social and emotional needs.
You can read the full study here
The positive aspects of being the parent of a trans child: Findings from Trans Pathways
Authors: Morgan, H., Lin, A., Perry, Y., Cook, A., Winter, S., Watson, V., Wright Toussaint, D. & Strauss, P.
Date of publication: 2023
Journal: LGBTQ+ Family: An Interdisciplinary Journal
Summary: The existing literature exploring the experiences of parenting a trans child tends towards reporting the challenging aspects of the parental journey. Studies also reference positive experiences such as enhanced parent-child connectedness and affirmation of personal values. Limited dedicated research focused on the positive aspects of parenting a trans child exists. The reasearchers aimed to better understand positive parental experiences accordingly. Using data from a large cross-sectional survey, they analysed responses from 134 parents to a single open-text question asking what parents had experienced as positive about parenting their trans child.
They found that all parents identified at least one positive aspect; most cited multiple benefits. Five major themes emerged from the data: 1) Personal growth (such as becoming more informed and more open-minded); 2) experiencing the strengths of the child (such as their courage, their caring qualities and their resilience); 3) improved aspects of the parent-child relationship (such as growing closer and experiencing unconditional love); 4) positive change in the child (such as increased happiness and self-confidence); 5) experiencing social connection and support. Findings provide a nuanced addition to the literature on parental experiences and have clinical implications for those working with parents of trans children. A better understanding of positive parental experiences can aid clinicians in increasing parental support and acceptance for young people within an affirmative framework.
You can read a summary of the study only here.
Supporting parents of gender diverse youth amidst evolving legal dynamics
Authors: Meininger, E.
Date of publication: 2024
Journal: Journal of Adolescent Health
Summary: This paper synthesizes a number of themes that have arisen from previous research in relation to the legislative hurdles that transgender youth and their parents face. The author highlights the need for:
Educational Empowerment and Advocacy – Parents must equip themselves with the knowledge to effectively advocate for their gender-diverse children and make informed decisions.
Community Support and Mobilisation – The community must be engaged in growing strong support networks for parents and gender-diverse young people grappling with legal and emotional challenges.
Navigating Restricted Healthcare Spaces - Healthcare systems are complex and full of barriers which parents are needing to navigate on their own. Healthcare providers need to support access by providing navigation assistance to families as lack of access affects the well-being of gender-divers youth.
Championing Resilience and Mental Health – Parents play a pivotal role in supporting their gender-diverse children to develop resilience against the emotional toll legal constraints inflict, however alternate supports (such as from schools, neighbourhood resources or faith-based spaces) are required to ensure wrap around support.
Advocacy Efforts and Future Possibilities – Changing the current anti-trans legislation is everyone’s responsibility. A collective effort from healthcare providers, mental health practitioners and advocacy groups is needed to ensure that parents can access gender-affirming care for their children without unnecessary interference. The discriminatory prevention of this care can lead to adverse childhood experiences and numerous poor outcomes for gender-diverse children.
You can read the full study here
Sibling support for transgender and gender-diverse youth: A scoping review
Authors: Klepper, M., Bosse, J., Flores, D, D & Sanders, R.
Date of publication: 2024
Journal: Journal of Adolescent Health
Summary: This American review investigated Transgender and nonbinary (TNB) youths’ perception of sibling support as well as cisgender siblings lived experience of having a TNB sibling. The authors reviewed nine studies from the US, England and Australia and found that overall, cisgender siblings are generally supportive of their TNB siblings.
Cisgender siblings who were included in the transition (e.g helping choose a name) adapted faster to their sibling’s identity and the majority of TNB youth perceived an improvement in their sibling relationship following disclosure. Cisgender siblings were interested in being involved through the process and wanting to educate themselves to better support their TNB sibling.
A lack of formal support for siblings of TNB youth was identified and the authors found that they may be at higher risk for depression, anxiety and impaired self-esteem due to the behavioural, social and emotional changes associated with the environmental stressors that come with having a TNB sibling (e.g. increased medical appointments, changes to daily routine, the draw on the families social and financial resources).
You can read a summary only of the study here
Experiences of gender minority stress in cisgender parents of transgender/gender-expansive prepubertal children: A qualitative study
Authors: Hidalgo, M. A., & Chen, D.
Date of publication: 2019
Journal: Health Education & Behavior
Summary: This US study looked at the experiences of 24 parents of gender diverse children aged 4 to 11 years regarding the stressors they reported. The researchers used minority stress theory as a framework to analyse parents’ experiences. Minority stress theory suggests that members of a minority group experience unique stresses due to being ‘different’ to the mainstream culture. This difference can result in stressors such as stigma, prejudice, rejection and discrimination which, in turn, can cause physical and mental health difficulties. The researchers believed that parents may also experience minority stress through the experiences of their children.
They found that parents did experience two kinds of minority stress. Distal stressors were objective and external stressors and included experiences like gender-related discrimination, victimisation, rejection. Parents talked about experiences such as feeling judged by other parents for supporting their child, avoiding social situations when with their child to avoid feeling awkward, being anxious about using public transport with their child if their identification did not match the child’s gender identity, and having friends and relatives end relationships with them. Proximal stressors were internal or individual stressors such as having negative beliefs about gender diverse people and about their child’s future and difficulty managing the balance between when to disclose their child’s gender identity and when to conceal it. The researchers found many negative health impacts for parents including anxiety, guilt, grief, poor sleep and diet, increased substance use, stress and feeling burnt out as a parent.
You can read the study summary only here
Parental challenges, facilitators and needs associated with supporting and accepting their trans child’s gender
Authors: Morgan, H., Wells, L., Lin, A., Strauss, P. & Perry, Y.
Date of publication: 2023
Journal: LGBTQ+ Family: An Interdisciplinary Journal
Summary: This Australian study aimed to develop a detailed understanding of the challenges and enablers experienced by Australian parents in developing understanding, support and acceptance of their child’s gender and their needs to do so. The researchers interviewed 30 parents, aged between 35 and 58 years, of gender diverse children aged under 25 years and asked about their initial reactions to discovering their child’s gender identity, and their needs and preferences for information, support and/or interventions. Participants described a range of complex emotions, reported by some as “an emotional roller-coaster” and exhausting mental burden as they simultaneously supported their child, searched for information, and navigated multiple systems such as school and healthcare. They named many barriers to understanding and supporting their child including lack of understanding of gender diversity, difficulty in accessing good-quality information easily, managing their own strong emotions, the need to constantly educate others and advocate for their child and practical barriers such as their geographical location, finances and onerous treatment pathways. Parents of non-binary children and parents of younger children (pre-puberty) described greater challenges in finding good-quality information. Other challenges included “re-wiring their brains” to adapt to new `names and pronouns and coping with the fast pace of their child’s desire to make changes. Commonly, parents found that their child had been aware of their gender identity and thinking about it for months or years before they disclosed to their parents.
Good-quality information, seeing positive emotional and behavioural changes in their child once affirmed and peer connections with other parents of gender diverse children were powerful enablers for increased support. Parents also noted understanding the negative mental health impacts of not supporting their child through accessing statistics and viewing a gender diverse identity as not something a child would choose given the challenges inherent in living in an often uneducated and unsafe world were also enablers for support.
You can read the study summary only here
The sibling experience: growing up with a trans sibling
Authors: Parker, E. & Davis-McCabe, C.
Date of publication: 2021
Journal: Australian Journal of Psychology
This Western Australian study looked at the experiences and needs of 17 siblings (aged 14-26 years) of trans people. The researchers found that siblings also go through processes of transition. Siblings reported challenges such as lack of knowledge of trans identities, a lack of trans visibility in society, having to act as the go-between between their trans sibling and others, managing conflict, experiencing strain or cut-off in their relationships with other people, holding the knowledge of their sibling’s gender identity when others were unaware, witnessing their trans sibling’s negative experiences, and suppressing their own negative emotions. Positive experiences included developing stronger and closer relationships with their sibling, strengthened family relationships, experiencing support from family and social relationships, and developing their understanding of diversity and identity. The researchers concluded that siblings a. need accessible and accurate information about gender diversity; b. to see increased trans visibility; c. to connect with others in similar situations and; d. targeted counselling and services.
You can read the full study here.