Therapists working with transgender clients must
have a thorough understanding of gender identity issues, including information
on the differences between gender and sexual identity, and the social
construction of gender dimorphism. Therapists must be knowledgeable about the
current DSM diagnosis of Gender Identity Disorder, and the most recent
Standards of Care developed by the Harry Benjamin International Gender
Dysphoria Association.
Therapists must be aware of the issues being
raised within the Transgender Liberation movement regarding the
socio-political forces in the construction of gender identity and the
limitations of a bipolar gender system, as well as the diversity of gender
expressions.
Therapists must have a general knowledge of
mental health issues and training in eclectic psychotherapeutic techniques.
Therapists must be able to assess for mental illness, as well as addictions
and trauma related symptomology.
Therapists must be cognizant of the impact of
stress on gender dysphoria and not pathologize the clients' stress related
symptoms. Therapists must have a humanistic perspective that supports the
empowerment of client self-identification.
Therapists should be knowledgeable about
issues related to gender identity, sexuality, sexual identity and gender role
development, and be comfortable talking about these issues.
Therapists should be sensitive to the impact
of family systems concerns including family of origin, and current partners
and children, and able to provide services or referrals for family members.
Therapists should have resources available
for clients, including referrals to endocrinologists and/or psychiatrists,
gender clinics, and support groups, as well as recommendations for
bibliotherapy and Internet sites.
Copyright ©1998, Arlene Istar Lev
