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
