RESUMO
Purpose: There is limited information available regarding the use of trauma modalities within the transgender and gender diverse community (TGD) to address gender-based trauma, including discrimination and invalidation, particularly for adolescents and young adults (AYA). The purpose of this paper is to describe a novel treatment approach to addressing post-traumatic stress disorder (PTSD) symptoms within TGD AYA, inclusive of gender-based trauma. Methods: Narrative Exposure Therapy (NET) was implemented as a brief intervention for TGD AYA who had a positive screening for PTSD symptomatology. Measures were used to assess PTSD symptoms, as well as changes in self-perceived resilience and positive well-being. Two case vignettes are provided to demonstrate the adaptations made to be responsive to the unique needs of TGD AYA for trauma processing. Results: Preliminary outcomes from two case studies indicate the strength of NET when working with TGD AYA who face multiple traumatic events and continue to experience invalidation. Conclusion: NET shows promise as an effective brief intervention to reduce PTSD symptomology and increase resiliency in TGD AYA.
RESUMO
PURPOSE: There is a sparsity of information on chest binding practices among transmasculine and gender diverse people regardless of age and even less information pertaining to adolescents and young adults (AYA). The purpose of this study was to understand binding trends in AYA and to recognize how chest binding impacts chest dysphoria and life satisfaction. METHODS: Data were collected from eligible participants via a national online survey. In this national, cross-sectional study, 684 surveys from AYA aged 13-24 years compared those who bind and those who do not bind. RESULTS: Most participants reported learning to bind online and were not connected to any type of gender care or community center. Participants in the binding cohort reported less "misgendering" than the nonbinding cohort, and there was a significant correlation between increased chest dysphoria and lower scores on life satisfaction. CONCLUSIONS: This study provides insight into how AYA obtain information about binding and how binding impacts their life. It also indicates that transmasculine and gender diverse AYA will continue to bind their chest to benefit from the protective factors experienced with chest binding. This study also highlights the importance of improved education for medical providers as well as parents/guardians regarding binding to support those who experience chest dysphoria or discomfort.
