Comparing Gender Expression,Gender Nonconformity,and Parents' Responses of Female-to-Male and Male-to-Female Transgender Youth

Abstract

Twenty-four female-to-male (FTM) and 31 male-to-female (MTF) transgender youth reported on their gender development and expression, and parental responses to their gender nonconformity. Both groups of youth felt different from others of their same birth sex at a mean age of seven and one-half years. The age when parents suggested they were different was younger for the MTF than the FTM youth. The MTF youth were called “sissy” at an earlier age than the FTM were called “tomboy.” Parents of FTM youth encouraged them to act in more traditional gender typical ways at a younger age than the MTF. The MTF youth considered themselves transgender two years earlier than the FTM youth. More parents of MTF youth felt that their children needed counseling than the parents of the FTM youth. While the majority of both groups reported past verbal victimization, comparatively more MTF youth reported being physically victimized. Implications of the developmental trajectories and experiences of transgender youth for school and family counselors are discussed.     

“I Want to Be Who I Am”: Narratives of Transgender Persons

Research has documented the difficulties that face persons identifying as transgender, and that research has been steadily increasing. However, the bridge between research findings and practice is often elusive, particularly for those counselors, therapists, and other mental health professionals already in their respective professional lives. This retrospective phenomenological study documented the lives of 16 persons identifying as transgender (11 transwomen, five transmen) as they narrated the difficulties they encountered beginning in childhood through transition in adult life. Eight persons identifying as transgender were younger than age 40 years and eight were older than age 40 years and brought different narratives about their childhood, teen, and adult years.     

Retirement:

Stressful life events have been proposed as a possible cause of elder abuse. This study investigates the influence of retirement status on marital conflict and physical violence using a nationally representative sample of 1238 respondents aged 55 years and older. No significant differences were found between retired men and women compared to their nonretired counterparts on measures of depression, stress, marital conflict, and violence. Future research should examine other life events, such as serious illness of one partner or changes in living situation, that might have a more significant impact on marital discord in later life.     

GENDER AND PROSOCIAL VALUES DURING ADOLESCENCE: A Research Note

To date, relatively little is known about the prosocial values of adolescents. Research has shown that females attach more importance to certain prosocial values than males do in late adolescence but has not considered whether this gender difference is evident across stages of adolescence and whether it varies by race. We examine values that focus on doing things for others, using data from a nationwide survey of 12- to 17-year-olds. We find that girls place more importance on these prosocial values than boys at younger ages. However, we also find important patterns in this gender difference across racial groups as well as across age. White boys appear to attach less importance to prosocial values than other race and gender groups. Furthermore, the gender gap in prosocial values is larger at older ages, with older adolescent boys placing less importance on prosocial values than younger ones.     

INTERVIEWING OLDER ADULTS: MODE COMPARISON USING DATA FROM A FACE-TO-FACE SURVEY AND A TELEPHONE RESURVEY

A face-to-face survey conducted in 1984 with a sample of 1491residents of the Detroit metropolitan area (including an oversampleof older adults) and a reinterview of a random subset of theserespondents by telephone were used to compare the two modesof data collection across two age levels. Except for a tendencytoward a disproportionately large number of DK answers and adisproportionately large amount of interviewer assistance onthe telephone, respondents 60 years of age and older did notexhibit larger mode differences than did respondents under 60.For both age groups, response distributions were rather similar,suggesting little effect of mode. Likewise, response style differedlittle by mode, while a higher proportion of missing data (i.e.,"I don't know" answers) was given on the telephone. The responserate for the telephone reinterview was 90%, somewhat lower forolder than younger persons. The findings support the feasibilityof using the telephone for reinterviewing older adults.     

THe Use of Hormone Therapy in the Male-to-Female Transgender Population: Issues for Consideration in Thailand

ABSTRACT

Objectives: Prejudice against transgender people is evident around the world with discrimination in many aspects of life, including access to health care. Even in Thailand, where male-to-female (MTF) transgender people are particularly visible and society is reputedly accepting, barriers to attaining appropriate health care still exist. The vast majority of MTF transgender people in Thailand are reported to be taking hormone therapy; however, most do not seek medical advice regarding these regimens, with the initiation and tailoring of medication often being guided by sympathetic peers instead. The objectives of this review are to consider hormone therapy in the context of the Thai population and provide recommendations regarding ways to improve practice and reduce health risks. Methods: The data analysis in this article represents a comprehensive literature review regarding hormone therapy for MTF transgender people including the guidelines for initiation, prescribing, and monitoring of hormone therapy, risks for serious adverse events and reported hormone use by the MTF transgender population in Thailand. Results: There is a notable lack of published research regarding hormone therapy in the transgender population. Guidelines, whilst relying considerably on expert opinion, do provide clear recommendations on the initiation, maintenance and monitoring of hormone therapy. Comparison of endocrine guidelines with reported practice in Thailand reveals significant opportunities for improvement in MTF transgender hormone therapy. Conclusions: The incautious use of hormone therapy may represent a considerable health risk behavior undoubtedly contributing to the morbidity and mortality in MTF transgender people. Although there is currently considerable focus on sexually transmitted infections in the MTF transgender population, a more comprehensive approach to health care is required, including education for transgender people and the health professionals who attend to them regarding appropriate hormone therapy.     

What Is “Elder Abuse”? Voices From the Margin: The Views of Underrepresented Canadian Older Adults

We know relatively little about the definitions and perceptions of elder abuse held by marginalized groups of older adults in Canada. The current study used focus group methodology to explore perceptions of elder abuse among marginalized groups such as Aboriginal persons, immigrants, refugees, and lesbians. We found both similarities and differences in perceptions of elder abuse across groups. Groups identified traditional forms of elder abuse (i.e., physical, sexual, psychological/emotional, financial abuse, and neglect) as well as less frequently identified types of abuse such as disrespect and government or systemic abuse. Groups also discussed issues related to immigrant sponsorship arrangements and abuse in nursing homes.     

Developmental Trends in Adolescent Suicidal Ideation

Research using retrospective or cross‐sectional data suggests that suicidal ideation rates peak during mid‐adolescence. This study used a longitudinal, community sample of adolescents who reported suicidal ideation repeatedly over 7 years to examine suicidal ideation trends. We hypothesized that a mid‐adolescence peak in ideation is limited to adolescents exposed to friends' or family members' suicidality. Ideation trends were compared across groups exposed and not exposed to others' suicidality and statistically assessed using growth curve analyses. Overall, ideation rates peaked at age 15 years. Group comparisons revealed that the peak was limited to adolescents whose parents reported suicidality.     

Self-perceived Age and Attitudes Toward Marketing of Older Consumers in China

Understanding consumer psychological characteristics and their impact on consumer behavior is an important foundation for business marketing strategies. Self-perceived age has a great impact on older consumers’ behavior. This article defines the gray market in China, investigates the factors that affect the differences between older consumers’ self-perceived age and life age, and analyzes the influence of self-perceived age on older Chinese consumers’ behavior. In this study, 1,120 older consumers were randomly selected from six cities in China. Findings show that over half of the respondents feel younger than their actual life age. Related marketing strategies are discussed.     

Father's Incarceration and Youth Delinquency and Depression: Examining Differences by Race and Ethnicity

This article examines associations between biological father's incarceration and internalizing and externalizing outcomes of depression and serious delinquency, across White, Black, and Hispanic subsamples of youth in the National Longitudinal Study of Adolescent Health. Among respondents whose father was first incarcerated during childhood or adolescence, father's incarceration is found to be associated with increased depression and delinquency. On the whole, results indicate that associations between father's incarceration and depression and delinquency do not vary by race and ethnicity or gender. One exception is among Hispanic respondents, for whom having a biological father incarcerated is associated with an even higher propensity of delinquency than among White and Black respondents with incarcerated fathers.     

Divorce,Stress and Social Supports

This paper considers variations in the use of social supports among persons who are in the process of divorcing. Three hundred and ten men and women aged 20 to 79 were interviewed. Most frequently turned to for help were friends, spouse, and counselors. Men and older respondents were found to seek out supports less frequently than women and younger respondents. Ethnicity and education influenced the pattern more than the frequency of support utilization. For all respondents, perceptions of the degree of stress evoked by the divorce appeared to be a major force behind the use of social supports.     

Sources of meaning in life for young and old Israeli Jews and Arabs

This paper presents preliminary findings generated by the Sources of Life Meaning (SLM), a special instrument compiled to measure the sources of meaning in life for two different ethnic and age groups in Israel. Respondents were 362 younger and older Arab and Jewish women and men. The results reveal the impact of ethnicity and age on most of the 10 sources of meaning, despite similarities in breadth of meaning manifested in the overall amount of meaning in life in all groups. The differences tend to vary according to age group, as more differences are apparent among the older respondents than among the younger ones. Gender impacted on only three sources of meaning, suggesting that culture and age may overshadow gender differences.     

Muted Lives:

Battered older women are a silenced and invisible group. They are silenced by ageist assumptions about them as too resistant and hopeless to change or made invisible by the notion that very frail elders are the only victims of elder abuse. Women over 50, abused by partners or adult children, are not accurately perceived and consequently not adequately helped by current domestic violence or elder abuse intervention systems. A new program serving this group, involving 132 women, shows some important similarities and differences between younger and older battered women. Although barriers can differ across the life cycle, even women of advanced age can be free of abuse or develop coping skills to minimize its damage. This article explores the unique factors affecting older women victimized by domestic abuse. The author concludes with questions and suggestions for helpers interested in better serving older battered women.     

The impact of childhood abuse and neglect on adult mental health: a prospective study

This paper examines the impact of three types of victimization in childhood--sexual abuse, physical abuse, and neglect--on lifetime measures of mental health among adults. In contrast to research that relies on retrospective recall of childhood victimization, this work uses a prospective sample gathered from records of documented court cases of childhood abuse and neglect in a midwestern city around 1970. These subjects were interviewed about twenty years later. In addition, this research compares outcomes of the 641 members of the abuse and neglect group with a matched control group of 510 persons who did not have documented cases of abuse or neglect. The results indicate that men who were abused and neglected as children have more dysthymia and antisocial personality disorder as adults than matched controls, but they did not have more alcohol problems. Abused and neglected women report more symptoms of dysthymia, antisocial personality disorder, and alcohol problems than controls. After controlling for stressful life events, however, childhood victimization had little direct impact on any lifetime mental health outcome. This research indicates the importance of adopting an approach that places childhood victimization in the context of other life stressors and of prospective changes over the life course.     

Progression of functional limitations in relation to physical activity: a life course approach

In this minireview, we summarize the research results to date on the progression of functional limitations and the role of physical activity during the life course in preventing risk factor accumulation. In addition, socioeconomic and health disparities play a role in the development process of functional limitation throughout life. We discuss the potential role of physical activity in alleviating this process. Functional limitations usually develop gradually over an extended period of time while the level of physical functioning varies greatly already from midlife onwards. Current research strongly suggests that physical activity has a beneficial effect on functional limitations at different life stages on the population level. However, the potential impact of physical activity in alleviating the effects caused by socioeconomic disparities is inconsistent. Research findings are also conflicting on the extent of the effect of physical activity among certain subsets of the population, such as obese persons. Although the benefits of physical activity on physical impairments and functioning among the adult population have been confirmed, the number of adults who are physically active is too low and, for the majority, physical activity declines with older age. Thus, detailed research evidence is needed for designing effective preventive interventions starting from earlier ages and continuing throughout the lifespan across different subgroups in the population.     

The Emerging Problems of Alcohol and Substance Abuse in Late Life

Treatment of substance abuse among older adults will become increasingly important as the number of aged Americans increases. The abuse of psychoactive substances is a major contributor to excess morbidity, mortality, and homelessness among persons of all ages and socioeconomic strata regardless of race or ethnicity. Alcohol and tobacco account for the majority of substance abuse-related death and disability in the United States; the former through cerebrovascular and hepatic disease, accidents and violence, the latter through chronic pulmonary disease and malignancy. Patterns of substance abuse in late life are substantially different from those observed among younger adults. However, treatment may be less challenging. Effective diagnosis and treatment requires a nonpunitive, supportive, but persistent approach. This means the capacity to collect a substance intake history and the ability to formulate a treatment plan or referral strategy to an addiction specialist or residential treatment setting. It is also important for the practitioner to manage negative feelings toward patients who decline treatment or who are chronic abusers.     

The Emerging Problems of Alcohol and Substance Abuse in Late Life

Treatment of substance abuse among older adults will become increasingly important as the number of aged Americans increases. The abuse of psychoactive substances is a major contributor to excess morbidity, mortality, and homelessness among persons of all ages and socioeconomic strata regardless of race or ethnicity. Alcohol and tobacco accountfor the majority of substance abuse-related death and disability in the United States; the former through cerebrovascular and hepatic disease, accidents and violence, the latter through chronic pulmonary disease and malignancy. Patterns of substance abuse in late life are substantially different from those observed among younger adults. However, treatment may be less challenging. Effective diagnosis and treatment requires a nonpunitive, supportive, but persistent approach. This means the capacity to collect a substance intake history and the ability to formulate a treatment plan or referral strategy to an addiction specialist or residential treatment setting. It is also important for the practitioner to manage negative feelings toward patients who decline treatment or who are chronic abusers.     

Stress,Coping, and Mental Health Differences among Homeless People

People who are chronically homeless are assumed to have higher rates of mental health problems than episodically or new‐entry homeless individuals. It is unclear to what extent early‐life and current stressors account for this disadvantage. Guided by cumulative disadvantage theory and stress research, we analyze data from a national study of the US homeless population to examine how stressors and coping resources throughout the life course are implicated in differences among homeless people in psychiatric disorders and alcohol or other drug abuse disorders. Logistic regression analysis reveals that new‐entry homeless persons are less likely than their chronically and episodically homeless counterparts to have current psychiatric disorders. This is explained by stressors and coping resources experienced in childhood and during adult homeless spells. Alcohol and other drug abuse is common but comparable across the three homeless types and shares an association with selected stress and coping measures. Findings lend credibility to an accumulation of risks perspective, highlighting how past as well as contemporaneous stressors are related to the mental health of homeless people.     

A National Comparison of Spousal Abuse in Mid- and Old Age

This exploratory study addresses whether there are similar or different risks and protective factors associated with spousal abuse among mid-age adults (persons aged 45–59) and old-age adults (persons aged 60 and over). The risk and protective factors of abuse are compared across these two age groups and situated within a life course framework. Cross-sectional data from the 1999 and 2004 General Social Surveys are merged to address the research questions. Overall, it was found that there are as many differences as there are similarities in risk/protective factors connected to individual, relationship, and community environments. The findings are discussed in terms of program development and future research.     

Meeting the needs of abused older women? A british columbia and yukon transition house survey

ABSTRACT Older women victims of violence by a partner or family member are more often categorized as victims of elder abuse, not victims of family violence. Their needs are assessed, if at all, by social and health service agencies, often with little knowledge or understanding of domestic violence, while domestic violence policy initiatives, advocacy, and services focus on younger women and children. A survey of domestic violence services in British Columbia and the Yukon found that women over 60 years of age were a very small fraction, generally less than two percent, of women served, and those 50 to 59 years of age were also substantially under-represented. Only four percent of respondents had special services for older women. Comments from respondents confirm that abused older women face enormous difficulties in trying to establish a safe and secure future. It was also evident that better interaction is needed between those providing support and advocacy for abused women, and those who provide health and social services for older persons. A majority of the shelters provided community education to a wide range of agencies. Most have only partial accessibility to women with mobility handicaps.