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Experiences of Ambiguous Loss for Parents of Transgender Male Youth: A Phenomenological Exploration

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Abstract

Little research exists on the emotional experiences of family members in general, and in particular, the parents of transgender individuals during their disclosure or transition. The current literature on the family members of transgender individuals provides various models of emotional processing. These models are based on clinical work and experience with transgender individuals and their families, rather than on research. All of these models include many different emotional experiences and experiences of loss for family members. Thus, models describing loss and ambiguous loss are also helpful in understanding these experiences. This study explored parents’ experiences of ambiguous loss and manifestations of loss of their transgender male youth after the discovery or disclosure of the youth’s gender identity. Participants completed in-depth semi-structured interviews and data were analyzed using interpretive phenomenological analysis. Findings suggest some parents experience ambiguous loss while others do not. Findings also suggest that some parents experience feelings of grief as a manifestation of loss. Parents developed a variety of methods to cope with ambiguous loss; some of these methods were specific to the participant’s gender. Clinical implications are discussed, suggesting strategies for therapists working with parents of transgender youth.

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References

  • Ansara, Y. G. (2010). Beyond cisgenderism: Counselling people with non-assigned gender identities. In L. Moons (Ed.), Counselling ideologies: Queer challenges to heteronormativity. Aldershot: Ashgate.

    Google Scholar 

  • Blumer, M. L., Green, M. S., Knowles, S. J., & Williams, A. (2012). Shedding light on thirteen years of darkness: Content analysis of articles pertaining to transgender issues in marriage/couple and family therapy journals. Journal of Marital and Family Therapy, 38(s1), 244–256. doi:10.1111/j1752-0606.2012.00317.x.

    Article  PubMed  Google Scholar 

  • Blumer, M. L., Ansara, Y. G., & Watson, C. M. (2013). Cisgenderism in family therapy: How everyday clinical practices can delegitimize people’s gender self-designations. Journal of Family Psychotherapy, 24(4), 267–285. doi:10.1080/08975353.2013.849551.

    Article  Google Scholar 

  • Boss, P. (1972). Father absence in intact families. Presentation at the annual meeting of the National Council on Family Relations, Research and Theory Section. Toronto, Canada.

  • Boss, P. G. (1999). Ambiguous loss: Learning to live with unresolved grief. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Boss, P. G. (2004). Ambiguous loss research, theory, and practice: Reflections after 9/11. Journal of Marriage and Family, 66, 551–566. doi:10.1111/j.0022-2445.2004.00037.x.

    Article  Google Scholar 

  • Boss, P. G., & Couden, B. A. (2002). Ambiguous loss from chronic physical illness: Clinical interventions with individuals, couples and families. Psychotherapy in Practice, 58, 1351–1360. doi:10.1002/jclp.10083.

    Google Scholar 

  • Coolhart, D. (2012). Supporting transgender youth and their families in therapy: Facing Challenges and harnessing strengths. In J. Bigner & J. Wetchler’s (Eds.), Handbook of LGBT-affirmative couple and family therapy. New York: Routledge Press.

    Google Scholar 

  • Coolhart, D., Baker, A., Farmer, S., Malaney, M., & Shipman, D. (2013). Therapy with transsexual youth and their families: A clinical tool for assessing youth’s readiness for gender transition. Journal of Marital and Family Therapy, 39(2), 223–243. doi:10.1111/j.1752-0606.2011.00283.x.

    Article  Google Scholar 

  • Coolhart, D., & Shipman, D. L. (2017). Working towards family attunement: Family therapy with transgender and gender nonconforming children and adolescents. Psychiatric Clinics of North America, 40, 113–125. doi:10.1016/j.psc.2016.10.002.

    Article  PubMed  Google Scholar 

  • Dziengel, L. (2012). Resilience, ambiguous loss, and older same-sex couples: The resilience constellation model. Journal of Social Service Research, 38, 74–88. doi:10.1080/01488376.2011.626354.

    Article  Google Scholar 

  • Ehrensaft, D. (2011). Boys will be girls, girls will be boys: Children affect parents as parents affect children in gender nonconformity. Psychoanalytic Psychology, 28, 528–548. doi:10.1037/a0023828.

    Article  Google Scholar 

  • Ellis, K. M., & Eriksen, K. (2002). Transsexual and transgenderist experiences and treatment options. The Family Journal, 10, 289–299. doi:10.1177/10680702010003005.

    Article  Google Scholar 

  • Emerson, S., & Rosenfeld, C. (1996). Stages of adjustment in family members of transgender individuals. Journal of Family Psychotherapy, 7, 1–12. doi: 10.1300/J085V07N03_01.

    Article  Google Scholar 

  • Gates, G. (2011) (2011). How many people are lesbian, gay, bisexual and transgender?. UCLA: The Williams Institute. Retrieved from: https://escholarship.org/uc/item/09h684x2.

  • Golish, T. D., & Powell, K. A. (2003). ‘Ambiguous loss’: Managing the dialectics of grief associated with premature birth. Journal of Social and Personal Relationships, 20, 309–334. doi:10.1177/0265407503020003003.

    Article  Google Scholar 

  • Granucci-Lesser, J. (1999). When your son becomes your daughter: A mother’s adjustment to a transgender child. Families in Society, 80, 182–189. doi:10.1606/1044-3894.660.

    Article  Google Scholar 

  • Kübler-Ross, E. (1969). On death and dying: What they dying have to teach doctors, nurses, clergy, and their own families. New York, NY: Scribner.

    Google Scholar 

  • Lev, A. I. (2004). Transgender emergence: Therapeutic guidelines for working with gender variant people and their families. Binghamton: The Haworth Press, Inc.

    Google Scholar 

  • Montagne, B., Kessels, R. P., Frigerio, E., de Hann, E. H., & Perret, D. I. (2005). Sex differences in the perception of affective facial expressions: Do men really lack emotional sensitivity? Cognitive Processing, 6, 136–141. doi:10.1007/s10339-005-0050-6.

    Article  PubMed  Google Scholar 

  • Norwood, K. (2012). Transitioning meanings? Family members’ communicative struggles surrounding transgender identity. Journal of Family Communication, 12, 75–92. doi:10.1080/15267431.2010.509283.

    Article  Google Scholar 

  • Norwood, K. (2013). Grieving gender: Trans-identities, transition, and ambiguous loss. Communication Monographs, 80, 24–45. doi:10.1080/03637751.2012.739705.

    Article  Google Scholar 

  • Padgett, D. K. (2008). Qualitative methods in social work research (2nd ed.). Thousand Oaks, CA: Sage Publications, Inc.

    Google Scholar 

  • Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London: SAGE.

    Google Scholar 

  • Vanderburgh, R. (2008). Appropriate therapeutic care for families with pre-pubescent transgender/gender-dissonant children. Children and Adolescent Social Work Journal, 26, 135–154. doi:10.1007/s10560-008-0158-5.

    Article  Google Scholar 

  • Wahlig, J. L. (2015). Losing the child they thought they had: Therapeutic suggestions for an ambiguous loss perspective with parents of a transgender child. Journal of GLBT Family Studies, 11(4), 305–326. doi:10.1080/1550428X.2014.945676.

    Article  Google Scholar 

  • Wren, B. (2002). ‘I can accept my child is transsexual but if I ever see him in a dress I’ll hit him’: Dilemmas in parenting a transgendered adolescent. Clinical Child Psychology &Psychiatry, 7(3), 377. doi:10.1177/1359104502007003006.

    Google Scholar 

  • Zamboni, B. (2006). Therapeutic considerations in working with the family, friends, and partners of transgendered individuals. The Family Journal, 14, 174–179. doi:10.1177/106648070528251.

    Article  Google Scholar 

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Correspondence to Kayla Ritenour.

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Coolhart, D., Ritenour, K. & Grodzinski, A. Experiences of Ambiguous Loss for Parents of Transgender Male Youth: A Phenomenological Exploration. Contemp Fam Ther 40, 28–41 (2018). https://doi.org/10.1007/s10591-017-9426-x

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  • DOI: https://doi.org/10.1007/s10591-017-9426-x

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