Attitudes Toward and Beliefs about Transgender Youth: A Cross-Cultural Comparison Between the United States and India

Using an internet-based survey, we examined attitudes toward transgender youth in the United States and India, two cultures with differences in conceptualizations of gender and treatment of transgender individuals in society, law, and religion. We found generally positive attitudes toward transgender youth in our U.S. (n = 218), but moderately negative ones in our Indian (n = 217), sample. Consistent with the literature on prejudice against transgender adults in many Western societies, general social conservatism in the form of religious beliefs and political ideology, gender-specific conservatism in the form of gender binary belief, and endorsement of environmental rather than biological causes of transgender identity were the best predictors of U.S. participants’ attitudes, although personal contact with gender and sexual minorities also played a role at the bivariate level. These findings suggest that the processes underlying prejudice against transgender youth are similar to those that foster adult-directed transphobia in that cultural context. In contrast, religion-based disapproval and environmental causal attributions were the best predictors of Indian respondents’ attitudes, whereas gender binary belief played only a minor role, and political conservatism and personal contact no role at all. Our regression analyses accounted for considerably more of the variability in U.S. than in Indian participants’ attitudes, highlighting the need for additional (qualitative) work to identify the factors that promote transprejudice in India. We discuss these findings in light of cross-cultural differences between the two countries in terms of our predictors and consider implications for efforts to reduce prejudice against transgender youth.     

An Argument for Separate Analyses of Attitudes Toward Lesbian, Gay, Bisexual Men, Bisexual Women, MtF and FtM Transgender Individuals

While past research has certainly investigated a variety of correlates of U.S. attitudes toward lesbians, gays, bisexual men, bisexual women, male-to-female (MtF) and female-to-male (FtM) transgender (LGBT) individuals, there are no U.S. quantitative studies that could be located that examined attitudes toward each of these groups separately. This is especially important because efforts to combat prejudices are likely to be most successful if they are based in research that explores how attitudes are both similar and different across specified targets of prejudice. Toward that goal, this essay underscores the significance of examining U.S. attitudes toward LGBT individuals as separate constructs. Both the gender and sexual orientation of the target of prejudice and the gender and sexual orientation of the respondent are highlighted as important constructs that should be considered when investigating U.S. attitudes toward LGBT individuals. First, I review previous U.S. studies that have examined attitudes toward LGBT individuals. Second, I offer arguments for how the intersections of gender and sexual orientation may affect attitudes toward LGBT individuals. Third, I discuss future considerations in studies of attitudes toward LGBT individuals in the context of multiple intersectionalities. I suggest that U.S. initiatives to reduce sexual stigma, gender nonconformity stigma, and transgender stigma should be grounded in research that highlights prejudicial attitudes as they vary by the target of prejudice and the respondents’ characteristics.     

Challenged Expectations: Mere Exposure Effects on Attitudes About Transgender People and Rights

Social categorization processes may be initiated by physical appearance, which have the potential to influence how people evaluate others. Categorizations ground what stereotypes and prejudices, if any, become activated. Gender is one of the first features people notice about others. Much less is known about individuals who may transgress gender expectations, including people who are transgender. Using an experiment, this study investigates whether the attitudes that people have about transgender people and rights are influenced by information and facial images. We hypothesize that mere exposure to transgender people, via information and images of faces, should be a source of prejudice reduction. We randomly provide participants with vignettes defining transgender and also randomize whether these vignettes come with facial images, varying the physical features of gendered individuals. We find our treatments have lower levels of discomfort and transphobia but have little effect on transgender rights attitudes. We further find that the impacts are stronger among Democrats than among Republicans. Our findings support the argument that people are in general unfamiliar with transgender people, and the mere exposure to outgroups can be a source of prejudice reduction.     

Gender Differences in Correlates of Homophobia and Transphobia

A scale of prejudice against transgender individuals was developed, validated, and contrasted with a homophobia measure in 153 female and 157 male US college undergraduates. For both sexes, transphobia and homophobia were highly correlated with each other and with right-wing authoritarianism, religious fundamentalism, and hostile sexism, but aggression proneness was predictive of transphobia and homophobia only in men. Benevolent sexism and rape myth acceptance were more predictive of transphobia and homophobia in women than men. With homophobia partialled out, authoritarianism, fundamentalism, and aggression proneness no longer predicted transphobia for men, but authoritarianism, fundamentalism, benevolent sexism, and rape myth acceptance continued to predict transphobia in women. Discussion focused on gender differences in issues that drive prejudice against transgender and homosexual individuals.     

Gender Affirmation: A Framework for Conceptualizing Risk Behavior Among Transgender Women of Color

Experiences of stigma, discrimination, and violence as well as extreme health disparities and high rates of sexual risk behavior and substance use have been well-documented among transgender women of color. Using an intersectional approach and integrating prominent theories from stigma, eating disorders, and HIV-related research, this article offers a new framework for conceptualizing risk behavior among transgender women of color, specifically sexual risk behavior and risky body modification practices. This framework is centered on the concept of ‘gender affirmation,’ the process by which individuals are affirmed in their gender identity through social interactions. Qualitative data from 22 interviews with transgender women of color from the San Francisco Bay Area in the United States are analyzed and discussed in the context of the gender affirmation framework.     

Heterosexuals’ Attitudes Toward Transgender People: Findings from a National Probability Sample of U.S. Adults

Using data from a national probability sample of heterosexual U.S. adults (N?=?2,281), the present study describes the distribution and correlates of men’s and women’s attitudes toward transgender people. Feeling thermometer ratings of transgender people were strongly correlated with attitudes toward gay men, lesbians, and bisexuals, but were significantly less favorable. Attitudes toward transgender people were more negative among heterosexual men than women. Negative attitudes were associated with endorsement of a binary conception of gender; higher levels of psychological authoritarianism, political conservatism, and anti-egalitarianism, and (for women) religiosity; and lack of personal contact with sexual minorities. In regression analysis, sexual prejudice accounted for much of the variance in transgender attitudes, but respondent gender, educational level, authoritarianism, anti-egalitarianism, and (for women) religiosity remained significant predictors with sexual prejudice statistically controlled. Implications and directions for future research on attitudes toward transgender people are discussed.     

Two Sexes,Two Genders Only: Measuring Attitudes toward Transgender Individuals in Poland

Transphobia is an under-examined but important type of prejudice to study in Polish culture. Poland is a country where a majority of transgender people feel discriminated against. There is a need for a more evidence-based measures for researchers and practitioners to better understand transphobia. The main purpose of the present three studies (n?=?300 participants for each study) was to validate the Genderism and Transphobia Scale (GTS; Hill and Willoughby 2005) and the Transphobia Scale (TS; Nagoshi et al. 2008) in Polish culture and to identify the possible psychological and demographic factors that matter in forming attitudes toward transgender individuals. The results confirm that Polish versions of both the GTS and the TS are reliable instruments to measure attitudes toward transgender individuals. Moreover, the studies revealed that both traditional and modern homonegativity, right-wing authoritarianism, social dominance orientation, religious fundamentalism, attitudes toward gender roles, and biological and cultural beliefs about the origins of gender differences were significant predictors of transphobia. As in previous studies, men were more prejudiced toward gender nonconformists in comparison to women. These studies contribute well-adapted tools for measuring transphobia and data-driven collection of significant predictors of transphobia.

     

The Association of Multiple Identities with Self‐Directed Violence and Depression among Transgender Individuals

Transgender individuals have a high prevalence of self‐directed violence; however, there is scant literature focusing on their unique experiences. The differences in self‐harm, suicidal ideation, suicide attempt, and depression based on racial/ethnic identity and sexual orientation were examined among transgender individuals. Data were gathered from the Fall 2008 and Spring 2009 National College Health Assessment. Across racial/ethnic identities, greater proportions of transgender students endorsed self‐directed violence than their cisgender peers. Among transgender individuals, sexual minorities were more likely to report suicidal ideation than their heterosexual peers, and racial/ethnic minorities had higher odds of attempting suicide than non‐Hispanic White individuals.     

Call to Action: Recommendations for Justice-Based Treatment of Obsessive-Compulsive Disorder With Sexual Orientation and Gender Themes

Gender and sexual minorities are subjected to minority stress in the form of discrimination and violence that leads to vigilance; identity concealment and discomfort; and internalized homophobia, biphobia, and transphobia. These experiences are related to increased susceptibility to mental health concerns in this population. Historically, the behavioral treatment of sexual orientation (SO) and gender-themed obsessive-compulsive disorder (OCD) has inadvertently reinforced anti-lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) stigma and contributed to minority stress in clients, treatment providers, and society at large. We present updated recommendations for treatment of SO- and gender-themed OCD through a more equitable, justice-based lens, primarily through eliminating exposures that contribute to minority stress and replacing them with psychoeducation about LGBTQ+ identities, and exposures to neutral and positive stimuli, uncertainty, and core fears. We also present recommendations for equitable research on SO- and gender-themed OCD.     

Supporting Transgender and Sex Reassignment Issues

SUMMARY

For the care provider unfamiliar with supporting transsexual and transgender persons, as well as their partners, it becomes an imperative to be able to identify this population's unique needs, transition concerns and relationship dynamics. New challenges arise as transgender clients become more prevalent within the GLBT community and contact community clinical resources. These include distinguishing between sexual orientation and the complexities of gender identity; differentiating actual transgender issues and ordinary relationship concerns; and recognizing characteristics of strong relationships versus those doomed to fail when one or both partner's needs can no longer get met.

This article reviews an abundance of stereotypes adversely affecting transgender individuals, relationships and which can taint the treatment environment. At a core level, there exists the need for care providers to recognize when having a transgender identity stops being a disorder, such as when the client is no longer gender dysphoric, and where the care provider needs to advocate the individual's right of self-determination. This includes recognizing when situational depression or anxiety and social discrimination are the actual root of ongoing individual and relationship concerns. With basic transgender knowledge, effectively supporting transgender persons and their relationships is possible for cross-specialty providers, and is recommended.     

Psychometric characteristics of the Transgender Identity Survey in an Italian sample: A measure to assess positive and negative feelings towards transgender identity

Transgender people experience systematic oppression due to societal endorsement of binary notions of gender. As a result, they are at risk for self-stigmatization via the internalization of negative attitudes about being transgender. Thus, researchers need instruments to assess the multilayered nature of transgender identity and its role in the experience of mental health and well-being. This study evaluated the psychometric characteristics of the Transgender Identity Survey (TIS) in an Italian sample of 149 transgender people. The TIS assesses levels of pride, shame, alienation, and passing in transgender populations, providing researchers and clinicians with an instrument that can evaluate both positive aspects of transgender identity and internalized transphobia. Confirmatory factor analyses showed that the original four-factor model had adequate fit to the data obtained from the Italian sample, with the exception of one item. Both convergent and predictive validity were assessed and partially confirmed, indicating that the TIS is significantly correlated with some of the enacted stigma and mental health outcome measures (perceived stress, depression, and anxiety). This study provides both clinicians and researchers with a tool to assess positive and negative aspects of identity in transgender populations.     

Straight Allies: What Predicts Heterosexuals' Alliance With the LGBT Community?1

Despite their prominence in civil rights movements, out‐group allies have been understudied. The current research examined out‐group alliance, focusing on predictors of heterosexuals' advocacy for lesbian, gay, bisexual, and transgender (LGBT) rights. Heterosexuals who were recruited through an online panel of research participants completed a survey containing measures of empathy, out‐group contact, gender, education, and attitudes toward gays and lesbians. Additionally, participants indicated whether they had engaged in several allied behaviors (e.g., donating money for LGBT causes). Women, educated individuals, and those with gay and lesbian friends were more likely to be allies. Additionally, alliance was greatest among individuals lower in prejudice and simultaneously higher in positivity toward gays and lesbians. Implications regarding intergroup relations and future research are discussed.     

Depression Among Transgender Older Adults: General and Minority Stress

This study aims to (a) examine the direct and indirect effects internalized heterosexism, disclosure of gender identity, and perceived general stress in association with depression among transgender older adults; and (b) to assess the relative contribution of each relationship. Secondary analyses of data from a large community‐based study of older sexual and gender minorities were conducted utilizing structural equation modeling with a subsample (n = 174) of transgender adults aged 50 to 86‐years old. Disclosure of gender identity had no significant direct or indirect effects on either perceived general stress or depression. Internalized heterosexism did not have a direct effect on depression, but did have a significant indirect effect through perceived general stress. Finally, perceived general stress had an additional significant direct effect on depression, over and above internalized heterosexism. Total effect sizes appear to be considerable with standardized betas greater than 5.0. Perceived general stress and internalized heterosexism independently and cumulatively have significant direct and indirect effects on depression among transgender older adults. Implications for depression among transgender older adults and the role of community psychology are discussed.     

Relationships between gender self-esteem,sexual prejudice,and trans prejudice in cisgender heterosexual college students

Our understanding of sexual prejudice, or prejudice against gay men, lesbian women, bisexual people, and other sexual minorities, has improved substantially over the last few decades. Less is known about the factors that predict trans prejudice, or prejudice against trans people. Using the framework of social identity theory, we examined the relationship between gender self-esteem, sexual prejudice toward gay men and lesbian women, and trans prejudice in a sample of 391 self-identified cisgender heterosexual students from a Midwestern university in the United States. Compared to women, men reported more sexual prejudice, trans prejudice, more prejudice toward gay men than lesbian women, and more violence toward, teasing of, and discomfort around trans women than trans men. Whereas both men and women reported more teasing of trans women than of trans men, men reported more discomfort around trans women and women reported more discomfort around trans men. Gender self-esteem significantly predicted sexual prejudice and trans prejudice in men but not women. Consistent with other research, our results indicate that men's sexual prejudice and trans prejudice may be motivated by similar factors, whereas the predictors of women's prejudice may be more specific to the type of prejudice.     

Post-Admission Cognitive Therapy for a Transgender Service Member With a Recent Suicidal Crisis: A Case Study of Gender-Affirming Care

While elevated suicide risk in the American military and veteran population has led to the development of targeted interventions, the increased risk of suicidal ideation and behavior among transgender and gender diverse (TGD) Service members requires that interventions address suicide risk within the context of minority stressors and gender-affirming care. This case study presents Jordan (an alias), a transgender Service member who received inpatient psychiatric treatment following a suicide attempt precipitated by distress relating to gender dysphoria, minority status, and associated stressors. Jordan completed Post-Admission Cognitive Therapy (PACT; Ghahramanlou-Holloway, Cox, & Greene, 2012), a cognitive-behavioral intervention targeting suicide risk among military personnel and dependents psychiatrically hospitalized following a suicidal crisis. Within the context of PACT, Jordan’s treatment included identifying and addressing distress related to minority stressors (externalized stigma, internalized transphobia, anticipated rejection, gender concealment) using gender-affirming best practices. Marked changes in Jordan's self-report measures from baseline to follow-up, as well as qualitative changes reported by Jordan, demonstrate that she felt comfortable, safe, and ready to be discharged from the inpatient unit after completing PACT treatment and gaining exposure to the skills necessary to help prevent and/or manage future suicidal crises. Treatment implications and recommendations for addressing suicide risk within the context of gender-affirming care and prevalent minority stressors are discussed.     

Predicting opposition to the civil rights of trans persons in the United Kingdom

Although there is considerable evidence tcirc trans persons are victims of discrimination, social psychologists have rarely explored prejudice against this minority group. We extrapolated from models of heterosexism to test hypotheses about support for and opposition to trans persons' civil rights. Opposition to trans persons civil rights among 151 participants was correlated with heterosexism, authoritarianism, a belief that there are only two sexes, beliefs that gender is biologically based and several demographic variables. Linear regression showed that heterosexism, authoritarianism, contact with sexual minorities and beliefs in biological gender predicted unique variance in opposition to trans persons' civil rights. Differences and similarities between prejudice towards sexual and gender minorities are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

There’s More Than Meets the Eye: Facial Appearance and Evaluations of Transsexual People

Recent events have drawn attention to the prejudice and discrimination faced by transpeople; however, there is limited research on attitudes toward transpeople. We studied the effects of facial appearance on the evaluations of transsexuals in 239 heterosexual undergraduate students from the midwestern United States. Men had significantly more negative evaluations than women. The gender of the transsexual (male-to-female or female-to-male) had limited effects on evaluations; however, the transsexual whose facial appearance was congruent with their desired gender was perceived as more attractive than the transsexual whose facial appearance was incongruent. Negative evaluations were correlated with higher levels of transphobia and sexual prejudice. Further investigation is needed on the factors that influence prejudicial attitudes toward transpeople, including physical appearance.     

Risk and Resilience Factors for Mental Health among Transgender and Gender Nonconforming (TGNC) Youth: A Systematic Review

Clinical Child and Family Psychology Review - In recent years, there has been a proliferation of research regarding transgender and gender nonconforming (TGNC) people. The stigma and legal...     

Examining Care and Opposition in the Narratives of U.S. Local Women of Color Activists

As a result of persisting stigma, transgender people experience vastly higher rates of harassment, violence, and mental health issues compared to cisgender people. The current study experimentally evaluated a computer-mediated intergroup contact strategy, called E-contact, to reduce transgender stigma. E-contact is a synchronous, cooperative, goal-directed online interaction which is informed by Allport’s intergroup contact theory. In total, 114 cisgender, heterosexual, Australian undergraduates and community members (83 women, 31 men) were randomly allocated to E-contact with an online confederate who either disclosed that they were a transgender woman or a cisgender woman. Following the online interaction, participants then completed measures assessing prior transgender contact and transgender stigma. The findings revealed that transgender E-contact reduced stigma for cisgender men whereas it had no impact on women’s already lower levels of stigma. These novel findings have important implications for researchers, policymakers and counsellors interested in developing transgender stigma reduction interventions by (a) highlighting the importance of transgender contact for those individuals with low or poor prior contact and (b) targeting prejudice-prone populations, such as men, who stand to gain the most from such cooperative, goal-directed interventions.

     

An Ecological Approach to Therapy With Gender Minorities

This special series includes four articles that review important considerations for clinical work with gender minorities, including youth and young adults, individuals who are nonbinary, transgender individuals in inpatient or residential care, and transgender individuals recovering from trauma. These articles provide important insights and concrete suggestions for how to enact affirming practice, spanning across macro, mezzo, and micro levels. Ultimately, a multilevel approach to working with transgender and gender diverse individuals is essential to addressing health disparities in this population, as the work of an affirming provider goes beyond the therapy hour and the therapy office or treatment unit. In this commentary, I review the major themes from these contributions, provide a perspective on how they fit within the existing literature, and provide an overview of pressing future directions in gender minority research.