Using Intergroup Contact Theory to Reduce Stigma Against Transgender Individuals: Impact of a Transgender Speaker Panel Presentation

Sexual minorities experience significant stigma and prejudice. Much research has examined sexual stigma and prejudice impacting gay and lesbian individuals, but limited research has examined other sexual minorities, such as transgender persons or individuals whose gender identity or expression is incongruent with their assigned gender or anatomical sex. Research has found that interpersonal contact with sexual minorities is associated with lower sexual stigma and prejudice. Intergroup contact theory predicts that interaction between groups can reduce stereotyping and improve intergroup relationships. Using a randomized crossover design, this study compared the impact of exposure to a transgender speaker panel vs. a traditional transgender lecture presentation on transphobia. Results indicated greater immediate reductions of transphobia following the transgender speaker panel than traditional lecture.     

Predicted Outcome Value During Initial Interactions A Reformulation of Uncertainty Reduction Theory

This article presents an expansion and reformulation of uncertainty reduction theory. Past research indicates that support for the basic axioms of the uncertainty perspective is weak, especially with regard to initial interaction processes. It is suggested that uncertainty reduction is not the primary concern of individuals during this entry phase, as previously posited. Rather, uncertainty reduction is cast as subordinate to the more central concern of increasing positive relational outcomes. During initial interactions, uncertainty reduction is expected to enhance individuals perceived ability to forecast future relational outcomes. Important initial interaction behaviors and decisions are presumed to follow from the values these forecasted outcomes take. Several major revisions of uncertainty axioms and theorems are generated.     

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.     

Principles of Religious Prosociality: A Review and Reformulation

Historically, religion and religious belief have often been credited as the source of human morality. But what have been the real effects of religion on prosocial behavior? A review of the psychological literature reveals a complex relation between religious belief and moral action: leading to greater prosocial behavior in some contexts but not in others, and in some cases actually increasing antisocial behavior. In addition, different forms of religious belief are associated with different styles of co-operation. This body of evidence paints a somewhat messy picture of religious prosociality; however, recent examinations of the cognitive mechanisms of belief help to resolve apparent inconsistencies. In this article, we review evidence of two separate sources of religious prosociality: a religious principle associated with the protection of the religious group, and a supernatural principle associated with the belief in God, or other supernatural agents. These two principles emphasize different prosocial goals, and so have different effects on prosocial behavior depending on the target and context. A re-examination of the literature illustrates the independent influences of religious and supernatural principles on moral action.     

Heterogeneity in Transgender: A Cluster Analysis of a Thai Sample

ABSTRACT

An analysis was performed of data from an Adjective Checklist (ACL) study of identity and gender-trait stereotype in Thai MtF transgenders (Winter and Udomsak, 2002a, 2002b). Contrary to previous analyses, the current analysis employed the participants (rather than the ACL traits) as the unit of analysis. For each participant a calculation was made of the extent to which traits endorsed for actual self were also those endorsed as stereotypically male (masculine) or stereotypically female (feminine) traits. In this way gender-in-self scores (indices of masculinity, femininity, and non-differentiation) in actual self-concept (MASC, FASC, and NASC respectively) were calculated. A similar matching procedure involving ideal self led to the calculation of indices for masculinity, femininity, and non-differentiation in ideal self-concept (MISC, FISC, and NISC respectively). A cluster analysis was then performed, using these six gender-in-self scores in order to identify any groups within our sample.

Participants clustered into three substantial groups, together accounting for 98% of the data. The largest (69.9% of the sample) endorsed stereotypically male and female as well as undifferentiated traits. It could therefore be described as an androgynous group. The next, accounting for 21.4% of the sample, endorsed overwhelmingly undifferentiated traits. It was accordingly labelled the undifferentiated group. The last, accounting for 6.6% of the sample, endorsed overwhelmingly female-stereotyped traits and. in view of the fact that they had constructed for themselves such a highly stereotypically female self-concept, was labelled the feminine group. All six gender-in-self scores played a part in distinguishing the groups from each other.

For all three groups discrepancies between actual and ideal self were found, suggesting personal growth goals that led away from female stereotype.

Traits endorsed for actual self were further examined for any sign of group differences in terms of scores for 14 underlying features, as well as loadings on four higher-order factors, as employed in the Winter and Udomsak (2002b) analysis. Traits endorsed for ideal self and for gender-trait stereotyping were examined in the same way and for the same purpose.

For actual self no significant group differences were found. In contrast, several differences were found for ideal self. Trails endorsed by the undifferentiated group stood out from the others by being higher on adult ego state, conscientiousness, and emotional stability, and lower on adapted child ego state. All this was reflected in stronger loadings on resourcefulness/dependability.

Numerous group differences were identified for gender-trait stereotyping. The feminine group (compared to the other two groups) considered stereotypically female traits to be (a) higher on strength, favourability, adult and free child ego states, extraversion, agreeableness, conscientiousness, emotional stability, openness, and psychological importance, and (b) lower on adapted child ego state. All this was reflected in a stereotypical view of the female as both more caring/harmonious (a stereotypically “female” factor), as well as more resourceful/dependable (usually a stereo-typically “male” factor) than how she was viewed by the other groups. The undifferentiated group's view of the female was at the other extreme, providing a mirror image effect.

In conclusion, three groups of MtF transgenders were identified, differing from each other in terms of the degree of gender stereotypy evident in their actual and ideal self-concepts. The three groups also differed in terms of the underlying elements of the traits that they had endorsed for ideal self, as well as for gender-trait stereotypes.     

Projection,Introjection, and Projective Identification: A Reformulation

In this essay, the author recommends a reformulation of the psychoanalytic concept of pojection. The author proposes that projective processes are not merely defensive maneuvers that interfere with perception, but rather an essential means by which human perception is rendered possible. It is the manner in which human beings test and-evaluate reality in terms of their experiential structure, and their needs for survival and nourishment. Projection is the early phase of introjection.     

Cognitive-Behavioral Conjoint Therapy for PTSD: A Case Study of a Transgender Male Co-Parenting With Former Spouse and Perpetrator of Domestic Violence

Posttraumatic Stress Disorder (PTSD) symptoms have shown to contribute to intimate relationship discord (Taft et al., 2011). Cognitive-Behavioral Conjoint Therapy for PTSD (CBCT for PTSD; Monson & Fredman, 2012) is an evidence-based treatment for PTSD effective at significantly decreasing PTSD symptoms and increasing relationship satisfaction among dyads (Macdonald et al., 2016). To date, there has only been one case study examining the effectiveness of CBCT for PTSD with a sexual minority couple, (same-sex female couple) leaving uncertainty of the effectiveness of this treatment for other sexual minority couples. This case study examined a married couple’s response to treatment, in which the patient identified as a transgender male and his spouse identified as a cisgender female. The patient was diagnosed with PTSD per a Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) total score of 45 (of a maximum of 80). On the CAPS-5, the patient reported a first sexual encounter rape at age 15, from his first marriage with his ex-husband, whom he was dating at the time, as his index trauma. Of note, the patient and his wife currently co-parent two children with the patient’s ex-husband, who perpetrated daily sexual assaults for years during their marriage. Pre-treatment relationship happiness for the couple was “a little unhappy” on the Dyadic Adjustment Scale (DAS) Relationship Happiness Scale. Patient was also diagnosed with Dysthymia and responded well to continued Bupropion for depression. Following completion of the 15-session CBCT for PTSD protocol, the patient’s diagnosis of PTSD was determined to be in remission as evidenced by a post-treatment CAPS-5 total score of 7. At post-treatment the patient rated his relationship happiness as “happy” and his partner “very happy” on the DAS. The couple demonstrated clinically meaningful changes in areas of PTSD and relationship happiness. Functional improvements were also reported in the patient pursuing new employment and hobbies, improved co-parenting between the patient and his wife, improved sexual functioning, and decreased depression symptoms. Treatment gains were maintained at a 1-month and 3-month follow-up. These results demonstrate the effective use of CBCT for PTSD with a sexual minority couple that has continued co-parenting contact with a perpetrator of domestic violence.     

Introduction: Desiring Politics and the Politics of Desire

What does thinking and acting with desire make possible that might otherwise and all too often be foreclosed? How might desire help orient action toward a horizon of becoming across which collective struggle can effect affective reparation and a more capacious politics? In some ways, desire seems to be taken for as much granted as space – that is, it's everywhere, but often difficult to articulate or analytically pin down. For us, what makes desire distinct, but not discrete, from the vocabulary of affect and emotion is that it operates as both absence and lack, on the one hand, and as a profoundly productive motor and motivating force, on the other. Desire moves in ways that presuppose, exceed, and complement the range of expressions that are taken up by scholarship in this journal. In this special issue, we privilege desire, in both senses, as central among the (dis)organizing, affective forces shaping political life.     

Principle‐Based Integrative Therapy with Couples: Theory and a Case Example

The Principle‐Based Integrative Therapy (PBIT) framework harnesses the principles of change underlying each theoretical model within integrative couple therapy treatments. PBIT has commonalities with other integrative approaches, and additional advantages stemming from its four tenets that guide therapists in combining strengths across models and overcoming each of their deficiencies. Tenet 1 advises that each model adds a core principle or mechanism of action that other models do not automatically address. Tenet 2 focuses on how techniques of one model may actualize the principles of other models. Tenet 3 ensures complementarity and a lack of conflict across principles. A case study and common case considerations are presented to illustrate how Tenets 1–3 can work in integrating Cognitive‐Behavioral, Multicultural, and Emotionally Focused Therapy models in working with a couple. Finally, Tenet 4 advocates for the use of models and empirically supported principles that also have received empirical support with diverse populations. Prerequisites and training implications for PBIT, and future clinical and research directions to further the utility of PBIT are discussed.     

Reconciling Counselors’ Christian Beliefs and Lesbian,Gay, Bisexual,and Transgender Affirmation: A Grounded Theory

The purpose of this qualitative grounded theory study was to learn how 15 Christian heterosexual counselors successfully reconciled a perceived conflict between lesbian, gay, bisexual, and transgender (LGBT) affirmation and their religious beliefs. Obstacles to reconciliation, helpful factors, states, and participant characteristics were integrated into a grounded theory (the Relational Equilibrium Model) of religious‐based value conflict reconciliation to guide counselor educators and supervisors working with nonaffirming or conflicted Christian trainees to develop LGBT‐affirming dispositions and practices.     

Transnormativity and Transgender Identity Development: A Master Narrative Approach

Sex Roles - Despite rapidly shifting social dynamics and the recent increase in scholarship on transgender identity development, existing research on transgender identity has been theoretically...     

Factors Associated with Suicidality Among a National Sample of Transgender Veterans

Correlates of past‐year suicidal ideation and lifetime suicide risk among a national sample of transgender veterans were examined. An online, convenience sample of 212 U.S. transgender veterans participated in a cross‐sectional survey in February–May 2014. We evaluated associations between sociodemographic characteristics, stigma, mental health, and psychosocial resources with past‐year suicidal ideation and lifetime suicide plans and attempts. Participants reported high rates of past‐year suicidal ideation (57%) as well as history of suicide plan or attempt (66%). Transgender‐related felt stigma during military service and current posttraumatic stress disorder and depressive symptoms were associated with suicide outcomes as were economic and demographic factors.     

基于物体的选择性注意理论的证据--对一例视觉忽视病人的研究

对一例视觉忽视病人的研究发现,线段划销任务中其忽视以基于相邻性组织而形成的知觉物体为中心;对视野两侧图形是否一样的判断受连通性组织的影响;报告数字时受基于颜色的相似性组织的影响.结果为基于物体的选择性注意理论提供了神经心理学证据.