‘If they didn’t support me,I most likely wouldn’t be here’: Transgender young people and their parents negotiating medical treatment in Australia

Abstract

Background: It is increasingly recognized that transgender young people require affirming medical care, however the provision of such care may be mitigated by the availability of services and the views of parents.

Aims: This study aimed to explore the views of Australian transgender young people (aged 11–17) and their parents with regards to medical treatment.

Methods: Ten qualitative interviews were conducted with parent-child dyads in two Australian states. Thematic analysis was undertaken on responses to interview questions related to family relationships, views about medical treatment (specifically hormone blockers and hormones), and the relationship between medical treatment and sense of self.

Results: Themes developed focused on the importance of strong supportive parent-child relationships, the meaning of and access to hormone blockers, and the meaning of and access to hormones.

Discussion: The paper concludes by discussing the implications of the findings for clinical services, particularly in relation to supporting parents to be affirming of a transgender child, the need to prepare transgender young people and their parents for the passage of time in regards to medical treatment, and the need to focus on expectations in regards to sense of self in relation to medical treatment.     

Interpersonal effects of parents and adolescents on each other’s health behaviours: a dyadic extension of the theory of planned behaviour

Objective: Interpersonal relationships are important predictors of health outcomes and interpersonal influences on behaviours may be key mechanisms underlying such effects. Most health behaviour theories focus on intrapersonal factors and may not adequately account for interpersonal influences. We evaluate a dyadic extension of the Theory of Planned Behaviour by examining whether parent and adolescent characteristics (attitudes, subjective norms, perceived behavioural control and intentions) are associated with not only their own but also each other’s intentions/behaviours.

Design: Using the Actor-Partner Interdependence Model, we analyse responses from 1717 parent-adolescent dyads from the Family Life, Activity, Sun, Health, and Eating study.

Main Outcome Measures: Adolescents/parents completed self-reports of their fruit and vegetable consumption, junk food and sugary drinks consumption, engagement in physical activity, and engagement in screen time sedentary behaviours.

Results: Parent/adolescent characteristics are associated with each other’s health-relevant intentions/behaviours above the effects of individuals’ own characteristics on their own behaviours. Parent/adolescent characteristics covary with each other’s outcomes with similar strength, but parent characteristics more strongly relate to adolescent intentions, whereas adolescent characteristics more strongly relate to parent behaviours.

Conclusions: Parents and adolescents may bidirectionally influence each other’s health intentions/behaviours. This highlights the importance of dyadic models of health behaviour and suggests intervention targets.     

Is Virginia for lovers? Geographic variation in adult attachment orientation

People often use relationships to characterize and describe places. Yet, little research examines whether people’s relationships and relational style vary across geography. The current study examined geographic variation in adult attachment orientation in a sample of 127,070 adults from the 50 United States. The states that were highest in attachment anxiety tended to be in the mid-Atlantic and Northeast region of the United States. The states that were highest in attachment avoidance tended to be in the frontier region of the United States. State-level avoidance was related to state-level indicators of relationship status, social networks, and volunteering behavior. The findings are discussed in the context of the mechanisms that may give rise to regional variation in relational behavior.     

The Role of Vulnerable and Grandiose Narcissism in Psychological Perpetrated Abuse Within Couple Relationships: The Mediating Role of Romantic Jealousy

Abstract

The aim of this study was to analyze the direct and indirect relationships between the two phenotypes of narcissism, vulnerable and grandiose, and the tendency to perpetrate psychological abuse, exploring the mediating role of romantic jealousy. Our sample included 473 participants (213 males), aged 18–30 years (M?=?22.74; SD = 2.81), involved in a stable romantic relationship. A structural equation modeling was conducted to test our model and a multigroup analysis was performed to test gender differences. Results show that the two forms of narcissism are both linked to psychological perpetrated abuse, but in different ways. Vulnerable narcissism was linked to psychological abuse only indirectly, through the role of romantic jealousy. On the contrary, grandiose narcissism was positively and directly associated with psychological abuse within the romantic relationship. Moreover, the model was invariant across genders. Limitations, strengths, and theoretical and clinical implications are discussed.     

What Changes in Therapy? Who Changes?

SUMMARY

A central component of therapeutic change involves facilitating the capacity to move and be moved by the other. Another way of saying this might be that change entails experiencing a greater freedom of relational movement. The question of who and what actually changes in the process of therapy is the focus of the three vignettes that follow. They highlight, among other things, the recognition and acknowledgment of mutuality as an essential force within the relational matrix and the ever-changing landscape that this creates. Each of these examples of a change process bears, as well, a particular stamp of its own, and thus speaks to the unique personality of every therapeutic dyad.     

Centrality in children's best friend networks: The role of social behaviour

Centrality is an indicator of an individual's relative importance within a social group. Predictors of centrality in best friendship networks were examined in 146 children (70 boys and 76 girls, M_age = 9.95). Children completed measures of social confidence, social desirability, friendship quality, school liking, and loneliness and nominated their best friends from within their class at two time points, 3 months apart. Multigroup path analysis revealed gender differences in the antecedents of centrality. Social confidence, social desirability, and friendship quality predicted changes in the indicators of centrality in best friend networks over time. Boys' social behaviour positively predicted changes in centrality, whereas girls' social behaviour negatively predicted changes in centrality. Together, these findings suggest that some aspects of social behaviour are influential for centrality in best friend groups.     

Success with a twinge of distress: Antecedents and consequences of outperformance-related discomfort

Although outperforming others brings intrapersonal benefits, it may also carry interpersonal costs. The term Sensitivity about being the Target of a Threatening Upward Comparison (STTUC) captures the discomfort that outperformers may feel when they perceive that their success upsets an outperformed person. This paper reviews 20+ years of research on STTUC. It begins by defining STTUC and its three essential criteria. It then delineates situation and person variables that explain variability in STTUC. It follows by describing outperformers' varied reactions to STTUC and then explains the potential social function of STTUC.     

Extraverts categorize their daily experiences by specific social relationships

How an event is categorized may reflect the constructs that are cognitively accessible to a person. The present study examined whether extraverts categorized their daily experiences by general sociality (social versus nonsocial), specific relationships, valence, and academics/leisure. After reporting events during a one-month diary study, participants sorted their events into meaningful groupings. Extraverts tended to categorize their events by sociality and more specifically by the nature of their relationships with others. No other effects were found. Thus, what may be salient to extraverts is not just the time they spend socializing, but whom they are socializing with. This finding suggests the need to move beyond affiliation to study more specific social motives that extraverts may pursue.