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Psychiatric Clinics of North America

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https://www.readbyqxmd.com/read/28159149/trans-affirmative-care-moving-from-trans-allies-to-trans-activists
#1
EDITORIAL
Lynne Carroll, Lauren Mizock
No abstract text is available yet for this article.
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159148/hormonal-and-surgical-treatment-options-for-transgender-women-and-transfeminine-spectrum-persons
#2
REVIEW
Linda M Wesp, Madeline B Deutsch
Transgender women and other transfeminine spectrum people may pursue hormonal and/or surgical gender-affirming interventions. Hormone therapy includes androgen blockade and estrogen supplementation. Approaches to hormone treatment vary widely based on patient goals and physiology. Surgical procedures are available, including genital affirmation surgery, breast augmentation, and head or neck feminization procedures. Many people are unable to obtain surgeries owing to prohibitive costs and long waiting lists...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159147/hormonal-and-surgical-treatment-options-for-transgender-men-female-to-male
#3
REVIEW
Ryan Nicholas Gorton, Laura Erickson-Schroth
Untreated transgender men face serious negative health care outcomes. Effective medical, surgical, and mental health treatment ameliorates these risks. Although the research is not as robust as would be ideal, hormone treatment is effective and generally well tolerated with few serious medical risks. Surgeries carry serious risks; but for most transgender men, the benefits outweigh the risks. This review describes current evidence-based medical treatments for transgender men and provides an overview of surgical therapy to enable practitioners to discuss these options with their transgender male patients...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159146/barriers-challenges-and-decision-making-in-the-letter-writing-process-for-gender-transition
#4
REVIEW
Stephanie L Budge, Lore M Dickey
This article addresses the challenges that clinicians face in writing letters of support for transgender and gender-diverse clients. It addresses common but challenging clinical representations to help the reader understand the nuances associated with writing letters. Three cases are presented. The first addresses systemic challenges, the second addresses management of care, and the third addresses co-occurring mental health concerns. Recommendations for practice are provided based on the experiences included within the 3 case examples...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159145/affirmative-psychological-testing-and-neurocognitive-assessment-with-transgender-adults
#5
REVIEW
Colton L Keo-Meier, Kara M Fitzgerald
Neither consensus on best practice nor validated neuropsychological, intelligence, or personality testing batteries exist for assessment and psychological testing on the transgender population. Historically, assessment has been used in a gate-keeping fashion with transgender clients. There are no firm standards of care when considering the content and appropriateness of evaluations conducted presurgically. These evaluations are discussed in the setting of other presurgical evaluations, with a recommendation to move toward a competency to make a medical decisions model...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159144/treatment-of-trauma-and-nonsuicidal-self-injury-in-transgender-adults
#6
REVIEW
Lore M Dickey, Anneliese A Singh, Daniel Walinsky
This article explores the presence of trauma and nonsuicidal self-injury (NSI) in transgender people. We explore the prevalence of trauma and NSI in transgender people, the ways in which these clinical concerns manifest across the lifespan, and special considerations for assessment and treatment. The article concludes by describing the importance of developing a strong rapport with clients and the concept of reasonably well-controlled cooccurring mental health concerns.
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159143/transgender-and-gender-diverse-clients-with-mental-disorders-treatment-issues-and-challenges
#7
REVIEW
Lauren Mizock
A number of transgender and gender diverse individuals face risks of mental health problems and suicidality, often as a result of transphobia and gender minority stress. There are many resilience and protective factors that transgender individuals use to cope with mental distress and thrive. In this article, a review of the literature on transgender and gender diverse individuals with mental health problems is provided, as well as a discussion of the protective factors that enhance resilience.
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159142/group-psychotherapy-with-transgender-and-gender-nonconforming-adults-evidence-based-practice-applications
#8
REVIEW
Nicholas C Heck
Although there are descriptions of transgender-affirmative group psychotherapy services in the literature, there is limited research on the topic. Mental health professionals who plan to offer such services should draw on evidence-based treatments, where appropriate, and have a working knowledge of current standards of care, practice guidelines, and counseling competencies. This article reviews and synthesizes the existing research and scholarship on this topic, placing an emphasis on group-specific competencies and intervention components that can be integrated into psychotherapy groups for transgender and gender nonconforming clients...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159141/past-and-future-challenges-associated-with-standards-of-care-for-gender-transitioning-clients
#9
REVIEW
Lin Fraser, Gail Knudson
This article defines a standard of care, describes their purpose in general, and then provides an overview of the World Professional Association for Transgender Health's Standards of Care for the Health of Transsexual, Transgender and Gender Nonconforming People Version 7. After a brief history of the document, past and future challenges associated with these Standards including ideas moving forward into the eighth version are presented.
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159140/affirmative-cognitive-behavior-therapy-with-transgender-and-gender-nonconforming-adults
#10
REVIEW
Ashley Austin, Shelley L Craig, Edward J Alessi
Although there is growing awareness in contemporary society regarding transgender and gender nonconforming (TGNC) identities, transgender people continue to be highly marginalized and subject to transphobic discrimination and victimization. As a result, authentically expressing and navigating a TGNC identity can be difficult. Psychiatrists and other mental health professionals can play a key role in supporting TGNC client health and well-being through the use of trans-affirmative approaches. Trans-affirmative practice recognizes all experiences of gender as equally healthy and valuable This article focuses on transgender affirmative cognitive behavior therapy...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159139/therapeutic-issues-with-transgender-elders
#11
REVIEW
Lynne Carroll
Research demonstrates that transgender and nonconforming (TGNC) elders face social isolation and discrimination in policies and practices in mental and health care settings. The purpose of this article is to provide clinicians with practical input about therapeutic issues and interventions for use with TGNC elders. A case vignette describes the challenges and rewards of therapy with an elder trans woman. Her story illustrates the complex interplay between age, life phase, and sociocultural and historical contexts...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159138/working-toward-family-attunement-family-therapy-with-transgender-and-gender-nonconforming-children-and-adolescents
#12
REVIEW
Deborah Coolhart, Daran L Shipman
Families of transgender and gender-nonconforming youth often seek therapy for assistance in understanding, accepting, and supporting their child. This article describes a gender-affirmative approach to family therapy and outlines strategies for addressing common challenges faced by the families of transgender and gender-nonconforming youth. Therapy begins by assessing family attunement and working with parents, siblings, and other family members to better support the youth. Once family attunement is achieved, therapy can begin to explore options for gender expression and/or transition...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159137/social-justice-and-advocacy-for-transgender-and-gender-diverse-clients
#13
REVIEW
Lore M Dickey, Anneliese A Singh
This article explores the role of mental health providers and advocacy for transgender people. It begins with a history of the mental health provider's relationship with transgender and gender-diverse people. The article explores the ways that major mental health professional organizations have called for providers to serve in advocacy roles. The article ends with recommendations about how to serve in an advocacy role.
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836163/the-study-of-violence-an-act-of-species-consciousness
#14
EDITORIAL
James L Knoll
No abstract text is available yet for this article.
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836162/gender-considerations-in-violence
#15
REVIEW
Renee Sorrentino, Susan Hatters Friedman, Ryan Hall
The role of gender in violence is poorly understood. Research has shown that gender has an important and, at times, distinct role in the prediction of violence. However, this gender disparity diminishes in the setting of mental illness. The risk assessment of violence in women is largely based on research in violent men. There are distinct characteristics in female violence compared with male violence. Attention to these characteristics may lead to the development of gender-dependent tools that can be used to evaluate violence risk...
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836161/violence-by-parents-against-their-children-reporting-of-maltreatment-suspicions-child-protection-and-risk-in-mental-illness
#16
REVIEW
Miranda McEwan, Susan Hatters Friedman
Psychiatrists are mandated to report suspicions of child abuse in America. Potential for harm to children should be considered when one is treating parents who are at risk. Although it is the commonly held wisdom that mental illness itself is a major risk factor for child abuse, there are methodologic issues with studies purporting to demonstrate this. Rather, the risk from an individual parent must be considered. Substance abuse and personality disorder pose a separate risk than serious mental illness. Violence risk from mental illness is dynamic, rather than static...
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836160/sex-offender-risk-assessment-and-management
#17
REVIEW
Brad D Booth, Drew A Kingston
Sexual violence is common and can have profound effects on victims compared with other forms of violence. This violence includes unwelcome and forced sexual contact on adults or children. Assessment of individuals who perpetrate sexual violence starts with a comprehensive biopsychosocial evaluation after a finding of guilt. Clinicians should then evaluate risk. Based on this assessment, a risk management plan should be developed, directed at the specific risk of the offender. Management options include external control (eg, incarceration, probation), psychotherapeutic interventions, pharmacologic interventions, and treatment of comorbidity...
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836159/stalking-and-violence
#18
REVIEW
Britta Ostermeyer, Susan Hatters Friedman, Renee Sorrentino, Brad D Booth
The three widely known stalker classifications assist in categorizing stalkers, which allows for better management of violence risk. Although 80% of stalking is done by men, women also engage in stalking, and their violence risk should not be underestimated. Juvenile stalkers do exist and juvenile stalking is also associated with violence. Clinicians can become a victim of stalking and may become victims of stalking by proxy, a special type of stalking behavior where the stalker involves other people or agencies to communicate with or track their victim...
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836158/the-clinical-threat-assessment-of-the-lone-actor-terrorist
#19
REVIEW
J Reid Meloy, Jacqueline Genzman
The Terrorist Radicalization Assessment Protocol (TRAP-18) is a structured professional judgment instrument for the assessment of individuals who present a concern for lone-actor terrorism. It consists of eight proximal warning behaviors and 10 distal characteristics. Previous research has demonstrated its interrater reliability and some concurrent and postdictive validity. In this article, TRAP-18 is retrospectively applied to the case of US Army psychiatrist and jihadist Malik Nidal Hasan, who committed a mass murder at Fort Hood, Texas in 2009...
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836157/understanding-homicide-suicide
#20
REVIEW
James L Knoll
Homicide-suicide is the phenomenon in which an individual kills 1 or more people and commits suicide. Research on homicide-suicide has been hampered by a lack of an accepted classification scheme and reliance on media reports. Mass murder-suicide is gaining increasing attention particularly in the United States. This article reviews the research and literature on homicide-suicide, proposing a standard classification scheme. Preventive methods are discussed and sociocultural factors explored. For a more accurate and complete understanding of homicide-suicide, it is argued that future research should use the full psychological autopsy approach, to include collateral interviews...
December 2016: Psychiatric Clinics of North America
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