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Research on Child and Adolescent Psychopathology

07-12-2024

Potential Harm in the Psychological Treatment of Sexual and Gender Minority Youth

Auteurs: Caitlin M. Pinciotti, Claire E. Cusack, Craig Rodriguez-Seijas, Lorenzo Lorenzo-Luaces, Ilana Seager van Dyk, M. Paz Galupo

Gepubliceerd in: Research on Child and Adolescent Psychopathology

Abstract

Sexual and gender minority (SGM) individuals show disproportionately high rates of mental distress relative to their cisgender, heterosexual peers resulting from minority stress, or unique identity-related stressors. The majority of research on minority stress and mental health in SGM individuals has focused on adults, a notable gap given that SGM youth face unique developmental factors that intersect with identity development and availability of support resources. SGM youth therefore represent a critical population for the mental health workforce to serve competently. Mental health providers risk significant harm to their SGM youth clients if they do not understand the mechanisms underlying mental health disparities in this population. This article will review treatment practices that carry the potential for harm with SGM youth, including harms that are more overt and attempt to change SGM identities (i.e., so-called “conversion therapies”), and others that are more covert, such as neglecting to consider SGM identity in conceptualization and treatment (e.g., eating disorders), pathologizing SGM identity and behaviors (e.g., personality disorders, social anxiety), and reinforcing stigma related to SGM identities (e.g., obsessive-compulsive disorder). Accordingly, this article reviews each of these potential harms in detail and provides alternative recommendations for affirming and justice-based treatment for SGM youth.

The authors of this work represent diverse ethnic, sexual orientation, and gender identities.

Abramowitz, J. S., Deacon, B. J., & Whiteside, S. P. H. (2011). Exposure therapy for anxiety: Principles and practice. Guilford.

American Psychiatric Association. (2013). Diagnostic and statistical Manual of Mental disorders (5th ed.). American Psychiatric Association.

Asadi, S., Suzuki, T., & Rodriguez-Seijas, C. (in press). Investigating differential item functioning among borderline personality disorder diagnostic criteria and internalizing/externalizing domains based on sexual orientation. Journal of Psychopathology and Clinical Science.

Baams, L., Grossman, A. H., & Russell, S. T. (2015). Minority stress and mechanisms of risk for depression and suicidal ideation among Lesbian, Gay, and bisexual youth. Developmental Psychology, 51(5), 688–696. https://doi.org/10.1037/a0038994CrossRefPubMedPubMedCentral

Balsam, K. F., Rothblum, E. D., & Beauchaine, T. P. (2005). Victimization over the life span: A comparison of lesbian, gay, bisexual, and heterosexual siblings. Journal of Consulting and Clinical Psychology, 73(3), 477–487. https://doi.org/10.1037/0022-006X.73.3.477CrossRefPubMed

Bennett, E. V., Welch, K. A., & Fischer, O. J. (2024). I tried to appreciate it in a different way: Older lesbian, bisexual, and queer women’s body image and embodiment across the life course. Body Image, 48, 101653. https://doi.org/10.1016/j.bodyim.2023.101653CrossRefPubMed

Brennan, J. M., Dunham, K. J., Bowlen, M., Davis, K., Ji, G., & Cochran, B. N. (2021). Inconcealable: A cognitive–behavioral model of concealment of gender and sexual identity and associations with physical and mental health. Psychology of Sexual Orientation and Gender Diversity, 8(1), 80–93. https://doi.org/10.1037/sgd0000424CrossRef

Brooks, V. R. (1981). Minority stress and lesbian women. Lexington Books.

Busby, D. R., Horwitz, A. G., Zheng, K., Eisenberg, D., Harper, G. W., Albucher, R. C., Roberts, L. W., Coryell, W., Pistorello, J., & King, C. A. (2020). Suicide risk among gender and sexual minority college students: The roles of victimization, discrimination, connectedness, and identity affirmation. Journal of Psychiatric Research, 121, 182–188. https://doi.org/10.1016/j.jpsychires.2019.11.013CrossRefPubMed

Calzo, J. P., Lopez, E. E., Silverstein, S., Brown, T. A., & Blashill, A. J. (2020). Where is the evidence of evidence-based treatment for LGBTQIA + individuals experiencing eating disorders? In C. C. Tortolani, A. B. Goldschmidt, D. Le, & Grange (Eds.), Adapting evidence-based eating disorder treaments for novel populations and settings: A practical guide (pp. 50–99). Routledge.

Campbell, T., & van der Rodgers, Y. M (2023). Conversion therapy, suicidality, and running away: An analysis of transgender youth in the U.S. Journal of Health Economics, 89, 102750. https://doi.org/10.1016/j.jhealeco.2023.102750CrossRefPubMed

Cardona, N. D., Madigan, R. J., & Sauer-Zavala, S. (2022). How minority stress becomes traumatic invalidation: An emotion-focused conceptualization of minority stress in sexual and gender minority people. Clinical Psychology: Science and Practice, 29(2), 185–195. https://doi.org/10.1037/cps0000054CrossRef

Chansky, T. E., & Kendall, P. C. (1997). Social expectancies and self-perceptions in anxiety-disordered children. Journal of Anxiety Disorders, 11(4), 347–363. https://doi.org/10.1016/S0887-6185(97)00015-7CrossRefPubMed

Chesney, E., Goodwin, G. M., & Fazel, S. (2014). Risks of all-cause and suicide mortality in mental disorders: A meta-review. World Psychiatry, 13(2), 153–160. https://doi.org/10.1002/wps.20128CrossRefPubMedPubMedCentral

Chodzen, G., Hidalgo, M. A., Chen, D., & Garofalo, R. (2019). Minority stress factors associated with depression and anxiety among transgender and gender-nonconforming youth. Journal of Adolescent Health, 64(4), 467–471. https://doi.org/10.1016/j.jadohealth.2018.07.006CrossRef

Cibich, M., & Wade, T. D. (2019). Treating bulimia nervosa in the context of gender dysphoria using 10-session cognitive behavior therapy. International Journal of Eating Disorders, 52(5), 602–606. https://doi.org/10.1002/eat.23068CrossRefPubMed

Coelho, J. S., Suen, J., Clark, B. A., Marshall, S. K., Geller, J., & Lam, P. Y. (2019). Eating disorder diagnoses and symptom presentation in transgender youth: A scoping review. Current Psychiatry Reports, 21(11), 107. https://doi.org/10.1007/s11920-019-1097-xCrossRefPubMed

Comer, J. S., Georgiadis, C., Schmarder, K., Chen, D., Coyne, C. A., Gudiño, O. G., Kazantzis, N., Langer, D. A., LeBeau, R. T., Liu, R. T., McLean, C., Sloan, D. M., Williams, M. T., & Pachankis, J. E. (2024). Reckoning with our past and righting our future: Report from the Behavior Therapy Task Force on sexual orientation and gender Identity/Expression change efforts (SOGIECEs). Behavior Therapy, 55(4), 649–679. https://doi.org/10.1016/j.beth.2024.05.006CrossRefPubMed

Conti, J., Calder, J., Cibralic, S., Rhodes, P., Meade, T., & Hewson, D. (2017). Somebody else’s roadmap’: Lived experience of Maudsley and Family-based Therapy for adolescent anorexia nervosa. Australian and New Zealand Journal of Family Therapy, 38(3), 405–429. https://doi.org/10.1002/anzf.1229CrossRef

Conti, J., Joyce, C., Natoli, S., Skeoch, K., & Hay, P. (2021). I’m still here, but no one hears you: A qualitative study of young women’s experiences of persistent distress post family-based treatment for adolescent anorexia nervosa. Journal of Eating Disorders, 9(1), 151. https://doi.org/10.1186/s40337-021-00496-4CrossRefPubMedPubMedCentral

Convertino, A. D., Helm, J. L., Pennesi, J. L., Gonzales, M., & Blashill, A. J. (2021). Integrating minority stress theory and the tripartite influence model: A model of eating disordered behavior in sexual minority young adults. Appetite, 163, 105204. https://doi.org/10.1016/j.appet.2021.105204CrossRefPubMed

Cox, N., Dewaele, A., van Houtte, M., & Vincke, J. (2010). Stress-related growth, coming out, and internalized homonegativity in lesbian, gay, and bisexual youth: An examination of stress-related growth within the minority stress model. Journal of Homosexuality, 58(1), 117–137. https://doi.org/10.1080/00918369.2011.533631CrossRef

Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theory. Psychological Bulletin, 135(3), 495–510. https://doi.org/10.1037/a0015616CrossRefPubMedPubMedCentral

Cusack, C. E., Cooper, M., Libbey, N., & Galupo, M. P. (2021). Rumination & eating psychopathology among trans and nonbinary individuals: A path analysis integrating minority stress. Eating Behaviors, 42, 101544. https://doi.org/10.1016/j.eatbeh.2021.101544CrossRefPubMed

Cusack, C. E., Iampieri, A. O., & Galupo, M. P. (2022a). I’m still not sure if the eating disorder is a result of gender dysphoria: Trans and nonbinary individuals’ descriptions of their eating and body concerns in relation to their gender. Psychology of Sexual Orientation and Gender Diversity, 9, 422–433. https://doi.org/10.1037/sgd0000515CrossRef

Cusack, C. E., Levenson, N. H., & Galupo, M. P. (2022b). Anorexia wants to kill me, Dysphoria wants me to live: Centering transgender and nonbinary experiences in eating disorder treatment. Journal of LGBTQ Issues in Counseling, 16(3), 265–284. https://doi.org/10.1080/26924951.2022.2054492CrossRef

Dank, M., Lachman, P., Zweig, J. M., & Yahner, J. (2014). Dating violence experiences of lesbian, gay, bisexual, and transgender youth. Journal of Youth and Adolescence, 43(5), 846–857. https://doi.org/10.1007/s10964-013-9975-8CrossRefPubMed

de la Fernández, L., Barrow, F., Bolhuis, K., Krebs, G., Volz, C., Nakatani, E., Heyman, I., & Mataix-Cols, D. (2013). Sexual obsessions in pediatric obsessive-compulsive disorder: Clinical characteristics and treatment outcomes. Depression and Anxiety, 30(8), 732–740. https://doi.org/10.1002/da.22097CrossRef

Denning, D. M., Newlands, R. T., Gonzales, A., & Benuto, L. T. (2022). Borderline personality disorder symptoms in a community sample of sexually and gender diverse adults. Journal of Personality Disorders, 36(6), 701–716. https://doi.org/10.1521/pedi.2022.36.6.701CrossRefPubMed

Drescher, J. (2015). Queer diagnoses revisited: The past and future of homosexuality and gender diagnoses in DSM and ICD. International Review of Psychiatry, 27(5), 386–395. https://doi.org/10.3109/09540261.2015.1053847CrossRefPubMed

Duffy, M. E., Henkel, K. E., & Earnshaw, V. A. (2016). Transgender clients’ experiences of eating disorder treatment. Journal of LGBT Issues in Counseling, 10(3), 136–149. https://doi.org/10.1080/15538605.2016.1177806CrossRefPubMedPubMedCentral

Dulit, R. A., Fyer, M. R., Miller, F. T., Sacks, M. H., & Frances, A. J. (1993). Gender differences in sexual preference and substance abuse of inpatients with Borderline personality disorder. Journal of Personality Disorders, 7(2), 182–185. https://doi.org/10.1521/pedi.1993.7.2.182CrossRef

Eisenberg, M. E., Puhl, R., & Watson, R. J. (2020). Family Weight Teasing, LGBTQ attitudes, and well-being among LGBTQ adolescents. Family & Community Health, 43(1), 17. https://doi.org/10.1097/FCH.0000000000000239CrossRef

Ellis, S. J., McNeil, J., & Bailey, L. (2014). Gender, stage of transition and situational avoidance: A UK study of trans people’s experiences. Sexual and Relationship Therapy, 29(3), 351–364. https://doi.org/10.1080/14681994.2014.902925CrossRef

Erikson, E. H. (1980). Identity and the life cycle. W. W. Norton and Company.

Farrell, C., Shafran, R., & Lee, M. (2006). Empirically evaluated treatments for body image disturbance: A review. European Eating Disorders Review, 14(5), 289–300. https://doi.org/10.1002/erv.693CrossRef

Forsythe, A., Pick, C., Tremblay, G., Malaviya, S., Green, A., & Sandman, K. (2022). Humanistic and economic burden of conversion therapy among LGBTQ youths in the United States. JAMA Pediatrics, 176(5), 493–501.CrossRefPubMedPubMedCentral

Friedman, M. S., Marshal, M. P., Guadamuz, T. E., Wei, C., Wong, C. F., Saewyc, E., & Stall, R. (2011). A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. American Journal of Public Health, 101(8), 1481–1494. https://doi.org/10.2105/AJPH.2009.190009CrossRefPubMedPubMedCentral

Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: A systematic literature review. The American Journal of Clinical Nutrition, 109(5), 1402–1413. https://doi.org/10.1093/ajcn/nqy342CrossRefPubMed

Galupo, M. P., Cusack, C. E., & Morris, E. R. (2021). Having a non-normative body for me is about survival: Androgynous body ideal among trans and nonbinary individuals. Body Image, 39, 68–76.CrossRefPubMed

Geiger, T., & Crick, N. (2010). Developmental pathways to personality disorders. In R. E. Ingram, & J. M. Price (Eds.), Vulnerability to psychopathology (Second: Risk across the lifespan (pp. 57–102). Guilford Press.

Geilhufe, B., Tripp, O., Silverstein, S., Birchfield, L., & Raimondo, M. (2021). Gender-affirmative eating disorder care: Clinical considerations for transgender and gender Expansive Children and Youth. Pediatric Annals, 50(9), e371–e378. https://doi.org/10.3928/19382359-20210820-01CrossRefPubMed

Goldbach, J. T., & Gibbs, J. J. (2017). A developmentally informed adaptation of minority stress for sexual minority adolescents. Journal of Adolescence, 55, 36–50. https://doi.org/10.1016/j.adolescence.2016.12.007CrossRefPubMed

Goldhammer, H., Crall, C., & Keuroghlian, A. S. (2019). Distinguishing and addressing gender minority stress and Borderline personality symptoms. Harvard Review of Psychiatry, 27(5), 317–325. https://doi.org/10.1097/HRP.0000000000000234CrossRefPubMed

Goldhammer, H. B., Maston, E. D., & Keuroghlian, A. S. (2019a). Addressing eating disorders and body dissatisfaction in sexual and gender minority youth. American Journal of Preventive Medicine, 56(2), 318–322. https://doi.org/10.1016/j.amepre.2018.09.011CrossRefPubMed

Gordon, A. R., Roberts, S., Silverstein, S., Rose, K. L., Lopez, E., & Calzo, J. P. (2024). What is needed for eating disorder prevention for transgender and gender diverse young adults? Findings from asynchronous online focus groups. Body Image, 48, 101667. https://doi.org/10.1016/j.bodyim.2023.101667CrossRefPubMed

Glazier, K., Wetterneck, C., Singh, S., & Williams, M. (2015). Stigma and shame as barriers to treatment for obsessive-compulsive and related disorders. Journal of Depression and Anxiety, 4(3), 4:3. https://doi.org/10.4191/2167-1044.1000191

Grange, D. L., & Lock, J. (2009). Treating Bulimia in adolescents: A family-based Approach. Guilford Press.

Green, A. E., Price-Feeney, M., Dorison, S. H., & Pick, C. J. (2020). Self-reported Conversion efforts and suicidality among US LGBTQ youths and young adults, 2018. American Journal of Public Health, 110(8), 1221–1227. https://doi.org/10.2105/AJPH.2020.305701CrossRefPubMedPubMedCentral

Guilé, J. M., Boissel, L., Alaux-Cantin, S., & de Rivière, S. G. L (2018). Borderline personality disorder in adolescents: Prevalence, diagnosis, and treatment strategies. Adolescent Health Medicine and Therapeutics, 9, 199–210. https://doi.org/10.2147/AHMT.S156565CrossRefPubMedPubMedCentral

Guzick, A. G., Reid, A. M., Balkhi, A. M., Geffken, G. R., & McNamara, J. P. H. (2020). That was Easy! Expectancy violations during exposure and response Prevention for Childhood Obsessive-compulsive disorder. Behavior Modification, 44(3), 319–342. https://doi.org/10.1177/0145445518813624CrossRefPubMed

Hartman-Munick, S. M., Silverstein, S., Guss, C. E., Lopez, E., Calzo, J. P., & Gordon, A. R. (2021). Eating disorder screening and treatment experiences in transgender and gender diverse young adults. Eating Behaviors, 41, 101517. https://doi.org/10.1016/j.eatbeh.2021.101517CrossRefPubMedPubMedCentral

Hatzenbuehler, M. L., & Pachankis, J. E. (2016). Stigma and minority stress as social determinants of health among lesbian, gay, bisexual, and transgender youth: Research evidence and clinical implications. Pediatric Clinics, 63(6), 985–997. https://doi.org/10.1016/j.pcl.2016.07.003CrossRefPubMed

Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the minority stress model. Professional Psychology: Research and Practice, 43(5), 460–467. https://doi.org/10.1037/a0029597CrossRef

Ho, F., & Mussap, A. J. (2020). Development of the trans and gender diverse social anxiety scale. Anxiety Stress and Coping, 33(6), 675–697. https://doi.org/10.1080/10615806.2020.1768533CrossRefPubMed

Iacono, G., Craig, S. L., Crowder, R., Brennan, D. J., & Loveland, E. K. (2022). A qualitative study of the LGBTQ + youth affirmative mindfulness program for sexual and gender minority youth. Mindfulness, 13(1), 222–237. https://doi.org/10.1007/s12671-021-01787-2CrossRef

Jewell, T., Blessitt, E., Stewart, C., Simic, M., & Eisler, I. (2016). Family therapy for child and adolescent eating disorders: A critical review. Family Process, 55(3), 577–594. https://doi.org/10.1111/famp.12242CrossRefPubMed

Johnco, C., & Storch, E. A. (2017). Unacceptable obsessional thoughts in children and adolescents. In J. S. Abramowitz, D. McKay, & E. A. Storch (Eds.), The Wiley Handbook of Obsessive Compulsive Disorders Vol. 1 (pp. 441–456).

Jones, R., & Malson, H. (2013). A critical exploration of lesbian perspectives on eating disorders. Psychology & Sexuality, 4(1), 62–74. https://doi.org/10.1080/19419899.2011.603349CrossRef

Jones, A., Robinson, E., Oginni, O., Rahman, Q., & Rimes, K. A. (2017). Anxiety disorders, gender nonconformity, bullying and self-esteem in sexual minority adolescents: Prospective birth cohort study. Journal of Child Psychology and Psychiatry, 58(11), 1201–1209. https://doi.org/10.1111/jcpp.12757CrossRefPubMed

Kavanaugh Jr, J. G., & Volkan, V. D. (1978). Transsexualism and a new type of psychosurgery. International Journal of Psychoanalytic Psychotherapy, 7, 366–372. PMID: 738821

Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226–239. https://doi.org/10.1016/j.cpr.2006.08.002CrossRefPubMed

Kostanski, M., Fisher, A., & Gullone, E. (2004). Current conceptualisation of body image dissatisfaction: Have we got it wrong? Journal of Child Psychology and Psychiatry, 45(7), 1317–1325. https://doi.org/10.1111/j.1469-7610.2004.00315.xCrossRefPubMed

Kramer, R. M. (1998). Paranoid cognition in Social systems: Thinking and acting in the Shadow of doubt. Personality and Social Psychology Review, 2(4), 251–275. https://doi.org/10.1207/s15327957pspr0204_3CrossRefPubMed

Last, B. S., Wuest, J., Grey, M., Rivera, D. P., Rodriguez-Seijas, C., & Lorenzo-Luaces, L. (2023). The misuse of scientific uncertainty claims in sexual orientation change efforts research: Comment on Rosik, Beckstead, and Lefevor. Psychology of Sexual Orientation and Gender Diversity. Advance online publication. https://doi.org/10.1037/sgd0000661

Lock, J., & Le Grange, D. (2015). Treatment Manual for Anorexia Nervosa, Second Edition: A Family-Based Approach. Guilford.

Lorenzo-Luaces, L., & Rodriguez-Seijas, C. A. (2023). The ABC(T)s of an Apology: When Allyship Breeds Animosity. OSF. https://doi.org/10.31234/osf.io/utzwx

Lothstein, L. M. (1984). Psychological testing with transsexuals: A 30-year study. Journal of Personality Assessment, 48(5), 500–507. https://doi.org/10.1207/s15327752jpa4805_9

Lothstein, L. M. (1980). The postsurgical transsexual: Empirical and theoretical considerations. Archives of Sexual Behavior, 9, 547–564. https://doi.org/10.1007/BF01542158

MacDonald, D. E. (2011). Impossible bodies, invisible battles: Feminist perspectives on the psychological research on and treatment of eating disorders in queer women. Journal of Gay & Lesbian Social Services, 23(4), 452–464. https://doi.org/10.1080/10538720.2011.611100CrossRef

Mahon, C. P., Lombard-Vance, R., Kiernan, G., Pachankis, J. E., & Gallagher, P. (2022). Social anxiety among sexual minority individuals: A systematic review. Psychology & Sexuality, 13(4), 818–862. https://doi.org/10.1080/19419899.2021.1936140CrossRef

Merikangas, K. R., He, J. P., Burstein, M., Swendson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the national comorbidity survey replication–adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989. https://doi.org/10.1016/j.jaac.2010.05.017CrossRefPubMedPubMedCentral

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674CrossRefPubMedPubMedCentral

Millet, N., Longworth, J., & Arcelus, J. (2017). Prevalence of anxiety symptoms and disorders in the transgender population: A systematic review of the literature. International Journal of Transgenderism, 18(1), 27–38. https://doi.org/10.1080/15532739.2016.1258353CrossRef

Munro, L., Travers, R., & Woodford, M. R. (2019). Overlooked and invisible: Everyday experiences of Microaggressions for LGBTQ adolescents. Journal of Homosexuality, 66(10), 1439–1471. https://doi.org/10.1080/00918369.2018.1542205CrossRefPubMed

Olatunji, B. O., Cisler, J. M., & Deacon, B. J. (2010). Efficacy of cognitive behavioral therapy for anxiety disorders: A review of meta-analytic findings. Psychiatric Clinics, 33(3), 557–577. https://doi.org/10.1016/j.psc.2010.04.002CrossRefPubMed

Oshin, L. A., Silamongkol, T., Pucker, H., Finkelstein, J., King, A. M., & Rizvi, S. L. (2024). And we could do better: Comparing the efficacy of dialectical behavior therapy between LGBQ and heterosexual adults with borderline personality disorder. Professional Psychology: Research and Practice, 55(1), 58–67. https://doi.org/10.1037/pro0000529CrossRef

Oswalt, S. B., & Lederer, A. M. (2017). Beyond depression and suicide: The Mental Health of Transgender College Students. Social Sciences, 6(1). https://doi.org/10.3390/socsci6010020

Pachankis, J. E., Jackson, S. D., Fetzner, B. K., Mahon, C. P., & Bränström, R. (2020). Sexual orientation concealment and Mental Health: A conceptual and Meta-Analytic Review. Psychological Bulletin, 146(10), 831–871. https://doi.org/10.1037/bul0000271CrossRefPubMedPubMedCentral

Paris, J., Zwieg-Frank, H., & Guzder, J. (1995). Psychological factors associated with homosexuality in males with borderline personality disorder. Journal of Personality Disorders, 9(1), 56–61. https://doi.org/10.1521/pedi.1995.9.1.56CrossRef

Parker, L. L., & Harriger, J. A. (2020). Eating disorders and disordered eating behaviors in the LGBT population: A review of the literature. Journal of Eating Disorders, 8, 51. https://doi.org/10.1186/s40337-020-00327-yCrossRefPubMedPubMedCentral

Pelts, M. D., & Albright, D. L. (2015). An exploratory study of Student Service Members/Veterans’ Mental Health characteristics by sexual orientation. Journal of American College Health: J of ACH, 63(7), 508–512. https://doi.org/10.1080/07448481.2014.947992CrossRefPubMed

Pinciotti, C. M., & Orcutt, H. K. (2021). Obsessive-compulsive symptoms in sexual minorities. Psychology of Sexual Orientation and Gender Diversity, 8(4), 487–495. https://doi.org/10.1037/sgd0000437

Pinciotti, C. M., Nuñez, M., Riemann, B. C., & Bailey, B. E. (2022a). Clinical presentation and treatment trajectory of gender minority patients with obsessive-compulsive disorder. Journal of Cognitive Psychotherapy, 36(1), 42–59. https://doi.org/10.1891/JCPSY-D-20-00022CrossRefPubMed

Pinciotti, C. M., Smith, Z., Singh, S., Wetterneck, C. T., & Williams, M. T. (2022b). Call to action: Recommendations for justice-based treatment of obsessive-compulsive disorder with sexual orientation and gender themes. Behavior Therapy, 53(2), 153–169. https://doi.org/10.1016/j.beth.2021.11.001CrossRefPubMed

Pinciotti, C. M., Wadsworth, L. P., Greenburg, C., & Rosenthal, K. (2024). Justice-based treatment considerations for identity-related OCD.

Pinciotti, C. M., Bezahler, A., & Feinstein, B. A. (in press). Assessment and treatment considerations for sexual and gender minority youth with OCD. In E. Storch, & A. Guzick (Eds.), Handbook of Childhood Obsessive-compulsive and related disorders. Routledge Publishing.

Porter, H. (2023). It’s not my sense of self that’s unstable, it’s the world’s sense of me: The harms of the construct of ‘personality disorders’ towards transgender communities. Journal of Psychosocial Studies, 16(2), 135–148. https://doi.org/10.1332/147867321X16862340840414CrossRef

Rawlings, Z. W., Soulliard, Z. A., & Knafo, D. (2022). When it doesn’t get better: A qualitative study of eating disorders, sexual identity, and coming out in sexual minority men. Journal of Gay & Lesbian Mental Health, 0(0), 1–26. https://doi.org/10.1080/19359705.2022.2118922CrossRef

Reich, D. B., & Zanarini, M. C. (2008). Sexual orientation and relationship choice in Borderline personality disorder over ten years of prospective Follow-Up. Journal of Personality Disorders, 22(6), 564–572. https://doi.org/10.1521/pedi.2008.22.6.564CrossRefPubMedPubMedCentral

Riddle, M. C., Robertson, L., Blalock, D. V., Duffy, A., Le Grange, D., Mehler, P. S., Rienecke, R. D., & Joiner, T. (2022). Comparing eating disorder treatment outcomes of transgender and nonbinary individuals with cisgender individuals. International Journal of Eating Disorders, 55(11), 1532–1540. https://doi.org/10.1002/eat.23812CrossRefPubMed

Roberts, S. R., Maheux, A. J., Watson, R. J., Puhl, R. M., & Choukas-Bradley, S. (2022). Sexual and gender minority (SGM) adolescents’ disordered eating: Exploring general and SGM-specific factors. International Journal of Eating Disorders, 55(7), 933–946. https://doi.org/10.1002/eat.23727CrossRefPubMed

Rodriguez-Seijas, C., & Lorenzo-Luaces, L. (2024). From allies of Conversion Therapy to accomplices of Justice: Invited concluding comment to the C&BP Special Series. Cognitive and Behavioral Practice, 31(1), 26–30. https://doi.org/10.1016/j.cbpra.2023.09.004CrossRef

Rodriguez-Seijas, C., Morgan, T. A., & Zimmerman, M. (2021a). A Population-based examination of Criterion-Level disparities in the diagnosis of Borderline personality disorder among sexual minority adults. Assessment, 28(4), 1097–1109. https://doi.org/10.1177/1073191121991922CrossRefPubMed

Rodriguez-Seijas, C., Morgan, T. A., & Zimmerman, M. (2021b). Is there a Bias in the diagnosis of Borderline Personality Disorder among Lesbian, Gay, and bisexual patients? Assessment, 28(3), 724–738. https://doi.org/10.1177/1073191120961833CrossRefPubMed

Rodriguez-Seijas, C., Morgan, T. A., & Zimmerman, M. (2023). Transgender and gender diverse patients are diagnosed with Borderline Personality Disorder more frequently than Cisgender patients regardless of Personality Pathology. Transgender Health. https://doi.org/10.1089/trgh.2023.0062CrossRef

Rodriguez-Seijas, C., Rogers, B. G., & Asadi, S. (2023b). Personality disorders research and social decontextualization: What it means to be a minoritized human. Personality Disorders: Theory Research and Treatment, 14(1), 29–38. https://doi.org/10.1037/per0000600CrossRef

Romito, M., Salk, R. H., Roberts, S. R., Thoma, B. C., Levine, M. D., & Choukas-Bradley, S. (2021). Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth. Body Image, 37, 50–62. https://doi.org/10.1016/j.bodyim.2021.01.008CrossRefPubMedPubMedCentral

Rood, B. A., Reisner, S. L., Surace, F. I., Puckett, J. A., Maroney, M. R., & Pantalone, D. W. (2016). Expecting rejection: Understanding the minority stress experiences of transgender and gender-nonconforming individuals. Transgender Health, 1(1), 151–164. https://doi.org/10.1089/trgh.2016.0012CrossRefPubMedPubMedCentral

Russell, S. T., & Fish, J. N. (2016). Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth. Annual Review of Clinical Psychology, 12(12, 2016), 465–487. https://doi.org/10.1146/annurev-clinpsy-021815-093153CrossRefPubMedPubMedCentral

Salway, T., Kinitz, D. J., Kia, H., Ashley, F., Giustini, D., Tiwana, A., Archibald, R., Mallakzadeh, A., Dromer, E., Ferlatte, O., Goodyear, T., & Abramovich, A. (2023). A systematic review of the prevalence of lifetime experience with conversion practices among sexual and gender minority populations. PloS One, 18(10), e0291768. https://doi.org/10.1371/journal.pone.0291768CrossRefPubMedPubMedCentral

Schaumberg, K., Welch, E., Breithaupt, L., Hübel, C., Baker, J. H., Munn-Chernoff, M. A., Yilmaz, Z., Ehrlich, S., Mustelin, L., Ghaderi, A., Hardaway, J. A., Bulik-Sullivan, E. C., Hedman, A. M., Jangmo, A., Nilsson, I. A. K., Wiklund, C., Yao, S., Seidel, M., & Bulik, C. M. (2017). The Science behind the Academy for eating disorders’ nine truths about eating disorders. European Eating Disorders Review: The Journal of the Eating Disorders Association, 25(6), 432–450. https://doi.org/10.1002/erv.2553CrossRefPubMed

Schimmel-Bristow, A., Haley, S. G., Crouch, J. M., Evans, Y. N., Ahrens, K. R., McCarty, C. A., & Inwards-Breland, D. J. (2018). Youth and caregiver experiences of gender identity transition: A qualitative study. Psychology of Sexual Orientation and Gender Diversity, 5(2), 273–281. https://doi.org/10.1037/sgd0000269CrossRef

Schmitz, R. M., & Tyler, K. A. (2018). Contextual constraints and choices: Strategic identity management among LGBTQ youth. Journal of LGBT Youth, 15(3), 212–226. https://doi.org/10.1080/19361653.2018.1466754CrossRef

Sharp, C., & De Clercq, B. (2020). Personality Pathology in Youth. In C. W. Lejuez, & K. L. Gratz (Eds.), The Cambridge Handbook of Personality disorders (pp. 74–90). Cambridge University Press. https://doi.org/10.1017/9781108333931.015

Sharp, C., & Wall, K. (2021). DSM-5 level of personality functioning: Refocusing personality disorder on what it means to be human. Annual Review of Clinical Psychology, 17, 313–337. https://doi.org/10.1146/annurev-clinpsy-081219-105402CrossRefPubMed

Shidlo, A., & Schroeder, M. (2002). Changing sexual orientation: A consumers’ report. Professional Psychology: Research and Practice, 33(3), 249–259. https://doi.org/10.1037/0735-7028.33.3.249CrossRef

Simone, M., Askew, A. J., Beccia, A. L., Cusack, C. E., & Pisetsky, E. M. (2023). Let the ladies know: Queer women’s perceptions of how gender and sexual orientation shape their eating and weight concerns. Culture Health & Sexuality, 1–18. https://doi.org/10.1080/13691058.2023.2189931

Singh, D., McMain, S., & Zucker, K. J. (2011). Gender identity and sexual orientation in women with borderline personality disorder. The Journal of Sexual Medicine, 8(2), 447–454. https://doi.org/10.1111/j.1743-6109.2010.02086.xCrossRefPubMed

Skemp-Arlt, K. M. (2006). Body image dissatisfaction and eating disturbances among children and adolescents: Prevalence, risk factors, and Prevention Strategies. Journal of Physical Education Recreation & Dance, 77(1), 45–51. https://doi.org/10.1080/07303084.2006.10597813CrossRef

Skinner, E. A., & Zimmer-Gembeck, M. J. (2007). The development of coping. Annual Review of Psycholology, 58(1), 119–144. https://doi.org/10.1146/annurev.psych.58.110405.085705CrossRef

Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406–414. https://doi.org/10.1007/s11920-012-0282-yCrossRefPubMedPubMedCentral

Soulliard, Z. A., Lattanner, M. R., & Pachankis, J. E. (2023). Pressure from within: Gay-Community stress and body dissatisfaction among sexual-minority men. Clinical Psychological Science, 21677026231186789. https://doi.org/10.1177/21677026231186789

Strandjord, S. E., Ng, H., & Rome, E. S. (2015). Effects of treating gender dysphoria and anorexia nervosa in a transgender adolescent: Lessons learned. International Journal of Eating Disorders, 48(7), 942–945. https://doi.org/10.1002/eat.22438CrossRefPubMed

Strang, J. F., Powers, M. D., Knauss, M., Sibarium, E., Leibowitz, S. F., Kenworthy, L., Sadikova, E., Wyss, S., Willing, L., Caplan, R., Pervez, N., Nowak, J., Gohari, D., Gomez-Lobo, V., Call, D., & Anthony, L. G. (2018). They thought it was an obsession: Trajectories and perspectives of autistic transgender and gender-diverse adolescents. Journal of Autism and Developmental Disorders, 48, 4039–4055. https://doi.org/10.1007/s10803-018-3723-6CrossRefPubMed

Testa, R. J., Habarth, J., Peta, J., Balsam, K., & Bockting, W. (2015). Development of the gender minority stress and resilience measure. Psychology of Sexual Orientation and Gender Diversity, 2(1), 65–77. https://doi.org/10.1037/sgd0000081CrossRef

Thapliyal, P., Hay, P., & Conti, J. (2018). Role of gender in the treatment experiences of people with an eating disorder: A metasynthesis. Journal of Eating Disorders. https://doi.org/10.1186/s40337-018-0207-1. 6.CrossRefPubMedPubMedCentral

Thoma, B. C., Rezeppa, T. L., Choukas-Bradley, S., Salk, R. H., & Marshal, M. P. (2021). Disparities in childhood abuse between Transgender and Cisgender adolescents. Pediatrics, 148(2), e2020016907. https://doi.org/10.1542/peds.2020-016907CrossRefPubMed

Tilley, J. L., Molina, L., Luo, X., Natarajan, A., Casolaro, L., Gonzalez, A., & Mahaffey, B. (2022). Dialectical behaviour therapy (DBT) for high-risk transgender and gender diverse (TGD) youth: A qualitative study of youth and mental health providers’ perspectives on intervention relevance. Psychology and Psychotherapy, 95(4), 1056–1070. https://doi.org/10.1111/papt.12418CrossRefPubMedPubMedCentral

Turban, J. L., King, D., Reisner, S. L., & Keuroghlian, A. S. (2019). Psychological attempts to change a person’s gender identity from Transgender to Cisgender: Estimated prevalence across US States, 2015. American Journal of Public Health, 109(10), 1452–1454. https://doi.org/10.2105/AJPH.2019.305237CrossRefPubMedPubMedCentral

Turban, J. L., Beckwith, N., Reisner, S. L., & Keuroghlian, A. S. (2020). Association between recalled exposure to gender identity Conversion efforts and psychological distress and suicide attempts among Transgender adults. JAMA Psychiatry, 77(1), 68–76. https://doi.org/10.1001/jamapsychiatry.2019.2285CrossRefPubMed

Twohig, M. P., Abramowitz, J. S., Smith, B. M., Fabricant, L. E., Jacoby, R. J., Morrison, K. L., Bluett, E. J., Reuman, L., Blakey, S. M., & Ledermann, T. (2018). Adding acceptance and commitment therapy to exposure and response prevention for obsessive-compulsive disorder: A randomized controlled trial. Behaviour Research and Therapy, 108, 1–9. https://doi.org/10.1016/j.brat.2018.06.005CrossRefPubMed

Velez, B. L., Breslow, A. S., Brewster, M. E., Cox, R. Jr., & Foster, A. B. (2016). Building a pantheoretical model of dehumanization with transgender men: Integrating objectification and minority stress theories. Journal of Counseling Psychology, 63(5), 497–508. https://doi.org/10.1037/cou0000136CrossRefPubMed

Volkan, V. D., & Berent, S. (1976). Psychiatric aspects of surgical treatment for problems of sexual identification (transsexualism). In Modern perspectives in the psychiatric aspects of surgery pp. 447–467. Palgrave Macmillan UK.

Williams, M. T., Wetterneck, C., Tellawi, G., & Duque, G. (2015). Domains of distress among people with sexual orientation obsessions. Archives of Sexual Behavior, 44(3), 783–789. https://doi.org/10.1007/s10508-014-0421-0CrossRefPubMed

Winsper, C., Lereya, S. T., Marwaha, S., Thompson, A., Eyden, J., & Singh, S. P. (2016). The aetiological and psychopathological validity of borderline personality disorder in youth: A systematic review and meta-analysis. Clinical Psychology Review, 44, 13–24. https://doi.org/10.1016/j.cpr.2015.12.001

Worthen, M. G. (2021). Why can’t you just pick one? The stigmatization of non-binary/genderqueer people by cis and trans men and women: An empirical test of norm-centered stigma theory. Sex Roles, 85(5), 343–356. https://doi.org/10.1007/s11199-020-01216-z.

Young, S., & Cocallis, K. (2023). A systematic review of the relationship between neurodiversity and psychosexual functioning in individuals with autism spectrum disorder (ASD) or attention-deficit/hyperactivity disorder (ADHD). Neuropsychiatric Disease and Treatment, 1379–1395. https://doi.org/10.2147/NDT.S319980

Zimmerman, M., Benjamin, I., & Rodriguez-Seijas, C. (accepted for publication). Psychiatric diagnoses among transgender and gender diverse patients compared with cisgender patients. Journal of Clinical Psychiatry.

Zubenko, G. S., George, A. W., Soloff, P. H., & Schulz, P. (1987). Sexual practices among patients with borderline personality disorder. The American Journal of Psychiatry, 144(6), 748–752. https://doi.org/10.1176/ajp.144.6.748CrossRefPubMed

Zullo, L., van Dyk, S., Ollen, I., Ramos, E., Asarnow, N., J., & Miranda, J. (2021). Treatment recommendations and barriers to care for suicidal LGBTQ youth: A quality improvement study. Evidence-Based Practice in Child and Adolescent Mental Health, 6(3), 393–409. https://doi.org/10.1080/23794925.2021.1950079CrossRefPubMedPubMedCentral

Titel: Potential Harm in the Psychological Treatment of Sexual and Gender Minority Youth
Auteurs: Caitlin M. Pinciotti
Claire E. Cusack
Craig Rodriguez-Seijas
Lorenzo Lorenzo-Luaces
Ilana Seager van Dyk
M. Paz Galupo
Publicatiedatum: 07-12-2024
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-024-01268-9

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Potential Harm in the Psychological Treatment of Sexual and Gender Minority Youth

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