people are thought about and supported in the most effective way possible at this time. No clinician has a crystal ball to foretell the future, but our collective hope is each young person we work with can develop, and we meet them where they are to ensure the best way forward.
Acknowledgments to Bernadette
Wren, James Barclay, Claudia Zitz, Ioanna Vrouva, Sarah Faithorn, Jo Levitt, Sophie Cockell, Michael Cahalan, Anastassis Spiliadis, Amanda Middleton and Alex Lantaffi.
References Anderson, H. & Goolishian, H. (1992) The client is the expert: A not-knowing approach to therapy. In S. McNamee & K. Gergen (eds.) Social Construction and the Therapeutic Process. London: Sage. Burnham, J. (1992) Approach, method and technique. Human Systems, 3: 3-27. Burnham, J. (1993) Systemic supervision: The evolution of reflexivity in the context of the supervisory relationships. Human Systems, 4: 349-381. Burnham, J. (2012) Developments in social GRRRAAACCEEESSS: Visible-invisible and voiced-unvoiced, In I-B. Krause (ed.) Culture and Reflexivity in Systemic Psychotherapy: Mutual Perspectives. London: Karnac. Burnham, J., & Harris, Q. (1996) Emerging ethnicity: A tale of three cultures. In Meeting The Needs Of Ethnic Minority Children: A Handbook For Professionals. London: Jessica Kingsley. Butler, C. (2015) Intersectionality in family therapy training: Inviting students to embrace the complexities of lived experience. Journal of Family Therapy, 37: 583-589. Cecchin, G. (1987) Hypothesizing, circularity, and neutrality revisited: An invitation to curiosity. Family Process, 26: 405-413. Crenshaw, K. (1989) Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Anti-Discrimination Doctrine, Feminist theory and Anti-Racist Politics. University of Chicago Legal Forum 139. De Vries, A.L.C. & Cohen-Kettenis, P.T. (2012) Clinical management of gender dysphoria in children and adolescents: The Dutch approach. Journal of Homosexuality, 59: 301-320. Di Ceglie, D. (2008) Working at the edge: Engaging in therapeutic work with young people with atypical gender identity development. Neuropsychiatrie de l’Enfance et de l’Adolescence, 56(6): 398-402. Eracleous, H. & Davidson, S. (2009) The gender identity development service: Examples of multi-agency working. Clinical Psychology Forum, 201: 46-50
Hardham, V. (1996) Embedded and embodied in the therapeutic relationship: Understanding the therapist’s use of self systemically. In C. Flaskas & A. Perlesz (eds.) The Therapeutic Relationship in Systemic Therapy. London: Karnac. Hatzenbuehler, M.E & 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. Paediatric Clinics of North America, 63: 985-997. Hedges, F. (2010) Reflexivity in Therapeutic Practice. Basingstoke: Palgrave Macmillan Holt, V., Skagerberg, E. & Dunsford, M. (2016) Young people with features of gender dysphoria: Demographics and associated difficulties. Clinical Child Psychology and Psychiatry, 21: 108-118. Lang, W.P., Little, M. & Cronen, V. (1990) The systemic professional: Domains of action and the question of neutrality. Human Systems: The Journal of Systemic Consultation and Management, 1: 39-55. Resnick , M.D. et al. (1997) Protecting adolescents from harm: Findings from the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association, 278 (10), 823-832. Roper-Hall, A. (1998) Working systemically with older people and their families who have “come to grief”. In P. Sutcliff (ed.) Working with the Dying and the Bereaved: Systemic Approaches to Therapeutic Work. London: Macmillan. Simons, L. Schrager, S.M., Clark, L.F., Belzer, M. & Olson, J. (2013) Parental support and mental health among transgender adolescents. Journal of Adolescent Health, 53(6): 791-3. Skagerberg et al. (2013) Self-harming thoughts and behaviours in a group of children and adolescents with gender dysphoria. International Journal of Transgenderism, 14: 86-92. Tomm, K. (1987a) Interventive interviewing: Part I. Strategizing as a fourth guideline for the therapist. Family Process, 26: 3-13. Tomm, K. (1987b) Interventive interviewing: part II. Reflexive questioning as a means to enable self-healing. Family Process, 26: 167-183 Tomm, K. (1988) Interventive interviewing: Part III. Intending to ask lineal, circular, strategic, or reflexive questions? Family Process, 27:1-15. White, M. & Epston, D. (1990) Narrative Means to Therapeutic Ends. New York: Norton. Wiseman, M. & Davidson, S. (2011) Problems with binary gender discourse: Using context to promote flexibility and connection in gender identity. Clinical Child Psychology and Psychiatry, 17(4): 528-537. Wren, B. (2014) Thinking postmodern and practising in the enlightenment: Managing uncertainty in the treatment of children and adolescents. Feminism and Psychology, 24: 271-291.
Jason Maldonado-Page: I am a Puerto Rican, American and British highly specialist family and systemic psychotherapist, clinical social worker and visiting lecturer at the Tavistock and Portman NHS Foundation Trust and in private practice in London. In my teaching and in all areas of my clinical work I am drawn to the use of self and how we each make meaning from our lived experiences. Email:
JMaldonado-Page@tavi-port.nhs.uk
Sarah Favier: I am a parent, partner and systemic psychotherapist. I identify as female and white British. I hope that systemic psychotherapy and practice can off er exploration of gender identity in relationships. Email:
SFavier@tavi-port.nhs.uk
Service email:
gids@tavi-port.nhs.uk Service website:
http://gids.nhs.uk/
22
Context 155, February 2018
An invitation to explore: A brief overview of the Tavistock and Portman Gender Identity Development Service
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64
