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Chapter 23 - Sexual Abuse and Trauma-informed Care for Transgender and Gender Diverse People in Ob/Gyn Practice

from Section D - Sexuality and Contraception

Published online by Cambridge University Press:  22 December 2022

By
Rachel K. Narr ,
Elizabeth Kvach  and
Ryan O’Connell
Edited by
Mick van Trotsenburg ,
Rixt A. C. Luikenaar  and
Maria Cristina Meriggiola
Mick van Trotsenburg
Affiliation:
Sigmund Freud PrivatUniversität, Wien
Rixt A. C. Luikenaar
Affiliation:
Rebirth Health Center, Utah
Maria Cristina Meriggiola
Affiliation:
Università di Bologna
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Summary

Trauma-informed care has become a standard of care in many medical and mental health settings around the world. Trauma-informed care is a framework through which providers and staff attempt to foster safety, security, and empowerment as part of their service provision. This holistic approach to care, incorporating both the emotional and physical health of patients, is critical given the high incidence of trauma that is rarely reported to healthcare professionals by patients. Institutions employing a broad trauma-informed approach aim to prioritize well-being and safety for all patients, regardless of healthcare professional knowledge of each patient’s background.

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
 , pp. 172 - 181
Publisher: Cambridge University Press
Print publication year: 2022

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References

Gonzales, G, Henning-Smith, C. Barriers to care among transgender and gender nonconforming adults. Milbank Q 2017;95:726–748.Google Scholar
Edmiston, EK, Donald, CA, Sattler, AR, et al. Opportunities and gaps in primary care preventative health services for transgender patients: a systematic review. Transgend Health 2016;1:216–230.Google Scholar
Victims of Sexual Violence: Statistics | RAINN [Internet]. Available from: www.rainn.org/statistics/victims-sexual-violence [last accessed April 30, 2022].Google Scholar
Stotzer, RL. Violence against transgender people: a review of United States data. Aggress Violent Behav 2009;14:170–179.Google Scholar
Brown, TNT, Herman, JL. Intimate Partner Violence and Sexual Abuse Among LGBT People [Internet]. Williams Institute. Available from: https://williamsinstitute.law.ucla.edu/publications/ipv-sex-abuse-lgbt-people/ [last accessed April 30, 2022].Google Scholar
Smith, S, Zhang, X, Basile, K, et al. National Intimate Partner and Sexual Violence Survey: 2015 Data Brief [Internet]. Available from: www.cdc.gov/violenceprevention/datasources/nisvs/2015NISVSdatabrief.html [last accessed April 30, 2022].Google Scholar
James, S, Herman, J, Rankin, S, et al. The Report of the 2015 U.S. Transgender Survey. Published 2016. Available from: https://ncvc.dspacedirect.org/handle/20.500.11990/1299 [last accessed April 30, 2022].Google Scholar
Roberts, TK, Fantz, CR. Barriers to quality health care for the transgender population. Clin Biochem 2014;47:983–987.Google Scholar
Korpaisarn, S, Safer, JD. Gaps in transgender medical education among healthcare providers: a major barrier to care for transgender persons. Rev Endocr Metab Disord 2018;19:271–275.CrossRefGoogle Scholar
van de Grift, TC, Cohen-Kettenis, PT, Elaut, E, et al. A network analysis of body satisfaction of people with gender dysphoria. Body Image 2016;17:184–190.Google Scholar
Makadon, HJ, Mayer, KH, Potter, J, Goldhammer, H, American College of Physicians (2003–), Eds. The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health (2nd ed.). Philadelphia: American College of Physicians, 2015.Google Scholar
Schneeberger, AR, Dietl, MF, Muenzenmaier, KH, Huber, CG, Lang, UE. Stressful childhood experiences and health outcomes in sexual minority populations: a systematic review. Soc Psychiatry Psychiatr Epidemiol 2014;49:1427–1445.CrossRefGoogle ScholarPubMed
Schnarrs, PW, Stone, AL, Salcido, R, et al. Differences in adverse childhood experiences (ACEs) and quality of physical and mental health between transgender and cisgender sexual minorities. J Psychiatr Res 2019;119:1–6.CrossRefGoogle ScholarPubMed
Tosh, J. The (in)visibility of childhood sexual abuse: psychiatric theorizing of transgenderism and intersexuality. Intersectionalities 2013;2:71–87.Google Scholar
Wilson, DR. Health consequences of childhood sexual abuse. Perspect Psychiatr Care 2010;46:56–64.Google Scholar
Facts and figures: ending violence against women | What we do [Internet]. UN Women. Available from: www.unwomen.org/en/what-we-do/ending-violence-against-women/facts-and-figures [last accessed April 30, 2022].Google Scholar
Paras, ML, Murad, MH, Chen, LP, et al. Sexual abuse and lifetime diagnosis of somatic disorders: a systematic review and meta-analysis. JAMA 2009;302:550.CrossRefGoogle ScholarPubMed
Maseroli, E, Scavello, I, Campone, B, et al. Psychosexual correlates of unwanted sexual experiences in women consulting for female sexual dysfunction according to their timing across the life span. J Sex Med 2018;15:1739–1751.CrossRefGoogle ScholarPubMed
Wadsworth, P, Krahe, JAE, Searing, K. Health care seeking and engagement after sexual assault. J Nurse Pract 2019;15:801–805.Google Scholar
Seelman, KL. Unequal treatment of transgender individuals in domestic violence and rape crisis programs. J Soc Serv Res 2015;41:307–325.Google Scholar
Siverskog, A. “They just don’t have a clue”: transgender aging and implications for social work. J Gerontol Soc Work 2014;57:386–406.Google Scholar
Todahl, JL, Linville, D, Bustin, A, Wheeler, J, Gau, J. Sexual assault support services and community systems: understanding critical issues and needs in the LGBTQ community. Violence Against Women 2009;15:952–976.CrossRefGoogle ScholarPubMed
Kussin-Shoptaw, AL, Fletcher, JB, Reback, CJ. Physical and/or sexual abuse is associated with increased psychological and emotional distress among transgender women. LGBT Health 2017;4:268–274.CrossRefGoogle ScholarPubMed
Cogan, CM, Scholl, JA, Lee, JY, Cole, HE, Davis, JL. Sexual violence and suicide risk in the transgender population: the mediating role of proximal stressors. Psychol Sex 2020 (online). https://doi.org/10.1080/19419899.2020.1729847CrossRefGoogle Scholar
SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. Available from: https://store.samhsa.gov/product/SAMHSA-s-Concept-of-Trauma-and-Guidance-for-a-Trauma-Informed-Approach/SMA14-4884 [last accessed April 30, 2022].Google Scholar
Lapinski, J, Covas, T, Perkins, JM, et al. Best Practices in Transgender Health. Prim Care 2018;45:687–703.Google Scholar
Rossman, K, Sinnard, M, Budge, S. A qualitative examination of consideration and practice of consensual nonmonogamy among sexual and gender minority couples. Psychol Sex Orientat Gend Divers 2019;6:11–21.Google Scholar
Stroumsa, D, Wu, JP. Welcoming transgender and nonbinary patients: expanding the language of “women’s health.” Am J Obstet Gynecol 2018;219:585.e1–585.e5.CrossRefGoogle ScholarPubMed
Nisly, NL, Imborek, KL, Miller, ML, et al. Unique primary care needs of transgender and gender non-binary people. Clin Obstet Gynecol 2018;61:674–686.CrossRefGoogle ScholarPubMed
Potter, J, Peitzmeier, SM, Bernstein, I, et al. Cervical cancer screening for patients on the female-to-male spectrum: a narrative review and guide for clinicians. J Gen Intern Med 2015;30:1857–1864.CrossRefGoogle ScholarPubMed
Peitzmeier, SM, Reisner, SL, Harigopal, P, Potter, J. Female-to-male patients have high prevalence of unsatisfactory paps compared to non-transgender females: implications for cervical cancer screening. J Gen Intern Med 2014;29:778–784.Google Scholar
Perkins, RB, Guido, RS, Castle, PE, et al. 2019 ASCCP risk-based management consensus guidelines for abnormal cervical cancer screening tests and cancer precursors. J Low Genit Tract Dis 2020;24:102–131.CrossRefGoogle ScholarPubMed
Goldstein, Z, Martinson, T, Ramachandran, S, Lindner, R, Safer, JD. Improved rates of cervical cancer screening among transmasculine patients through self-collected swabs for high-risk human papillomavirus DNA testing. Transgend Health 2020;5:10–17.Google Scholar
Singla, AA, Komesaroff, P. Self-collected Pap smears may provide an acceptable and effective method of cervical cancer screening. Health Sci Rep 2018;1:e33.CrossRefGoogle ScholarPubMed
Reisner, SL, Deutsch, MB, Peitzmeier, SM, et al. Test performance and acceptability of self- versus provider-collected swabs for high-risk HPV DNA testing in female-to-male trans masculine patients. PLoS One 2018;13:e0190172.CrossRefGoogle ScholarPubMed
Lunny, C, Taylor, D, Hoang, L, et al. Self-collected versus clinician-collected sampling for chlamydia and gonorrhea screening: a systemic review and meta-analysis. PLoS One 2015;10:e0132776.CrossRefGoogle ScholarPubMed
Safa, B, Lin, WC, Salim, AM, Deschamps-Braly, JC, Poh, MM. Current concepts in feminizing gender surgery. Plast Reconstr Surg 2019;143:1081e–1091e.CrossRefGoogle ScholarPubMed
Cornelisse, VJ, Jones, RA, Fairley, CK, Grover, SR. The medical care of the neovagina of transgender women: a review. Sex Health 2017;14:442.Google Scholar
Deutsch, MB. Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People, 2nd ed. UCSF Transgender Care, Department of Family and Community Medicine, 2016.Google Scholar
McNeil, CJ, Kong, CS, Anglemyer, A, Levy, V, Maldonado, Y. Results of the womenʼs self-performed anal pap trial in human immunodeficiency virus-infected women. Sex Transm Dis 2016;43:433–435.Google Scholar
Kattari, SK, Begun, S. On the margins of marginalized: transgender homelessness and survival sex. Affilia 2017;32:92–103.Google Scholar
Paludi, MA. Managing Diversity in Today’s Workplace: Strategies for Employees and Employers [4 volumes]. ABC-CLIO, 2012.Google Scholar
Graham, BC, Butler, SE, McGraw, R, Cannes, SM, Smith, J. Member perspectives on the role of BDSM communities. J Sex Res 2016;53:895–909.Google Scholar
Speciale, M, Khambatta, D. Kinky & queer: exploring the experiences of LGBTQ + individuals who practice BDSM. J LGBT Issues Couns 2020;14:341–361.CrossRefGoogle Scholar
Chang, SC, Singh, AA, Dickey, LM. A Clinician’s Guide to Gender-Affirming Care: Working with Transgender & Gender-Nonconforming Clients. Oakland, CA: Context Press, 2018.Google Scholar
Grunt-Mejer, K, Łyś, A. They must be sick: consensual nonmonogamy through the eyes of psychotherapists. Sex Relatsh Ther 2019;37:1–24.Google Scholar
Slanbekova, GK, Chung, MC, Ayupova, GT, et al. The relationship between posttraumatic stress disorder, interpersonal sensitivity and specific distress symptoms: the role of cognitive emotion regulation. Psychiatr Q 2019;90:803–814.Google Scholar
Fuller, KA, Riggs, DW. Intimate relationship strengths and challenges amongst a sample of transgender people living in the United States. Sex Relatsh Ther 2021;36(4):399–412.CrossRefGoogle Scholar
National Transgender Discrimination Survey: Full Report [Internet]. National Center for Transgender Equality 2015. Available from: https://transequality.org/issues/resources/national-transgender-discrimination-survey-full-report [last accessed April 30, 2022].Google Scholar
Nadal, KL. That’s So Gay! Microaggressions and the Lesbian, Gay, Bisexual, and Transgender Community (1st ed.). Washington, DC: American Psychological Association, 2013.Google Scholar

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