Restricting the Gendered Body: Understanding the Trans-masculine Adolescent with Anorexia

AbstractIn recent years, researchers discovered that transgender and gender expansive (TGE) individuals had elevated rates of eating disorders when compared with their cisgender peers. TGE clients experience an increased risk for developing eating disorders due to co-occurring gender dysphoria and trauma from gender minority stressors. An inspection of the literature reveals a gap when searching for the trans-masculine adolescent experience of eating disorder treatment, including nominal research targeting TGE clients with eating disorders and minimal exploration of treating these phenomena concurrently. Gender dysphoria creates unique challenges to body image, prompting some TGE clients to use eating disorder behaviors to change their bodies. Gender minority stressors, such as gender-based victimization and identity non-affirmation, increase vulnerability to identity-based traumas. As eating disorder behaviors can be used to cope with trauma, TGE clients are at further risk when experiencing co-occurring identity-based trauma and gender dysphoria. This composite case study seeks to contribute to the literature by providing a description of the therapy provided over the course of two years with a trans-masculine adolescent using restrictive behaviors to change his body to alleviate symptoms of gender dysphoria, as well as to numb against identity-based traumas. Interventions across each treatment phase are grounded in the gender affirmative model, suggesting opportunities to ...
Source: Clinical Social Work Journal - Category: Psychiatry & Psychology Source Type: research