Abstract

Transgender and Gender Expansive (TGE) individuals with multiple marginalized identities are at increased risk of minority stress and trauma because of intersecting systems of oppression, such as transphobia and racism. There is limited evidence-based guidance for TGE individuals experiencing trauma, especially TGE individuals of color. This case study describes the implementation of Prolonged Exposure and informal emotion exposure with a first-generation Latino transgender man using a Feminist Therapy and Dialectical Behavior Therapy lens. Seven clinical considerations drawing from the integration of these approaches are discussed, including recognition of the sociocultural context in shaping the client’s behaviors, balancing flexibility and accountability, and balancing exposure with validation of avoidance.

摘要

由于跨性别恐惧症和种族主义等相互交叉的压迫系统，具有多重边缘化身份的跨性别者和性别扩张者 (TGE) 面临少数群体压力和创伤的风险增加。对于经历创伤的 TGE 个体，尤其是有色人种的 TGE 个体，基于证据的指导有限。本案例研究描述了使用女权主义疗法和辩证行为疗法镜头对第一代拉丁裔跨性别男性实施长期暴露和非正式情绪暴露。讨论了从这些方法的整合中得出的七个临床考虑因素，包括在塑造客户行为时认识到社会文化背景、平衡灵活性和责任感、以及平衡暴露与回避验证。