One Size Does Not Fit All: Discover Your Personal Path to a Happier Life

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One Size Does Not Fit All: Discover Your Personal Path to a Happier Life

One Size Does Not Fit All: Discover Your Personal Path to a Happier Life

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Lemma, A. (2018). Trans-itory identities: Some psychoanalytic reflections on transgender identities. International Journal of Psychoanalysis, 99(5), 1089–1106. https://doi.org/10.1080/00207578.2018.1489710. The primary implications of this are that cultural and contextual sensitivity and awareness seem essential for recognizing diversity. However, these factors are unlikely to result in mental health professionals breaking completely free from their own culture and context to truly understand and experience the world of diverse children and families through a different cultural lens. Rather, they should be helpful for recognizing the mental health provider’s own assumptions, expectations, norms, biases etc. and to open the door to exploring how these correspond to those of “others”– that is their patients and families. Examining enacted culture (i.e., actual behavior) in their diverse patients may be a better indicator of core beliefs, norms, etc. than getting reports of expressed culture. Societal culture is experienced by these families and youths through the filters of the “closer” levels (e.g., organizations, family). Therefore, as with the other levels, this makes it inappropriate to assume one’s culture based on observable or knowable characteristics. Rather, cultural considerations must be one of the driving forces in improving services for diverse children and youth and cultural ways of healing should be honored, supported and funded. This might require a paradigmatic shift in how we approach and offer mental health care that seriously considers diversity, culture and context. The most successful leaders are able to adapt their leadership style to the situation,” agreed Robyn Benincasa, CEO of World Class Teams and a seasoned firefighter in San Diego. “They become the person their team needs them to be in that moment.” 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.2019.305237. Malgady RG, Zayas LH. Cultural and linguistic considerations in psychodiagnosis with Hispanics: The need for an empirically informed process model. Social Work. 2001; 46(1):39–49. [ PubMed] [ Google Scholar]

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Pay attention to what your people need now — not what they needed in the past. “Leaders often confuse experience with expertise,” Githens said. Just because you’ve done something the same way over and over doesn’t mean it will work again or in every situation. “If you are sharp-eyed enough to notice what’s going on, you will recognize what the situation requires.” Centers for Disease Control and Prevention (CDC). (2014–2017). Behavioral risk factor surveillance system survey data. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Retrieved September 7, 2020 from https://www.cdc.gov/brfss/data_documentation/index.htm. Politically, the phrase has come to mean that methods of administration or political beliefs in one country should not necessarily be applied to another.

Orne, M. T. (1962). On the social psychology of the psychological experiment: With particular reference to demand characteristics and their implications. American Psychologist, 17, 776–783. Rashid, M., & Tamimy, M. S. (2013). Phalloplasty: The dream and the reality. Indian Journal of Plastic Surgery, 46(2), 283–293.

Klink, D., Caris, M., Heijboer, A., van Trotsenburg, M., & Rotteveel, J. (2015). Bone mass in young adulthood following gonadotropin-releasing hormone analog treatment and cross-sex hormone treatment in adolescents with gender dysphoria. Journal of Clinical Endocrinology & Metabolism, 100(2), E270–E275. https://doi.org/10.1210/jc.2014-2439. While the levers of a personalized influence model remain the same, the tactics within each become contextualized to suit individual needs (see Exhibit). But there are also ways in which the organizational culture negatively impacts patients. For example, it is very common in conversations and documentation in mental health facilities, to refer to “Mom” (i.e., “Mom has a new boyfriend,”“Mom just started a new job,” etc). This somewhat innocuous language seems a serious violation of understanding both individual and family culture and recognizing families and individuals as unique (“Mom” as a proper noun is only appropriate in our culture to be used by a woman’s offspring or others who view her as playing a “mothering” role in their lives). It is not used as a name for unrelated adult women (except in mental health settings). To do so suggests either (a) a familiarity that is inappropriate, or (b) a stereotype of the role that can be used as short-hand to describe the “typical” mother of a child with mental health problems. Either of these suggests an organizational culture that devalues families and individuals and resorts to simplistic categorizations to understand the needs, expectations and likely behavior of others. Lauritsen JL. Racial and ethnic differences in juvenile offending. Our children, their children: Confronting racial and ethnic differences in American juvenile justice. 2005:83–104. [ Google Scholar]

Cicchetti D, Rizley R. Developmental perspectives on the etiology, intergenerational transmission, and sequelae of child maltreatment. New Directions for Child and Adolescent Development. 2006; 1981(11):31–55. [ Google Scholar] You may also opt to downgrade to Standard Digital, a robust journalistic offering that fulfils many user’s needs. Compare Standard and Premium Digital here. Change the plan you will roll onto at any time during your trial by visiting the “Settings & Account” section. What happens at the end of my trial? Frazier SL, Cappella E, Atkins MS. Linking mental health and after school systems for children in urban poverty: Preventing problems, promoting possibilities. Administration and Policy in Mental Health and Mental Health Services Research. 2007; 34(4):389–399. [ PubMed] [ Google Scholar]

Dean R. The myth of cross-cultural competence. Families in Society: The Journal of Contemporary Human Services. 2001; 82(6):623–630. [ Google Scholar] Bertolote, J. M., Fleischmann, A., De Leo, D., & Wasserman, D. (2004). Psychiatric diagnoses and suicide: Revisiting the evidence. Crisis, 25(4), 147–155. https://doi.org/10.1027/0227-5910.25.4.147.Joseph, T., Ting, J., & Butler, G. (2019). The effect of GnRH analogue treatment on bone mineral density in young adolescents with gender dysphoria: Findings from a large national cohort. Journal of Pediatric Endocrinology and Metabolism, 32(10), 1077–1081. https://doi.org/10.1515/jpem-2019-0046. Schneider, M. A., Spritzer, P. M., Soll, B. M. B., Fontanari, A. M. V., Carneiro, M., Tovar-Moll, F., et al. (2017). Brain maturation, cognition and voice pattern in a gender dysphoria case under pubertal suppression. Frontiers in Human Neuroscience, 11. https://doi.org/10.3389/fnhum.2017.00528. Burkard AW, Ponterotto JG, Reynolds AL, Alfonso VC. White counselor trainees' racial identity and working alliance perceptions. Journal of Counseling and Development. 1999; 77(3):324–329. [ Google Scholar] The fact that coercive techniques to force unwanted changes in individuals are unethical and have no place is modern psychotherapy is self-evident and needs no additional justification. However, as we have demonstrated, Turban et al. ( 2020) failed to prove that GICE, as defined by affirmative answers to the USTS question, caused poor mental health or suicide attempts in study subjects. Further, since Turban et al. failed to establish equivalence between GICE, which likely subsumes a range of ethical non-affirmative interventions, and “gender conversion therapy,” which implies unethical and coercive attempts to force a change in one’s identity, their use of the study findings in support of a ban on “gender conversion therapy” is without any foundation.



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