A Reflection on the Subjective Transgender Experience in Healthcare Context: Emotion and Identity as Figures of Life Course
Our experience with transsexual individuals in healthcare is based on a psychological path, where the needs expressed by subjects are considered in the perspective of the life-course. Comprehension and attention on psychological figures are considered as the expression of identity, desires and life projects. The current evolutions of the phenomenon open doors to the possibility to reduce the distance between sexual and gender identity, also considering the social role and all the interactions that Gender Dysphoric people have in their social interactions. This work has considered important guidelines suggested by APA, to share our experience on the themes of identity, affectivity and psychological phenomena involved in the clinical relationship. This occasion provided by puntOorg International Journal (PIJ), allows us to share our perspective, which can be considered as the intention to compare methods and practices.
American Psychiatric Association (APA) (2013), Diagnostic and Statistical Manual of Mental Disorders (5th edn.), Washington, D.C.: American Psychiatric Association.
American Psychological Association (APA) (2015), “Guidelines for Psychological Practice with Transgender and Gender Nonconforming People”, American Psychologist, 70 (9): 832–864.
Beemer, B.R. (1996), “Gender Dysphoria Update”, Journal of Psychosocial Nursing and Mental Health Services, 34 (4): 12–19.
Binswanger, L. (1946), Daseinsanalyse, Psichiatria, Psicoterapia, Milan: Raffaello Cortina Editore.
Binswanger, L. (1973), Essere nel Mondo, Rome: Astrolabio.
Bourlot, G. (2018), “Qu’est-Ce Qu’une Narration? Les Fonctions Psychiques de la Narration”, L’Évolution Psychiatrique, 83 (4): 627–645.
Clark, A. (1999), Dare Corpo alla Mente, Milan: McGraw-Hill.
Fuchs, T. (2011), “Body Memory and the Unconscious”, in D. Lohmar and J. Brudzinska (eds), Founding Psychoanalysis. Phenomenological Theory of Subjectivity and the Psychoanalytical Experience, pp. 69–82, Dordrecht: Kluwer.
Gallagher, S., and Zahavi, D. (2008), La Mente Fenomenologica, Milan: Raffaello Cortina.
Husserl, E. (1900-1901), Ricerche Logiche, Milan: Mondadori.
Husserl, E. (1962), Ideas: General Introduction to Pure Phenomenology (trans. by W.R. Boyce Gibson), New York, NY: Collier Books.
Institute of Medicine (IOM) (2011), The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding, Washington, D.C.: Institute of Medicine.
Jaspers, K. (1913), Psicopatologia Generale, Rome: Il Pensiero Scientifico.
Koch, S.C. (2012), “Testing Fuchs’ Taxonomy of Body Memory: A Content Analysis of Interview Data”, in S.C. Koch, T. Fuchs, M. Summa, and C. Müller (eds), Body Memory, Metaphor and Movement, pp. 171–186, Amsterdam: John Benjamins Publishing Company.
Link, B.G., and Phelan, J.C. (2001), “Conceptualizing Stigma”, Annual Review of Sociology, 27 (1): 363–385.
Livneh, H. (2009), “Denial of Chronic Illness and Disability: Part II. Research Findings, Measurement Considerations, and Clinical Aspects”, Rehabilitation Counseling Bulletin, 53 (1): 44–55.
Merleau-Ponty, M. (1962), Phenomenology of Perception, London: Routledge & Kegan Paul.
Nowak, Z., Wańkowicz, Z., and Laudanski, K. (2015), “Denial Defense Mechanism in Dialyzed Patients”, Medical Science Monitor, 21: 1798–1805.
Rorschach, H. (1921), Psychodiagnostik. Methodik und Ergebnisse eines wahrnehmungsdiagnostischen Experiments, Bircher: Bern.
Scandurra, C., Amodeo, A.L., Valerio, P., Bochicchio, V., and Frost, D.M. (2017a), “Minority Stress, Resilience, and Mental Health: A Study of Italian Transgender People”, Journal of Social Issues, 73 (3): 563–585.
Scandurra, C., Picariello, S., Valerio, P., and Amodeo, A.L. (2017b), “Sexism, Homophobia and Transphobia in a Sample of Italian Pre-Service Teachers: The Role of Socio-Demographic Features”, Journal of Education for Teaching, 43 (2): 245–261.
Scandurra, C., Mezza, F., Valerio, P., and Vitelli, R. (2019), “Approcci Affermativi e Rilevanza del Minority Stress nel Counseling Psicologico con Persone LGBT: Una Revisione della Letteratura Internazionale”, Psicoterapia e Scienze Umane, 53 (1): 67–92.
Settineri, S., Frisone, F., and Merlo, E.M. (2018), “Psychotraumatology of Images in Gender Dysphoria”, The Open Psychology Journal, 11 (1): 222–234.
Settineri, S., Merlo, E.M., Bruno, A., and Mento, C. (2016), “Personality Assessment in Gender Dysphoria: Clinical Observation in Psychopathological Evidence”, Mediterranean Journal of Clinical Psychology, 4 (3): 1–15.
Settineri, S., Merlo, E.M., and Mento, C. (2017), “Phenomenology of the Image and of Desire in Adolescent Gender Dysphoria”, Mediterranean Journal of Clinical Psychology, 5 (3): 1–17.
Shapiro, L.A. (2010), Embodied Cognition, New York, NY: Routledge.
Sheets-Johnstone, M. (1990), The Roots of Thinking, Philadelphia, PA: Temple University Press.
Sheets-Johnstone, M. (1999), “Emotion and Movement: A Beginning Empirical-Phenomenological Analysis of Their Relationship”, Journal of Consciousness Studies, 6 (11/12): 259–277.
Signorelli, M.S. (2014), “I Disturbi Sessuali nel DSM 5: Aspetti Relazionali tra Vecchie e Nuove Diagnosi”, Quaderni di Gestalt, 1 (1): 58–64.
Simonelli, C. (2002), Psicologia dello Sviluppo Sessuale e Affettivo nell’Arco di Vita, Rome: Carocci.
Stout, G.F. (1986), Analytic Psychology, London: Literary Licensing.
Thompson, E. (2007), Mind in Life: Biology, Phenomenology and the Sciences of Mind, Cambridge, MA: Harvard University Press.
Thompson, E., and Varela, F.J. (2001), “Radical Embodiment: Neural Dynamics and Consciousness”, Trends in Cognitive Sciences, 5 (10): 418–425.
Valerio, P., Bochicchio, V., Mezza, F., Amodeo, A.L., Vitelli, R., and Scandurra, C. (2018), Adattamento Italiano delle “Linee-Guida per la Pratica Psicologica con Persone Transgender e Gender Nonconforming” dell’American Psychological Association, Ordine degli Psicologi della Campania: Collana Contesti Innovativi dell’Intervento Psicologico, Vol. 3.
Varela, F.J. (1991), “Organism: A Meshwork of Selfless Selves”, in A.I. Tauber (ed.), Organism and the Origins of Self, pp. 79–107, Dordrecht: Springer.
Varela, F.J., Thompson, E., and Rosch, E. (2017), The Embodied Mind: Cognitive Science and Human Experience, Boston, MA: MIT Press.
Vitelli, R. (2015), “Adult Male-to-Female Transgenderism: A Clinical Existential-Phenomenological Inquiry”, Journal of Phenomenological Psychology, 46 (1): 33–68.
Vitelli, R. (2018), “Binswanger, Daseinsanalyse and the Issue of the Unconscious: An Historical Reconstruction as a Preliminary Step for a Rethinking of Daseinsanalytic Psychotherapy”, Journal of Phenomenological Psychology, 49 (1): 1–42.
Weinryb, R.M., Rössel, R.J., and Åsberg, M. (1991), “The Karolinska Psychodynamic Profile. II. Interdisciplinary and Cross‐Cultural Reliability”, Acta Psychiatrica Scandinavica, 83 (1): 73–76.