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International School Parent Magazine - Autumn 2019

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6It just doesn’t seem “natural.”

Actually, there is evidence in nature that gender diversity is

naturally occurring in plants, animals and humans. Gender

identity variation can be viewed as another natural expression of

science, genetics, biology and environment.

7Why is it happening so much more now?

There is evidence that for centuries, people in cultures

around the world (Native American, Thai, Nepalese, Indian,

Samoan, Hawaiian, various African tribes) demonstrated gender

diversity and/or “two-spirit” concepts in which people were

recognized to have a balance of male and female energies and to be

respected for their related knowledge and skills (Brown, Mar 2018).

It is true that gender diversity has gotten more media attention in

the past decade or so, but the concept of gender diversity is not new.

8What is the connection between gender identity and

sexual orientation?

The answer to this question is: There isn’t necessarily a

connection. It is important to understand that gender identity,

gender expression and sexual orientation are three very different

things that often get tangled when we speak about gender. As noted

earlier, although there are some gender expansive children who

later identify as gay, there are also many gender expansive children

who identify as heterosexual. Being transgender has nothing to

do with to whom you are romantically and sexually attracted. As

someone once explained to me (in an admittedly oversimplified way)

“Sexual orientation is whom you would like to go to bed WITH;

Gender identity is whom you would like to go to bed AS.” Those

are two totally separate things. The LGB and TQ communities

have worked together to help advocate for one another and may

fall under the same umbrella in organizations. But in reality your

internal felt sense of gender is totally separate from your patterns in

romantic attraction.

9I read somewhere that transgender kids have a lot of

mental health problems. Is this true?

It is true that many children and teens who are gender

expansive experience greater levels of anxiety and depression

than children who more easily land in our traditional gender

boxes. There is a social cost to pay for being different from others

and behaving in ways that are unexpected for teachers, parents

and other adults. Most of the available research is related to gay

children and teens and the statistics for them are startling. Dr.

Caitlin Ryan did research in 2010 that suggested: without parent

support (this is critical), lesbian and gay teens and young adults are

8 times more likely to attempt suicide. They are 6 times more likely

to experience anxiety and depression. They are 3 times more likely

to develop a substance abuse problem. Additionally, according to

research, they struggle to imagine that they can have happy healthy

lives as gay or lesbian young adults. However, research suggests

that with family support gay and lesbian teens are not at greater

risk for mental health problems than other teens (Ryan, C., 2010,

Le et.al, 2016, Travers, R., 2012, Wilson et.al., 2016). Clinical

experience suggests that gender expansive and transgender kids

are at greater risk for mental health problems (anxiety, depression,

attention concerns) especially if they do not have the support of

their parents and community. It’s the alienation, judgment and

questioning that takes it toll on a child’s wellness (Barrow, Apostle

2018). In a nutshell, there is no clear evidence that gender identity

concerns are always indicative of mental health concerns.

One of the many things we know about being part of the global

nomad community is that we find ourselves faced with learning

new things and understanding there are a myriad of ways to honor

others’ identities. We are often challenged to rethink what we used

to view as “normal” and we are skilled at respecting differences

within and among people.

Because of the above, global nomad parents have an advantage

making sense of the shifting public dialogue about gender identity,

and how these concepts relate to our kids. Part Two of this series

will specifically address how to support the gender expansive and

transgender children in your lives. There are fairly clear “do’s” and

“don’ts” with the kids in our communities, and we will discuss them

fully in Part Two.

Barrow, K., Apostle, D., (2018). Addressing Mental Health Conditions Often Experienced

by Transgender and Gender Expansive Children. The Gender Affirmative Model: An

Interdisciplinary Approach to Supporting Transgender and Gender Expansive Children, pp.

71-84.

Brown, E., Mar, K., (2018) Culturally Responsive Practice With Children of Color. The

Gender Affirmative Model: An Interdisciplinary Approach to Supporting Transgender and

Gender Expansive Children, pp. 55-70.

Ehrensaft, D. 2016. The Gender Creative Child: Pathways for Nurturing and Supporting

Children Who Live Outside Gender Boxes.

Keo-Meyer, C., Ehrensaft D., (Editors) The Gender Affirmative Model; An Interdisciplinary

Approach to Supporting Transgender and Gender Expansive Children. (2018).

Pepper, R., Brill, S. 2008. The Transgender Child. A Handbook for Families and

Professionals.

Ryan, C, Rusell, ST, Huebner, D Diaz, R, Sanchez, J. Family Acceptance in Adolescence

and the Health of LGBT Young Adults. Journal of Psychiatric Child and Adolescent Nursing.

2010; 23(4): 205-213

Dr. Laura Anderson has been a licensed child and

family psychologist for nearly twenty years. For

most of her career, Dr. Anderson ‘s offices have

been primarily based in school settings. She

has worked in public, private, international and

charter preschools, elementary, middle and high

schools. Dr. Anderson has expertise in learning and

behavioral assessments, emotional/behavioral interventions in

classrooms, working with adoptive families and working with genderexpansive

children and their families. Dr. Anderson is currently based in

Oakland California, and she provides national and international training

on a variety of child psychology topics. Dr. Anderson is a founding

member Parenting-in-the-Gap, a group under the umbrella of UCSF

Mind-the-Gap that focuses on training therapists to work effectively

with family members of gender expansive youth. In the past year, Dr.

Anderson has done presentations related to supporting LGBTQ youth

and their families at the Gender Spectrum Conference, the Hawaii

Psychological Association Annual Convention, the California Adoption

Connection conference and the Families In Global Transition conference

in Amsterdam. For both personal and professional reasons, Dr. Anderson

is passionate about supporting global nomad gender expansive, nonbinary,

and transgender youth and their families.

INTERNATIONAL SCHOOL PARENT AUTUMN 2019 | 51

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