Other Psychology Commons^™

Early Childhood Language Gains, Kindergarten Readiness, And Grade 3 Reading Achievement, Jessica A.R. Logan, Shayne B. Piasta, Kelly M. Purtell, Robert Nichols, Rachel E. Schachter

Department of Child, Youth, and Family Studies: Faculty Publications

In this preregistered study, we used latent change score models to address two research aims: (1) whether preschool-aged children's language gains, over a year of early childhood education, were associated with later performance on state-mandated, literacy-focused kindergarten readiness and Grade 3 reading achievement assessments, and (2) whether gains in language, a more complex skill, predicted these outcomes after controlling for more basic emergent literacy skills. There were 724 participating children (mean = 57 months; 51% male; 76% White, 12% Black, 6% multiple races, and 5% Hispanic or Latino). We found that language gains significantly predicted kindergarten readiness when estimated in …

Validation Of The Short Version (Tls-15) Of The Triangular Love Scale (Tls-45) Across 37 Languages, Marta Kowal, Piotr Sorokowski, Bojana M. Dinić, Katarzyna Pisanski, Biljana Gjoneska, David A. Frederick, Gerit Pfuhl, Taciano L. Milfont, Adam Bode, Leonardo Aguilar, Felipe E. García, S. Craig Roberts, Beatriz Abad-Villaverde, Tina Kavčič, Kirill G. Miroshnik, Izuchukwu L. G. Ndukaihe, Katarína Šafárová, Jaroslava V. Valentova, Toivo Aavik, Angélique M. Blackburn, Hakan Çetinkaya, Izzet Duyar, Farida Guemaz, Tatsunori Ishii, Pavol Kačmár, Jean C. Natividade, Ravit Nussinson, Mohd Sofian B. Omar-Fauzee, Ma. Criselda T. Pacquing, Koen Ponnet, Austin H. Wang, Gyesook Yoo, Rizwana Amin, Ekaterine Pirtskhalava, Reza Afhami, Alexios Arvanitis, Derya Atamturk Duyar, Théo Besson, Mahmoud Boussena, Seda Can, Ali R. Can, João Carneiro, Rita Castro, Dimitri Chubinidze, Ksenija Čunichina, Yahya B. Don, Seda Dural, Edgardo Etchezahar, Feten Fekih-Romdhane, Tomasz Frackowiak, Nasim Ghahraman Moharrampour, Talia Gomez Yepes, Simone Grassini, Marija Jovic, Kevin S. Kertechian, Farah Khan, Aleksander Kobylarek, Valerija Križanić, Samuel Lins, Tetyana Mandzyk, Efisio Manunta, Tamara Martinac Dorčić, Kavitha N. Muthu, Arooj Najmussaqib, Tobias Otterbring, Ju Hee Park, Irena Pavela Banai, Mariia Perun, Marc Eric S. Reyes, Jan P. Röer, Ayşegül Şahin, Fatima Zahra Sahli, Dušana Šakan, Sangeeta Singh, Sanja Smojver-Azic, Sinem Söylemez, Ognen Spasovski, Anna Studzinska, Ezgi Toplu-Demirtaş, Arkadiusz Urbanek, Tatiana Volkodov, Anna Wlodarczyk, Mohd Faiz Mohd Y. Yaakob, Mat Rahimi Yusof, Lindsay Zumwalt, Marcos Zumárraga‑Espinosa, Kelly Zupan, Maja Zupančič, Robert J. Sternberg

Psychology Faculty Articles and Research

Love is a phenomenon that occurs across the world and affects many aspects of human life, including the choice of, and process of bonding with, a romantic partner. Thus, developing a reliable and valid measure of love experiences is crucial. One of the most popular tools to quantify love is Sternberg’s 45-item Triangular Love Scale (TLS-45), which measures three love components: intimacy, passion, and commitment. However, our literature review reveals that most studies (64%) use a broad variety of shortened versions of the TLS-45. Here, aiming to achieve scientific consensus and improve the reliability, comparability, and generalizability of results across …

Undernutrition In Older Children And Adolescents In Peri-Urban Zambia, Shela Sridhar, Janella S. Kang, Isabel Madzorera, Ethan Zulu, Joyce Makasa, Sally Bell Cross, Davidson H. Hamer

Department of Child, Youth, and Family Studies: Faculty Publications

Background: Adolescents make up roughly a quarter of the population in Zambia; however, most nutrition-related programming is targeted at the underfive population. Understanding the scale of undernutrition in older children and adolescents is fundamental to alleviating food insecurity and addressing undernutrition across all age groups.

Methods: A cross-sectional survey was performed in four low-income, peri-urban compounds in Chilanga District which included anthropometric measurements of children between ages 6 months-19 years and a household-level diet diversity and food security questionnaire. Wasting was used for children under 5 and thinness for children 5–19 years. Descriptive analysis and multivariate logistic regression …

Undernutrition In Older Children And Adolescents In Peri-Urban Zambia, Shela Sridhar, Janella S. Kang, Isabel Madzorera, Ethan Zulu, Joyce Makasa, Sally Bell Cross, Davidson H. Hamer

Department of Child, Youth, and Family Studies: Faculty Publications

Background: Adolescents make up roughly a quarter of the population in Zambia; however, most nutrition-related programming is targeted at the underfive population. Understanding the scale of undernutrition in older children and adolescents is fundamental to alleviating food insecurity and addressing undernutrition across all age groups.

Methods: A cross-sectional survey was performed in four low-income, peri-urban compounds in Chilanga District which included anthropometric measurements of children between ages 6 months-19 years and a household-level diet diversity and food security questionnaire. Wasting was used for children under 5 and thinness for children 5–19 years. Descriptive analysis and multivariate logistic regression …

Patterns Of Classroom Organization In Classrooms Where Children Exhibit Higher And Lower Language Gains, Laura Cutler, Rachel E. Schachter, Clariebelle Gabas, Shayne B. Piasta, Kelly M. Purtell, Nathan P. Helsabeck

Department of Child, Youth, and Family Studies: Faculty Publications

Previous research suggests that the ways in which early childhood classrooms are organized may facilitate children’s language learning. However, different measures of classroom organization often yield inconsistent findings regarding child outcomes. In this study, we investigated multiple aspects of classroom organization across two time points in classrooms where children made varying language gains. Using a purposeful sample of 60 early childhood classrooms, 30 in which children made higher language gains and 30 in which children made lower language gains, we explored the organization of the physical classroom literacy environment, classroom management, classroom time, and classroom activities. Research Findings: Results indicated …

Historical Trauma: Literary And Testimonial Responses To Hiroshima, Mariam Ghonim

Theses and Dissertations

The concept of trauma is controversial in literature. While one may be able to come up with ways to describe trauma in fiction, representing historical trauma is a hard task for writers. Some argue that trauma can not be described through those who did not experience it, while others claim that, provided some elements are added, one can represent trauma to the reader. This thesis focuses on twentieth-century historical traumas related to a nuclear catastrophe and explores the different literary and testimonial responses to the catastrophic man-made event of Hiroshima (1945). In this thesis, Kathleen Burkinshaw’s historical fiction The Last …

Coparenting Support In The Context Of Difficult Children: Mother And Father Differences, Victoria J. Johnson, Dongho Choi, Lorey A. Wheeler, Patty X. Kuo

Department of Child, Youth, and Family Studies: Faculty Publications

While parenting children with difficult behaviors can intensify stress within the entire family system, families may lean on other familial relationships to mitigate that stress. The coparenting relationship is known to play a key role within the family system for child outcomes and familial interactions, but it is not clear whether it eases the stress and challenge of raising a difficult child, nor how that plays out differently for mothers versus fathers. Ninety-six couples (89.7% married) parenting young children (Mean age = 3.22 years) were included in this study. Using cross-sectional and aggregated daily response data, actor–partner interdependence models were …

Coparenting Support In The Context Of Difficult Children: Mother And Father Differences, Victoria J. Johnson, Dongho Choi, Lorey A. Wheeler, Patty X. Kuo

Department of Child, Youth, and Family Studies: Faculty Publications

While parenting children with difficult behaviors can intensify stress within the entire family system, families may lean on other familial relationships to mitigate that stress. The coparenting relationship is known to play a key role within the family system for child outcomes and familial interactions, but it is not clear whether it eases the stress and challenge of raising a difficult child, nor how that plays out differently for mothers versus fathers. Ninety-six couples (89.7% married) parenting young children (Mean age = 3.22 years) were included in this study. Using cross-sectional and aggregated daily response data, actor–partner interdependence models were …

Making Mistakes: Children’S Errors As Opportunities For Emergent Literacy Learning In Early Childhood, Clariebelle Gabas, Laura Cutler, Rachel E. Schachter

Department of Child, Youth, and Family Studies: Faculty Publications

Errors are a natural part of children’s knowledge building and learning experiences in early childhood (EC). Importantly, errors can be a powerful tool for tailoring instruction to children’s specific needs and supporting learning processes (Seifried & Wuttke, 2010). The leveraging of errors to support children’s emergent literacy learning became apparent to us when we examined data from a recent observational study of teachers’ practices in EC classrooms with children 3–5 years old. In our study of 400 classrooms, we identified the 30 classrooms in which children demonstrated the highest language gains and the 30 classrooms in which children demonstrated the …

Early Childhood Teachers’ Emergent Literacy Data Practices, Rachel E. Schachter, Gloria Yeomans-Maldonado, Shayne B. Piasta

Department of Child, Youth, and Family Studies: Faculty Publications

Despite a growing focus on access to and use of emergent literacy assessment in early childhood, little is known about early childhood teachers’ data practices and their associations with children’s emergent literacy skills. A questionnaire was used to confirm and elaborate findings from prior qualitative work (Schachter & Piasta, 2022) investigating U.S. teachers’ emergent literacy data practices. We focused on how teachers gathered data (data gathering), what they learned from those data (data knowledge), and how they used those data in their practice (data use) along with associations between the practices and children’s emergent literacy skills. Overall, teachers reported engaging …

Systematic Review Of Reflection Spectroscopy-Based Skin Carotenoid Assessment In Children, Saima Hasnin, Dipti Dev, Taren Swindle, Susan B. Sisson, Stephanie Jilcott Pitts, Tirna Purkait, Shari C. Clifton, Jocelyn Dixon, Virginia C. Stage

Department of Child, Youth, and Family Studies: Faculty Publications

Assessing children’s skin carotenoid score (SCS) using reflection spectroscopy (RS) is a non-invasive, widely used method to approximate fruit and vegetable consumption (FVC). The aims for the current review were to (1) identify distributions of SCS across demographic groups, (2) identify potential non-dietary correlates for RS-based SCS, (3) summarize the validity and reliability of RSbased SCS assessment, and (4) conduct meta-analyses of studies examining the correlation between RS-based SCS with FVC. A literature search in eight databases in June 2021 resulted in 4880 citations and peer-reviewed publications written in English that investigated children’s (2–10 years old) SCS using RS. We …

An Exploratory Study Of How Measuring Knowledge-In-Use Adds Value Beyond Static Knowledge Measures, Julie Dwyer, Rachel E. Schachter, Alessandra E. Ward

Department of Child, Youth, and Family Studies: Faculty Publications

Research-supported knowledge about how children develop language is considered foundational for high-quality instruction and as such, measuring and developing teachers’ knowledge has been emphasized across the field of early childhood. However, there is a critical gap in understanding how this static knowledge gained through pre-service and in-service experiences is connected to enacted practice. To address this, we compared teachers’ static knowledge regarding language development as assessed via a traditional paper and pencil measure with their knowledge used in-the-moment during language interactions with children via stimulated recall interviews. Ten educators from a variety of early childhood programs completed the surveys and …

The Often‑Circuitous Path To Affirming Mental Health Care For Transgender And Gender‑Diverse Adults, Natalie Holt, Debra Hope, Richard Mocarski, Nathan Woodruff

Trans Collaborations Academic Papers

Purpose of Review We describe recent research regarding access to affirming mental health services for transgender and gender-diverse (TGD) adults and explore new resources available for therapists to inform evidence-based practice with TGD clients.

Recent Findings Barriers and facilitators at all socioecological levels impact TGD adults’ mental health help-seeking. TGD adults often interface with mental health providers while accessing gender-affirming medical care, though new standards of care are likely to alter this typically common path to mental health services. Efforts to improve therapist education, such as therapy manuals, are increasingly available and a necessary step to increase the number of …

Communication With Families: Understanding The Perspectives Of Early Childhood Teachers, Pearl Avari, Erin Hamel, Rachel E. Schachter, Holly Hatton-Bowers

Department of Child, Youth, and Family Studies: Faculty Publications

Communication between teachers and families in early childhood is a key aspect of successful teacher-family engagement. The goal of this exploratory study was to investigate how teachers communicated with families in early childhood classrooms and what they communicated about. This study of 31 teachers working with children birth to age five, primarily in the Midwestern U.S. examined how they described communication with families using semi-structured interviews. Findings indicated that teachers used multiple formats to communicate with families about children’s daily routines, developmental progress, and other relevant information. Teachers preferred in-person communication although challenges occurred due to classroom dynamics and the …

Syrian Refugee Women’S Maternal Mental Health Perceptions, Coping Strategies, And Help-Seeking Practices In Lebanon, Nada A. Alnaji, Julie A. Tippens, Wael Elrayes

Department of Child, Youth, and Family Studies: Faculty Publications

Introduction: Globally, 27 million female refugees of reproductive age are subjected to numerous socio-ecological factors that increase their risks of mental health issues, especially during the postpartum period. This study seeks to explore Syrian refugee mothers’ experiences and perceptions of postpartum depression.

Methods: We used a qualitative phenomenological approach to interview purposively sampled typical postpartum Syrian mothers living in informal camps in Lebanon to evaluate their maternal mental health perceptions, coping strategies, and help-seeking practices.

Results: Results revealed three major themes: conceptualizing maternal depression as extraordinary and ordinary, cultural perceptions of mental health help-seeking, and coping with negative emotions.

Discussions: …

The Creation Of The Global Scales For Early Development (Gsed) For Children Aged 0–3 Years: Combining Subject Matter Expert Judgements With Big Data, Gareth Mccray, Dana Mccoy, Patricia Kariger, Magdalena Janus, Maureen M. Black, Susan M. Chang, Fahmida Tofail, Iris Eekhout, Marcus Waldman, Stef Van Buuren, Rasheda Khanam, Sunil Sazawal, Ambreen Nizar, Yvonne Schönbeck, Arsène Zongo, Alexandra Brentani, Yunting Zhang, Tarun Dua, Vanessa Cavallera, Abbie Raikes, Ann M. Weber, Kieran Bromley, Abdullah Baqui, Arunangshu Dutta, Imran Nisar, Symone B. Detmar, Romuald Anago, Pacifico Mercadante, Fan Jiang, Raghbir Kaur, Katelyn Hepworth, Marta Rubio-Codina, Samuel N. Kembou, Salahuddin Ahmed, Gill A. Lancaster, Melissa Gladstone

Department of Child, Youth, and Family Studies: Faculty Publications

Introduction With the ratification of the Sustainable Development Goals, there is an increased emphasis on early childhood development (ECD) and well-being. The WHO led Global Scales for Early Development (GSED) project aims to provide population and programmatic level measures of ECD for 0–3 years that are valid, reliable and have psychometrically stable performance across geographical, cultural and language contexts. This paper reports on the creation of two measures: (1) the GSED Short Form (GSED-SF)— a caregiver reported measure for population-evaluation— self-administered with no training required and (2) the GSED Long Form (GSED-LF)— a directly administered/observed measure for programmatic evaluation—administered by …

Food Waste, Preference, And Cost: Perceived Barriers And Self-Reported Food Service Best Practices In Family Child Care Homes, Divya Patel, Daisy Butzer, Bethany D. Williams, Dipti Dev, Diane Horm, Denise Finneran, Bryce Lowery, Janis E. Campbell, Susan B. Sisson

Department of Child, Youth, and Family Studies: Faculty Publications

Background: Family Child Care Homes (FCCHs) are a setting where providers care for children at their own residence. FCCHs face unique challenges, and children may not always receive optimal nutrition and have higher risk of obesity compared to other programs. The objective of this study was to determine differences in food service best practices scores between FCCHs who did/did not perceive barriers to serving healthy meals. Methods: FCCHs (n = 167) self-reported demographics and perceived barriers to serving healthy foods. Nutrition and Physical Activity Self-Assessment for Child Care was used to assess food served with 1 (indicating poor practice) …

Approaches Mainline Protestant Pastors Use To Work With Lgb People And Their Families: Implications For Family Therapists, Christi R. Mcgeorge, Katelyn O. Coburn

Department of Child, Youth, and Family Studies: Faculty Publications

When a loved one comes out as lesbian, gay, or bisexual (LGB), families often seek the assistance of a trusted professional. For many families that involves seeking the consultation of a religious leader. This queer theory informed qualitative study sought to explore how Christian pastors work with LGB individuals and their families. Additionally, this study explored how pastors’ approaches to working with LGB individuals and their families varied based on the degree to which families were accepting or rejecting of their LGB family members. Twenty-one mainline Protestant Christian pastors were interviewed. Thematic analysis identified three themes and a number of …

An Exploratory Study Of Early Childhood Coaches’ Practices And Professional Learning Needs, Rachel E. Schachter, Holly Hatton-Bowers, Hayley Jackson, Lisa Knoche

Department of Child, Youth, and Family Studies: Faculty Publications

Coaching is increasingly being used as a mechanism to improve the quality of early childhood education. Yet, for coaching outside of researcher-controlled interventions, limited information details coaches’ reports of their practices’ professional learning needs. We addressed this gap via an exploratory study utilizing online questionnaires of 91 coaches working with educators in a Midwestern US state across 12 coaching initiatives. Most participants had less than 5 years of experience working as an early childhood coach. Almost a third coached for multiple initiatives. Coaching occurred via multiple formats and often addressed behavior management and social emotional development regardless of the coaching …

Sexual Harassment As A Narrative Contest, Christine Vossler

Doctoral Dissertations

This dissertation examines how stories shape both the perpetration of sexual harassment and the experiences of victims during and after sexual harassment. During and after the experience of sexual harassment, a narrative contest transpires between the harasser, victim, and others who contribute to the contest by engaging in the formal and informal conversations that follow known experiences of harassment in the workplace. I analyze 22 public statements, interviews, and investigative reports, including statements from men accused of sexual harassment, women who were sexually harassed, and bystanders. A narrative framework, including concepts of narrative believability and story credibility, is used to …

The Politics Of The Self: Psychedelic Assemblages, Psilocybin, And Subjectivity In The Anthropocene, Joshua Falcon

FIU Electronic Theses and Dissertations

This dissertation examines how psychedelic substances become drawn into particular sociohistorical and political arrangements, and how psychedelic experiences with psilocybin ‘magic mushrooms’ are used as tools of subjectivation. Guided by literatures in philosophy, critical theory, and the social sciences that focus on subjectivity, assemblage theory, and critical posthumanism, I argue that psychedelics are drawn into variegated assemblages, each of which conceptualizes the nature of psychedelics in highly specific ways that reflect implicit conceptions of the world and the self. In developing the concept of psychedelic assemblages, this research provides a window onto the politics of the self in the Anthropocene. …

Happiness And Policy Implications: A Sociological View, Sarah M. Kahl

Dissertations, Theses, and Capstone Projects

The World Happiness Report is released every year, ranking each country by who is “happier” and explaining the variables and data they have used. This project attempts to build from that base and create a machine learning algorithm that can predict if a country will be in a “happy” or “could be happier” category. Findings show that taking a broader scope of variables can better help predict happiness. Policy implications are discussed in using both big data and considering social indicators to make better and lasting policies.

Reaching For The Stars: A Constructivist Investigation Of Astrology As A Tool For Self-Discovery In A New Age Of Leadership, Cameron Martin

Dissertations

To fully understand leadership in today’s world, we need a radical reconceptualization of the developmental process required to lead. Changing paradigms demands new perspectives on leadership; these new paradigms suggest leaders must turn inward and develop knowledge of their inner selves to realize their full potential as leaders.

Astrology is an ancient way of knowing and making sense of the world and one’s place in it that provides benefits to many people in our modern world, despite fervent academic, religious, and scientific criticism. Astrology is more than a divination tool. It is an entire epistemology of self in relation to …

Training Packages For The Use Of Child Development Tools In Low/Middle-Income Countries: A Review, Maria Neocleous, Katelyn Hepworth, Vanessa Cavallera, Melissa Gladstone

Department of Child, Youth, and Family Studies: Faculty Publications

Background We are now moving beyond the focus of ’child survival’ to an era which promotes children thriving and developing rather than simply ’surviving’. In doing so, we are becoming more aware of the large variation of child development screening tools available globally, but in particular, those in low/middle-income countries (LMICs).

Methods This narrative review identifies 24 child development tools used in LMICs. We aimed to identify information on training accessibility and training design, assessment methods and cost of training. For those tools with no training information identified or for any tools identified as providing online training, the tool author …

Reformation Within The Nation: Adapting The Nordic Rehabilitation And Reintegration Model To Positively Recondition The United States Criminal Justice System, Jessica Cornell

Helm's School of Government Conference - American Revival: Citizenship & Virtue

An analytical and statistical based comparison of criminal sentencing, incarceration, rehabilitation and reintegration in the United States of America to those of the five countries which follows those of the Nordic Criminal Justice System.

The Development Of The Police Department Wellness Survey (Pdws), Tia White

Social Work Doctoral Dissertations

Police officers dedicate their careers to serving and protecting the communities they work in. Research is finding that the intensity of demands put on their mental health has turned suicide rates amongst police officers is at critical levels and has been declared by experts to be a ‘pandemic’ in the population (Wylie, 2020). There are very few researchers who broach police officers’ mental health. Social workers’ education and values make them uniquely qualified to engage in this study. The literature in policing supports that there are no assessments designed specifically for police and there are no known measures that provide …

What Knowledge Do Early Childhood Teachers Use During Literacy Instruction? Using Stimulated Recall To Investigate An Unexplored Phenomenon, Rachel E. Schachter

Department of Child, Youth, and Family Studies: Faculty Publications

This study utilized a novel phenomenological approach with a stimulated recall procedure to understand the pedagogical reasoning of eight early child teachers during the enactment of literacy instruction in whole-group meeting and language arts activities. This approach to investigating knowledge—in contrast to more tra­ditional conceptualizations of knowledge—focused on knowledge use as a process and prioritized teachers’ perspectives on knowledge used to enact literacy instruc­tion in their own classrooms. Additionally, it allowed for a more nuanced investi­gation of the role of setting and teacher characteristics that are often examined in association with literacy instruction (e.g., degree attainment, years of experience, curriculum, …

Mitigating The Mental Health Impact Of Marginalization And Discrimination, Debra A. Hope

Trans Collaborations Academic Papers

In honor of the life and work of Aaron T. Beck, this paper describes the application of cognitive therapy to management of marginalization stress among minoritized communities. Collaborative empiricism, cognitive restructuring, and behavioral interventions are highlighted as being particularly useful in a contemporary multicultural approach for the anxiety, depression, stress, and other sequelae of marginalization due to a stigmatized identity. Although primarily illustrated through recent work with transgender and gender diverse adults, the discussion extends to other groups including racial, ethnic, and sexual minorities and immigrants. This work illustrates the power of Dr. Beck’s approach to address the presenting concerns …

Test–Retest Reliability And Sensitivity Of A Brief Clinical Monitoring Measure For Transgender And Gender Diverse Adults: The Trans Collaborations Clinical Check-In (Tc3), T. Zachary Huit, Natalie R. Holt, Alexander Farquhar-Leicester, Rebecca L. Brock, Richard Mocarski, Nathan Woodruff, Debra Hope

Trans Collaborations Academic Papers

The current study aimed to examine the test–retest reliability and sensitivity of the Trans Collaborations Clinical Check-In (TC³) in a 3-month period with four assessment points at baseline, 1, 2, and 3 months to examine its utility as a clinical progress monitoring measure. This study builds on the initial validation study conducted by Holt et al. (2019). The sample of 32 transgender and gender diverse (TGD) participants were chosen who met screening for at least modest depression and anxiety, and did not have other significant risk factors (e.g., mania, self-harm). Participants completed a battery of measures that assessed …

Bridging The Gap Between Practice Guidelines And The Therapy Room: Community-Derived Practice Adaptations For Psychological Services With Transgender And Gender Diverse Adults In The Central United States, Debra A. Hope, Natalie Holt, Nathan Woodruff, Richard Mocarski, Heather M. Meyer, Jae A. Puckett, Joshua Eyer, Shelley Craig, Jamie Feldman, Jay A. Irwin, John Pachankis, K. J. Rawson, Jae Sevelius, Sim Butler

Trans Collaborations Academic Papers

Individuals who identify as transgender and gender diverse (TGD) are presenting at mental health clinicians’ offices with increasing frequency. Many TGD clients are seeking care related to affirming their gender identity but also may present with anxiety, depression, trauma, substance abuse, or other problems forwhich a clinician may commonly provide services. Some clinicians may hesitate to accept TGD clients into their practice if they have little specialized training to work with this population in an affirming manner, especially in more underserved areas where a generalist practice is the norm. Numerous professional associations and experts have developed guidelines for affirmative behavioral …