Family management

Transsexual patients are often married and have children. When possible, the family should become part of the treatment process. Typically relations are strained with the marital partner of the transsexual and divorce is usual. Particularly when children are involved an effort should be made to deal with the feelings of betrayal or abandonment from the transsexual's spouse that contaminate the continuing relationship between transsexual parent and children. Often there is concern by the parents that the patient's transsexualism will impact adversely on the children. There is concern specifically in areas of gender identity of the children and peer group reactions to the knowledge that one of their age mate's parents is transsexual. However, in the author's research of children of transsexuals, totalling 34, who were living with or in regular contact with the transsexual parent, there were no instances of gender identity disorder in the children and no instances of peer group alienation that were especially problematic.(30) Children typically have many questions about the transsexual transformation of that parent that can be answered by the clinician, perhaps with the transsexual present.

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