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

Product Information

Activating and training youth and caregivers on the importance of sharing with providers not only their mental health problems, but also information linked to their core beliefs, approaches to life, goals and expectation of treatments is vital. Emphasizing to youth and caregivers the importance of helping providers understand the youth’s daily activities, peer relationships and family dynamics is indispensable so that the clinician does not have to use their preconceived notions. This can help contextualize the differences in the family’s circumstances so that the provider makes fewer mistaken assumptions. Currently, consumers are likely to face linguistic and cultural distance with their mental health providers due to a shortage of bilingual and bicultural staff ( Malgady & Zayas, 2001).As a result, biases may interfere with both the diagnostic and intervention processes leading to misinterpretation ( Malgady & Zayas, 2001) and poor treatment outcomes. 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. National Federation of Families for Children’s Mental Health. Working Definition of Family-Driven Care. 2008 [ Google Scholar]

Glisson C, Hemmelgarn AL. The effects of organizational climate and interorganizational coordination on the quality of outcomes of children’s service systems. Child Abuse and Neglect. 1998; 22(5):401–421. [ PubMed] [ Google Scholar] 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] Just like it’s impossible for one size of pants to fit all students, one way of teaching will not reach all students. While the levers of a personalized influence model remain the same, the tactics within each become contextualized to suit individual needs (see Exhibit). If you consider that what matters is for each student to get a consistent and sufficient educational dose across a long span of time, this essentially composes what we might consider as life-long learning. And in that sense, perhaps this concept is helpful not only for students, but all of us.

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. 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.” Bargou R, Leo E, Zugmaier G, Klinger M, Goebeler M, Knop S, Noppeney R, Viardot A, Hess G, Schuler M, et al. Tumor regression in cancer patients by very low doses of a T cell-engaging antibody. Science. 2008;321:974–77. doi:10.1126/science.1158545. Erikson KT. Wayward Puritans: A study in the sociology of deviance. New York: John Wiley & Sons; 1966. [ Google Scholar] Kataoka SH, Zhang L, Wells KB. Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. American Journal of Psychiatry. 2002; 159(9):1548–1555. [ PubMed] [ Google Scholar]

We believe that exploratory psychotherapy that is neither “affirmation” nor “conversion” should be the first-line treatment for all young people with GD, potentially reducing the need for invasive and irreversible medical procedures. This is especially critical now, when we are witnessing an exponential rise in the incidence of young people with GD who have diverse and complex mental health presentations and require careful assessment and treatment planning. Kreider RM, Fields J. Living arrangements of children: 2001. US Census Bureau; 2005. [ 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] Leadership is about actions, not titles. “Effective leadership is a journey,” Blanchard said. Regardless of what you call yourself, it is how you respond in different situations that defines who you are as a leader. Being self-aware of your behavior and the effect it has is an important part of that evolution.

Hoberman HM. Ethnic minority status and adolescent mental health services utilization. The Journal of Behavioral Health Services and Research. 1992; 19(3):246–267. [ PubMed] [ Google Scholar]If you do nothing, you will be auto-enrolled in our premium digital monthly subscription plan and retain complete access for 65 € per month. Turban et al.’s ( 2020) singular endorsement of “affirmative” therapies, which their data failed to substantiate, contributes to the alarming trend to frame any non-“affirming” approaches as harmful. We are deeply concerned that this false dichotomy, reinforced by Turban et al.’s unproven claims of the harms of GICE, will have a chilling effect on the ethical psychotherapists’ willingness to take on complex GD patients, which will make it much harder for GD individuals to access quality mental health care. We maintain that availability of a broad range of non-coercive, ethical psychotherapies for individuals with GD is essential to meaningful informed consent, which requires consideration of the full range of treatment options, from highly invasive to non-invasive. Further, given the potential of agenda-free psychotherapy to ameliorate GD non-invasively among young people with GD, withholding this type of intervention, while promoting “affirmation” approaches that pave the way to medical transition, is ethically questionable. Cinnirella M, Loewenthal KM. Religious and ethnic group influences on beliefs about mental illness: A qualitative interview study. British Journal of Medical Psychology. 1999; 72(4):505–524. [ PubMed] [ Google Scholar] While the poor study methodology is unfortunate, arguably, the most problematic aspect of Turban et al.’s ( 2020) work is the choice to view psychotherapy through a binary of “affirmation” versus “conversion,” resulting in a conflation of ethical non-affirmative psychotherapy with conversion therapy. The self-evident crudeness of the GICE versus “affirmation” binary, promoted by Turban et al., and the potential harms of such a simplistic view of psychotherapy are illustrated by the following examples. Bicycle helmets with ring fit systems allow for a single size, also known as universal fit. [3] [4]

For leaders who aren’t sure what kind of leader their team needs, Blanchard made the bold suggestion to just ask them. “A lot of leaders learn a leadership approach but they don’t tell their people what they are doing,” he said. He sees this as counterproductive. Glisson C, James LR. The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior. 2002; 23(6):767–794. [ Google Scholar] Bigby JA, Perez-Stable E. The Challenge of Understanding and Eliminating Racial and Ethnic Disparities in Health. Journal of General Internal Medicine. 2004; 19(2):201–203. [ PMC free article] [ PubMed] [ Google Scholar] Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Serious mental illness and serious emotional disturbance. Retrieved September 7, 2020 from https://www.samhsa.gov/dbhis-collections/smi.Logan JR, Stults BJ, Farley R. Segregation of minorities in the metropolis: Two decades of change. Demography. 2004; 41(1):1–22. [ PubMed] [ Google Scholar] Butler, C., & Hutchinson, A. (2020). Debate: The pressing need for research and services for gender desisters/detransitioners. Child and Adolescent Mental Health, 25(1), 45–47. https://doi.org/10.1111/camh.12361. Guy CS, Vignali DA.. Organization of proximal signal initiation at the TCR:CD3 complex. Immunol Rev. 2009;232(1):7–18. doi:10.1111/j.1600-065X.2009.00843.x. Show your team respect and loyalty. If they feel like they can trust you to do the right thing, they will follow your lead, Sandona said. Fitzsimons, T. (2019). Transgender ‘conversion therapy’ associated with ‘severe psychological distress.’ NBC News. Retrieved September 7, 2020 from https://www.nbcnews.com/feature/nbc-out/transgender-conversion-therapy-associated-severe-psychological-distress-n1052416.