Michigan Psychological Association - Event Information
MPA Spring Conference 2017
Contemporary Understanding of Transgender Identity and Treatment Approaches
In 2008 the APA issued the Report of the Task Force on Gender Identity and Gender Variance and called upon psychologists to provide appropriate, nondiscriminatory treatment to transgender and gender-variant individuals. This seminar is an introduction to the psychodynamic understanding, clinical assessment, scientific research, and psychological as well as medical treatment that is part of the work with this ever-increasing population. The presentations by a Psychiatrist, Psychologist, and Physician who work with transgender children, adolescents, and adults and will help psychologist become familiar with the WPATH Standards of Care and the important role they have in working with transgender individuals as they come to understand their gender and explore their options for social and medical transition. In addition to providing a wealth of didactic information, the presenters will also highlight the clinical and ethical challenges inherent in this somewhat controversial topic.
8 a.m. - 4:40 p.m.
MSU Henry Center 3535 Forest Road Lansing, Mi 48910 UNITED STATES
Antonia Caretto, Ph.D.
Antonia Caretto, Ph.D. is a fully licensed Clinical Psychologist and a graduate of the University of Michigan and the Alliant International University California School of Professional Psychology. Dr. Caretto’s 1991 doctoral dissertation research was on “Familial Homosexuality Among Women and It’s Relationship to Childhood Gender Role Non-Conformity and Adult Sex Role.”
Dr. Caretto has a solo private practice in Farmington Hills, Michigan and gender identity development continues to the focus of much of her work. In addition to treating gender diverse adults, teens, and children she provides training on transgender identities to consumers and professionals. Dr. Caretto presented her research on transgender youth at the WPATH Symposium in Bangkok Thailand in 2014 and recently co-authored an article: “Initial Clinical Guidelines for Co-Occurring Autism Spectrum Disorder and Gender Dysphoria or Incongruence in Adolescents.”
Don Spivak, M.D.
Don Spivak, M.D. is a child, adolescent, and adult psychiatrist and psychoanalyst. His private practice is in Birmingham, MI. He is the co-director of the Walnut Lake Preschool and Developmental Kindergarten, a therapeutic preschool. He is on the faculty of the Michigan Psychoanalytic Institute where he teaches courses on child development and on gender and sexuality. He hosts a monthly study group on psychoanalytic understandings of gender and sexuality and is a member of the American Psychoanalytic Association's Committee on Gender and Sexuality. He also teaches at Wayne State University's adult and child psychiatry residencies and at Henry Ford Hospital's psychiatry residency.
Maureen Connolly, MD
Dr. Maureen (Mo) Connolly is a pediatrician with Henry Ford Health System’s School-Based and Community Health Program (SBCHP) in Detroit, Michigan. She works with clinical staff to provide care for students at school-based and community clinic sites, with a focus on adolescent health, the care of the LGBTQ youth, and HIV prevention. She is part of the SBCHP’s collaboration with the Ruth Ellis Center, an LGBTQ community center that is now providing accessible medical and mental health services to LGBTQ adolescents and young adults. In addition to clinical services, Dr. Connolly is a researcher with the Health Disparities Collaborative in the Department of Public Health Sciences and Global Health Initiative, where her work focuses on improving health outcomes for LGBTQ youth. Dr. Connolly earned her BA in psychology from Harvard University and was awarded a Rockefeller Fellowship in 2006, allowing her to spend the following two years in the Dominican Republic working in the prevention of mother-to-child transmission of HIV. She earned her MD from the University of Michigan and completed pediatric residency at the Children’s Hospital of Philadelphia.
8:00 - 8:30 Registration and continental breakfast
8:40 - 9:10 Overview of the history of transgender care and the role of psychotherapy. Antonia Caretto, Ph.D.
9:10 - 9:50 Description of the clinical evaluation process and the psychodynamic issues encountered in work with adult transgender patients. Don Spivak, MD
9:50 - 10:20 Summary of the research on incidence and outcomes, and of the current best practices or "Standards of Care”. Dr. Caretto
10:20 - 10:30 Questions
10:30 - 10:40 Coffee break
10:40 - 11:20 Description of the presentation of gender non-confirming children and adolescents and how research data on outcomes informs treatment recommendations Dr. Caretto
11:20 - 11:50 Summary of our understanding gender development, the psychodynamic uses of gender, and the dynamic clinical issues in work with transgender youth. Dr. Spivak
11:50 - 12:00 Questions
12:00 - 1:30 Lunch, MPA Awards & Annual Business Meeting
1:30-3:00 Hormone treatment adult/ Hormone treatment with children, delay of puberty etc. Gender affirming surgery options. Maureen Connolly, MD
3:00 - 3:10 Coffee Break
3:10 - 3:40 Concluding comments about of the role and challenges faced by Psychologists working with individuals as they navigate successful transitions within families and communities. Dr. Caretto
3:40 - 4:10 Thoughts about the challenges of countertransference as individuals engage in the process of working through their gender variance and sexuality. Dr. Spivak
4:10 - 4:20 Questions
4:20 - 4:40 Wrap up, Closing comments, questions. Feedback forms filled out. Dr. Sterling
Cocktail Reception Follows
*Participants will gain familiarity with the process of evaluating and treating transgender children, adolescents, and adults including differential diagnosis and comorbidity.
*Participants will gain a psychodynamic understanding of the development of gender identity and sexuality across the lifespan.
*Participants will become familiar with countertransference and other challenges presented in working with individuals exploring their gender identity.
*Participants will gain familiarity with salient research regarding gender variant and transgender children, adolescents, and adults including the research on incidence, persistence and desistence, and clinical outcomes.
*Participants will become acquainted with the WPATH Standards of Care and understand the historical, scientific, and clinical evolution of these current best practices.
*Participants will gain an understanding of the impact of and impact on family and community in the lives of transgender individuals as they transition socially and medically.
*Participants will be able to describe gender affirming hormone treatments for adolescents and adults, indications for use, outcomes, and associated side effects.
*Participants will be able to describe options for gender affirming surgery.