A nonclinical comparison of transgender identity and sexual orientation : a framework for multicultural competence

R. Mathy

Multicultural counseling has emerged as the fourth force in American Psychology. To provide a nonclinical, multicultural framework with which to facilitate assessment and treatment of transgender (TG) clients, 73 North American TG respondents were compared to six groups. The comparison groups included 1,083 heterosexual females, 1,077 heterosexual males, 73 psychosocially matched females, 73 psychosocially matched males, 256 homosexual females, and 356 homosexual males. Comparisons were made on psychosocial characteristics, past and present psychotherapy, past and present medication for a psychiatric condition, and past or present difficulties controlling potentially problematic behaviors. The TG respondents were more similar than different relative to lesbians and more different than similar in comparison to every other group. The similarities between TG respondents and lesbians suggest the dual influences of gender and sexual orientation inority status significantly compound the burden of adaptative functioning.