Transgender and gender diverse (TGD) individuals face stigmatization from family members and peers, placing this group at high risk of adverse outcomes including suicidality, substance abuse, and compromised mental health. This article uses a literature review approach to explore the common experiences of parents of TGD individuals as they navigate their relationship with their TGD children. Across 32 identified studies, the experiences of parental reactions include: (a) initial experiences (including noticing gender atypical behavior, diverse emotional reactions, cognitive dissonance and behavioral avoidance, and lack of knowledge); (b) transformation processes (including seeking informative resources and developing cognitive flexibility, seeking support and making TGD connections, facing barriers and isolation, developing awareness of discrimination and building empathy, and acknowledging the toll on mental health); (c) positive outcomes (including relational benefits, affirmation of values and activism, and new personal narratives); and (d) influences on the process (including time, gender, and attribution of the cause of TGD identity). Recommendations for health service providers include acknowledging diverse emotional reactions and cognitive dissonance, cultivating hope, honoring systemic barriers, and helping parents of TGD individuals create new positive narratives.

Parental acceptance is critical to the well-being of sexual minority youth, yet little research has been conducted with fathers, or with Latinx parents of sexual minorities. Understanding Latinx fathers’ cultural context and how it operates to facilitate or challenge acceptance of their sexual minority child could contribute new knowledge regarding Latinx culture, Latinx families, and intersectionality of identities to enrich clinical work and future research. This manuscript reports on a phenomenological study of a United States (U.S.) sample of Latinx fathers with a gay and/or lesbian child. Qualitative analysis yielded five main themes: (a) cultural values facilitating acceptance, (b) cultural values interfering with acceptance, (c) specific behaviors facilitating acceptance, (d) validation of intersectionality, and (e) benefits of acceptance. Fathers were involved in the lives of their sexual minority children and placed a priority on their membership in the family above cultural prescriptions of sexual identity, yet were open about the struggle inherent in their children’s sexual identity. Fathers’ love, investment, and struggle paid off in the form of strong bonds. Findings provide important context to promote practitioners’ cultural competence, provide potential implications for cultural adaptations, and suggest areas for future research exploring the intersectionality of ethnicity and sexual identity.

Research has documented the importance of parental support as a protective factor against depressive symptoms among lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. In this study, we a...