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Social Work Practice Essay

This is a screen play written by Michael Brooke in 1995 of two cross dressers who has won a New York Drag Queen contest. Ms. Vida Boheme biblically known as Patrick Swaynze and Noxeema Jackson Wesley Snipes begin a road trip to Hollywood California. As they begin their road trip they are persuaded to take the inexperienced drag princess Chi-Chi with them, who is taught the distinction of cross dressing versus a man in woman. The road trip consists of three men who have transgendered into female clothing in a cheap second-hand Cadillac Convertible for fun and adventure.

The movie begins it dramatization in two parts. During their adventures while driving at night a policeman stops the car due to a tail light and struck with beauty of Vida. Sherriff Dollar who makes advancement at Vida as she physically hits Sheriff Dollar and fled away from the scene of the crime. Later within the story the angry cop tell the boys at the station of three cross dressers hit him, the boys slander Sheriff Dollar as he make a quest of masculinity as an homophobic awareness to the town describing the unwanted behavior of those men within his town.

The next segment of the movie gives awareness to gender population of a cross gender identity and humanity. The Second hand Cadillac breaks down in the middle of nowhere and they are transported to a small town with the total population of ten. The town admires and adjusts to these new, stranger and colorful individuals with acknowledgement of their impersonations. (American Psychological Association, 2006). Currently, Patrick Swayze is a 40 year old male white male originally from California who is known as a transgender male in New York City as Vida Boheme.

Patrick’s is a single child who comes from an elite background as his mother is an attorney and his estrange father was the Mayor. Patrick’s educational background is a Masters in Art Degree from Berkeley California in Theatrical studies. Patrick dresses as a female daily and lives the life of Vida Boheme in search of an acting career. This character was chosen due to his style and level of intelligence in addition to posture and edicts. It appears Vida Boheme has fluently transition from a male to a transgender population but, has a past history in which she has hidden. (Bakeman & Floyd, 2006).

Patrick became a client in his early years at the town clinic for individual counseling in a private practice for many years as a referral from his mother. Patrick was first presented as a client at the age of 17 because his mother had concerns and issues due to his behavior. Patrick would arrive at school wearing his mother clothing, when asked about his behavior, Patrick’s response was belligerent and hostile to school officials. Prior to age 15 according to his mother’s assessment, Patrick was extremely consciences of his grooming habits and dressed in the appropriate manner for a young male.

Patrick was an honor student and interacted with peers in a very effective and a articulate manner. At age 15 Patrick parents became divorced as his mother feels this is the precipitant of Patrick’s behavior by wearing his mothers clothing to school. Examples of his attire are; high heel shoes, a dress with undergarment, nylons stocking, lipstick and a wig. On several occasions his mother demanded him to take off her clothing and to wear his own boy’s clothing. His mother suspected his allowance was often used to purchase his own women’s clothing.

Client’s Strengths and Weaknesses: Patrick is an articulate and well mannered male, he presents as person wanting to discuss personal issues with fear. His strength is the ability to acknowledge that he is a male with issues while he articulates with hostility. Previously he does not appear developmentally delayed, reports from his mother state his was an excellent student and his interaction with peers was effective with no past issues from school officials. Patrick has a weakness which is observed as hostile, angry with limited conversation about his sudden change in behavior.

His comments are viewed as sarcastic. In discussions about his mother he gives comments of anger with avoidance. His responses regarding his current behavior are viewed as narassatic as this is due to his transition to wear female clothing. He talks about his attire and looks for a positive feedback and approval from others. These behaviors appear to be hidden and a avoidance issue of his true gender identity with an offset of anger to the current environmental issues. (Kort, 2003). Client’s Identity formation Process:

Patrick’s identity formation according to the Cass model of “coming out” is viewed as an identity transition from the heterosexual to a transgender formation. The level of identity transformation according to the Cass scale is viewed between two and four. The rationality of the fourth level has been assessed with reserved judgment. Patrick asserts himself with articulate qualities and acceptance of homosexuality of himself however; his flamboyant behavior as a transgender male is questionable as he seeks approval of others.

Patrick’s self awareness of his transition is viewed and described as different as he exhibits female fashions and discuss his new friends, however, he displays anger and hostility with emphasis toward his mother. According to the American Psychological Association, Patrick’s sexual orientation has emerged without any prior sexual experience. This transition is a complex interaction of environmental, cognitive and biological factors (APA). Also according to APA, Patrick’s sexual orientation exists along a continuum that appears exclusively homosexual with emphasis to a transgender identity.

His sexual orientation has an enduring distinction and psychological sense as a female behavior. (Kort, n. d. ). During the sessions, Patrick would arrive in women’s clothing with confidence and poise as he would present derogatory statement to me seeking validation of his behavior and some of the examples of the statements given by Patrick are mentioned in the paragraphs below. Patrick told his therapist not to ask him to wear boy’s clothing because he thought he looked pretty in women’s clothing and he refused to wear boy’s clothing because he didn’t want to.

However, the therapist responded by invalidating his statement and asked him about the source where he got these clothes from after which Patrick responded that one of his friends gave him a piece of clothing and another friend have him another piece of clothing to match with it. When Patrick was asked about the place where he met these friends, he showed an indifferent attitude and he refused to give an answer because he feared that he if he revealed the truth, the therapist would tell her and then their parents would know about the whole thing.

Later when Patrick was asked about the way he felt for his mother, Patrick seemed to appear fearful and not only did he disrespect her but he also said that she was the one who was at fault because she was the one because of whom all this happened. Further when he was asked about her, he warned the therapist not to ask anything about her or he would leave. (Lev, 2004). When Patrick was asked about the way his football friends and teachers responded to the way he dressed, he said that some of his friends laugh at the way he dresses while his teachers were only concerned about teaching and not the way he dressed.

The therapist then asked Patrick whether he thought the change he had brought about in his dressing has changed the attitudes of the people or not, he said that he did not care about it. The therapist then asked Patrick the reason why he didn’t care and the reason why he has disregarded his friends and since he seemed to be a bit angry, he was also inquired if he was angry after which Patrick responded that he was not angry and he was afraid that if he will tell him about the real thing, he would go and tell his mother. Since Patrick’s mother is an elicit in the town, he believed that the truth will shatter her reputation.

However, the therapist assured Patrick that whatever he would tell would be kept confidential until he himself wants to harm himself or the others. Next Patrick was asked if he was engaged in drug activity but he denied it and he said that he was angry at his mother because he and his father believe that she knows the reason. His family became popular many years ago and he used to have serious conversations with his father and one day he told his father that he felt different and he did not like to wear gym shoes instead he preferred to wear dress up shoes to school after which his father bought those shoes for him.

Later, he also asked for a silk skirt and silk socks that his father also bought for Patrick but he never asked him the reason why he wanted all these kinds of clothes. Patrick also mentioned that gradually he started sneaking in the garage where he hid his books that were basically female books that contained pictures of female clothing and he also used to walk around wearing his mother’s wig when one day he was caught by his dad. When inquired, he told his dad that he felt like wearing women’s clothing after which his dad told him that he will take him to some place and should not tell about that outing to anyone.

When he was 14, he used to play poker with the other men while dressed in women’s clothing and he told his dad that he found this to be cool. One day his dad also wore his women’s clothing and he made him promise not to tell anyone because people make fun of them. As time progressed, his dad became a Mayor and he had a strong bond with Patrick and he used to give excuses to Patrick’s mother why Patrick did not want to be a part of the football team and why he would engage his son with peer who were different and the ones who wanted to wear women’s clothing.

Patrick’s dad often asked him if he wanted to be a girl and he always answered that he did not know. (Burlew & Holly, 2006). Patrick’s dad was caught by his mother when he was looking at women in magazines and films while wearing women’s clothing in the garage after which his mother filed for a divorce stating to the attorney he had women in our house but his dad never contested the statements, he resigned from his office and left town but Patrick said that he would not like to live his life keeping this as a secret.

The therapist then asked Patrick if he wanted to become a woman because of his dad or because of the reason that he was angry with his mother after which he said that years ago he told his dad about the way he felt and he mentioned that he felt more comfortable in women’s clothing. The therapist then asked Patrick if he was aware of the fact that he was homosexual after which Patrick said that if a male wanting to wear female clothing is called that, he might he call him that.

However, Patrick seemed unsure to the therapist but Patrick said that all he knew is that he liked women’s fashions and the identity of a homosexuality but to live the life as a homosexual and discussing this with his mother is what he cannot do because he thought that she would put him out or place him in a mental institution and he did not want that so he preferred to stay hidden. Patrick was then asked if he thought the other people might tell his mother and if there were other boys in the town who were homosexual to which he responded that there were some boys who were homosexual and this is what they talk about when they meet.

They talk about who is first going to tell their parents about it and what their school will think about them and about various other things related to women’s fashion. He also mentioned that he has thought his mother getting to know about the truth and if she finds out, he will do anything to be the person he wants to be. Patrick also said that he had two more years to complete his high school after which he plans to leave the town and to go to New York City as a lady and to work there as a model.

At the end of the talk, the therapist assured Patrick that this conversation will not be revealed to anyone until and unless he himself felt the need of discussing it with someone. (Beane, 1995) Treatment Plan: Psychological Treatment: • Pronouncement and validity to Patrick’s “coming out” phase acceptance to his transition and biological gender. Does he have mixed emotional or fear of acceptance to “coming out” and the RLE (real life test) awareness as a intervention to safety issues as they need to be discussed with client due to his early stages to his sexual orientation and lack of awareness to society norms.

(American Psychological Association, n. d. ). • Discussion on society barriers/cultural social acceptance is awareness that he should be concern with not only constraints from people but a awareness to the negative behavior of others as this acceptance is not fully engaged into the societal norms. • Social acceptance: social engagement to others will his appearance be full-time or part-time among friends/work/ sexual desires to attraction. (Messinger & Morrow, 2005). Psychosocial Assessment: Discussion of Patrick’s environmental issues/parents/ divorce • Individualized treatment or group treatment.

Therapeutic modality is recommended for individualized treatment for transgender issues, to interact with others and to gain alliances with others. • Discussion regarding parents’ divorce. Patrick displays hostility as could interfere or hinder his “coming out” phase. Hostility could also become a barrier for future relationships. Individualized treatment is also recommended in conjunction to group therapy as client appears to have unresolved issues with parents. • Discussion: Discomfort with his body/sex: The client may express a desire to transition his body.

A determination of how long he has had desire to transition his body. • The possibilities of hormone treatment could be explored. It is important to make the client aware that this process is something available if he chooses. • A medical letter to medical providers determining diagnosis. (Reynolds & Schneider, n. d. ). Preliminary discussion and awareness with client, regarding medical treatment eligibility: If the client chooses, it is important that a client is aware of his transgender from a medical perspective and how it could evolve if he chooses. Professional issues in clinical practice/Therapist Assessment:

During our lengthy discussion it is my assessment Patrick is a strong person who feels appropriate and confident enough to transition to transgender identity. It is not yet determined if Patrick’s identity to transition is due to his father’s influence or due to his anger from his families divorce. Patrick intelligence appears impressionable with the understanding his transition to a female is inevitable. Further assessment and discussion of Patrick’s sexual attraction and gender identity of his goals and rationality to the transgender lifestyle needs further evaluation.

Patrick describes goals to move to California to become a fashion model. This transition to relocate needs further assessing. A clinical assessment should determine clients developmental issues of separating from his mother versus a deterrence of his current environment. (Cass, 1979). Reference American Psychological Association. (2006). Sexual Orientation Homosexuality: Answers to Your Questions For a better understanding. May 30th, 2010. Retrieved from: http://www. apa. org/topics/sexuality/orientation. aspx American Psychological Association. (n. d. ).

Guidelines for Psychotherapy with Lesbian, Gay and Bisexual Clients. May 30th, 2010. Retrieved from: http://www. apa. org/pi/lgbt/resources/guidelines. aspx Beane, D. C. (1995) Movie: To Wong Foo, Thanks for Everything Julie Newmar. Universal Pictures Published. Cornwall, NewYork. Burlew, L. D. & Holly, S. C. (2006). The Tricultural Experience of Older, African American, Gay Men: Counseling Implications. Adultspan Journal, American Counseling Association. May 30th, 2010. Retrieved from: http://www. accessmylibrary. com/article- 1G1-155401324/tricultural-experience-older-african. html Cass, V. C. (1979).

Homosexual Identity Formation: A Theoretical Model. Vol. 4 (3). Journal of Homosexuality. Bakeman, R. & Floyd, F. J. (2006). Coming-Out Across and the Life Course: Implications of Age and Historical Context. Department of Psychology Georgia State University: Sexual Behavior (Vol. 35, 4). Springer Science and Business Media, Inc. Kort, J. (2003). 10 Smart Things Gay Men Can Do To Improve Their Lives. Alyson Books. Kort, J. (n. d. ). Cass model of gay & lesbian identity formation. May 30th, 2010. Retrieved from: http://www. joekort. com/PDF/cassmodelofidentityformation2. pdf Lev, A. I. (2004).

Transgender Emergence: Therapeutic Guidelines for Working with Gender- Variant people and their Families. 1st Edn. Routledge. Messinger, L. & Morrow, D. F. (2005). Sexual Orientation and Gender Expression in Social Work Practice: Working with Gay, Lesbian, Bisexual and Transgender People. Columbia University Press. Reynolds, D. & Schneider, P. (n. d. ). An Overview of Suicide Risks among Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) Youth. May 30th, 2010. Retrieved from: http://www. helpstartshere. org/mind-and-spirit/an-overview-of-suicide-risks- among-lesbian-gay-bisexual-transgender-and-questioning-lgbtq-youth. html


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