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  AFFIRM LAB
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 Our Research 

Our long term mission is to reduce inequities for stigmatized youth. To accomplish this, we conduct research in 3 domains.
(1) Understand the unique experiences of youth with 1+ stigmatized identities
Examples: discrimination, bullying, living in a transphobic society
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(2)​ Determine how stigmatized youth's unique experiences affect their ​mental health + wellbeing
Examples: internalized transphobia, social isolation
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(3) Identify methods of improving services and environments for stigmatized youth
Examples: effective gender-affirming care training methods, adding inclusive spaces to schools

Current Studies

​How Can Therapists Better Support Transgender Youth?
Gender-Affirming Psychotherapy Study (GAPS)
​

Transgender youth often struggle to find therapists who understand their specific needs and provide adequate support. With grant support from the National Institute of Mental Health, the American Psychological Foundation, and Boston College, we are creating a virtual training to teach therapists how to best serve transgender youth based on input from transgender youth, their caregivers, and mental health provider experts. In other words, our training will help close some of the “GAPS” in therapists’ training so that they can better support transgender youth! 
  • Detailed information regarding the study can be found on our  Clinical Trials registration and our OSF pre-registration page. 
  • Read more about this project on BCSSW news here
  • Read the BC Heights news article coverage here. ​
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How Can High School Staff Better Support Transgender Students?
Improving Methods of Providing Affirming Care to Transgender Students (IMPACTS)
​

Transgender students face discrimination and other difficulties at school, and school staff often lack the necessary resources and knowledge to adequately support transgender students. With funding from ​Boston College School of Social Work Center for Social Innovation and the Schiller Institute for Integrated Science and Society, we are creating an online high school staff training program based on ideas from transgender students, their parents, and school staff experts. We are hopeful that this study positively “IMPACTS” the lives of transgender students! 
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  • Read the BC Heights news article about our study here. 
Completed Studies
​Is Structural Transphobia Associated with Psychological Distress and Suicidality?

Using data from the United States Transgender Survey and the Movement Advancement Project, we examined whether structural transphobia (i.e., norms, laws & policies that inhibit the rights and wellbeing of transgender and non-binary people) is associated with psychological distress and suicidality in a national sample of transgender adults in the US. Our results​ indicate that transgender adults living in states with more transphobic laws/policies and attitudes report greater psychological distress and are more likely to endorse suicidality
  • Read our preprint here
  • Click here to read its media article coverage. ​​
Is Psychotherapy Less Effective for Stigmatized Youth (Girls & Black youth) in Places with High Structural Stigma? 
Using a meta-analytic database of over 50 years of youth psychotherapy RCTs from Dr. John Weisz's Youth Mental Health Lab, we teamed with Dr. Mark Hatzenbuehler's BEST lab to examine the impact of structural stigma (specifically, community-level attitudes about gender, and separately, about race) on psychotherapy effectiveness for girls and Black youth. We found that treatment efficacy for these groups was significantly lower in communities with high levels of structural stigma.
  • ​Check out our publication about racism (also see its media article coverage / press release / invited podcast episode)
  • Check out our publication about sexism (also see Dr. Price's 15-min presentation at NIH Advisory Committee on Research on Women's Health here, starting at 3:50:00).
  • See BC news coverage of both studies here.
  • Watch Dr. Maggi Price's keynote address on structural stigma at APA 2022 here.
What Kinds of Supportive and Adverse Experiences do Transgender Youth Have?

​With support from the The Pershing Square Fund for Research on the Foundations of Human Behavior, we collaborated with the Yale Gender Center to analyze clinical interview and survey data from trans/non-binary youths and their caregivers to identify: (a) their positive and negative experiences within and outside of therapy (click here to read our publication) and (b) about adverse experiences related, and unrelated to, gender (click here to read our publication). 
How Effective are Existing Therapies for Transgender Youth?
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Using data from four prior randomized controlled trials of empirically supported treatments (ESTs) for youth, we compared the effectiveness and acceptability of these therapies across cisgender and transgender youth. Compared to cisgender youth, transgender youth reported more severe mental health problems before treatment, demonstrated slower improvement in some of these problems, and were less satisfied with treatment, underscoring the need for gender-affirming enhancements to existing therapies.
  • Click here to read our published paper 
  • Click here to see a poster and video presentation of these findings.
Click here to view our published results
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