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The proposed research aimed to amplify the voices and experiences of transgender and gendernonconforming
youth through sandtray and narrative exploration. Transgender and gendernonconforming
individuals are at high risk for homelessness, suicide, depression, discrimination,
and other mental and physical health problems (American Psychological Association, 2015;
Edwards et al., 2019; Ehrensaft, 2014; Newcomb et al., 2018). There is a lack of research
allowing transgender and gender-nonconforming children and adolescents to describe their lived
experiences. The current study elaborated on the specific experiences of transgender and gendernonconforming
youth within a social-ecological framework to explore how the individual
interacts with relational, community, and societal systems. The qualitative nature of the study
amplified the voices of transgender and gender-nonconforming individuals. Data was collected
through a directive sandtray approach where transgender and gender-nonconforming youth
illustrated their journeys in response to various prompts. The prompts spanned the systems levels
per the ecological framework and were informed by the major themes in research targeting
transgender and gender non-conforming individuals. This research has implications for the
psychological care of transgender and gender-nonconforming individuals and their families. The
directive sandtray prompts and stories that were collected add transgender and gender nonconforming
youth's voices to the conversation about how to best meet this population's needs.
