Abstract
This chapter uses the idea of affirmative feedback loops to describe the particular vulnerabilities faced by lesbian, gay, bisexual, and transgender older adults in aging network services (senior centers, long-term care facilities, nursing homes, assisted-living facilities) and argues for the importance of cultural competency training to combat elder abuse. LGBT older adults in aging network facilities are much more likely to “re-closet” themselves because they fear abuse from doctors, staff, or other older adults. Many describe escaping abuse and bullying as young adults only to find themselves now roommates with the very same anti-LGBT bullies. I describe how cultural competency training uses affirmation as an essential way to treat older adults, especially those experiencing memory loss, with respect as they near the end of their lives. I use my experience as an LGBT aging cultural competency trainer in concert with my discussion of affirmation to explain different ways to create spaces where LGBT older adults feel comfortable and safe being open about their identities.
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Notes
- 1.
Cisgender is a term that describes someone whose gender identity is congruent with their assigned sex. For example, someone assigned female at birth who continues to identify as a woman might describe herself as cisgender.
- 2.
These numbers are not specific to the transgender older adult population, but I suppose they are comparable. While the percentages themselves might be different in a sample that only includes transgender-identified people who are 65 years and older, this evidence still points to the pervasive transphobia present in the medical community.
- 3.
Model language can be found in A Practical Guide to Collecting Data on Sexual Orientation and Gender Identity published by the National Resource Center on LGBT Aging. The guide is available for download at www.lgbtagingcenter.org
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Johnston, T.R. (2016). LGBT Aging and Elder Abuse. In: Affirmation, Care Ethics, and LGBT Identity. Palgrave Macmillan, New York. https://doi.org/10.1057/978-1-137-59304-7_5
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