Systemic Therapy for Families with Transgender Children from a Third Order Perspective

Abstract

This theoretical essay critically examines systemic therapy in the context of families with trans children, highlighting the need for theoretical and methodological evolution that addresses gender diversity and contemporary sociocultural transformations. The objectives are to analyze the limitations of traditional systemic approaches concerning gender diversity and to propose a transition toward third-order thinking that incorporates feminist and diversity perspectives. The methodology involves a theoretical and epistemological review of literature on systemic therapy and gender, emphasizing structural barriers and disciplinary biases that have rendered trans experiences and their families invisible within clinical practice. Elements of narrative therapy and the postmodern shift are identified as potential enhancements for inclusivity and efficacy within the systemic approach. Findings indicate that third-order thinking, by integrating relational and intersectional approaches, facilitates a deeper understanding of gender identity within family systems and promotes more inclusive therapeutic practices. Reformulating systemic therapy under these premises not only benefits families with trans children but also contributes to broader cultural transformation