A family’s most basic functions include support, both emotional and financial. Our family are the first relationships we develop and are usually the ones that we hold onto the longest, from birth to death. These bonds are not only meant to integrate us into society but prepare us for our own families when the time or choice comes (Hammond & Cheney, 2009). What happens when these family units do not fulfill their most basic functions and cast out their family members for things that are often not a choice, such as gender or sexual orientation?

Family rejection can happen for a number of reasons from personal differences, religious problems, alcohol/drug use, arguments, and so forth. However, many times families can settle their differences and still continue to act as a unit, even if they do not necessarily get along. However there are occasions where this rejection is lifelong from the moment it happens. This can lead to short and long-term health effects, both mentally and physically, regardless of age. The impact is most significant if this rejection happens during youth and is over things that cannot be changed, such as gender or sexuality (Lowrey, 2010).

These effects can range from homelessness, increased depression, increased suicidal thoughts and tendencies, to higher accounts of HIV/AIDS and drug use/alcoholism (Ryan, Russell, Huebner, Diaz, & Sanchez, 2010). This rejection can also lead to being in and out of the criminal justice system due to the criminalization of homelessness as well as survival tactics such as the survival sex trade (Valentino, 2011). These problems are also affected by experiencing racism, transmisogyny (misogyny directed specifically at trans women), as well as sexism, heterosexism, and other institutional oppressions. For example, a Black trans women will face more problems on the streets than a White cisgender (meaning non-transgender) gay male (Grant, Mottet, Tanis, Harrison, & Herman, 2011). These impacts are both short and long-term, impacting a person’s life from the moment the rejection happens and beyond.

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