Not only to we as OT's have to be sensitive and responsive to our client's needs we need to also recognize that as an OT we might need to help someone say for example a transvestite re-learn dressing. This population may have a few very different needs than a traditional male/female dressing components. I don't know much about this, as I don't have any friends who are transvestites. But if I did, I might ask them about the challenges they might face if they were hurt in such a way that would make dressing difficult. I see the topic of transvestitism occasionally on TV, but that is my only experience and we all know you can't blindly trust what you see on TV. Regardless, I think that there are other sex/gender issues that may be at issue for a client/patient of an OT. We as OT's need to be aware that these are real issues that real people face.
I don't have the magic answer to anything really. But I think if parents of disabled children can remain aware that their child is the same as all other children, yet different. They will have talents and abilities that others don't have, no matter what they may be. Feed that, but not to an unrealistic proportion. If I brought a drawing home when I was a kid, my dad would praise me for it, no matter if it were just a straight line in black and put it on the fridge. My mom would praise me if it were really good and put it on the fridge, otherwise would say thanks and it woudl end up in a drawer. There has to be a happy medium there somewhere. All kids need to feel self worth, and they only get this by people being genuine to them. If family treats them differently than that, for better or worse, spoiling and overpraising, or neglecting or over-criticizing, then the self-worth is in danger of running amok.
To all you parents of children with disabilities: Good luck! You've got a tough job ahead of you. But rest assured that, no matter what you do, how fair and supportive, and equal you try to be, it's a constant process of trial and error. But there are so many resources out there now for info and support, which didn't exist as abundantly in the past. Use them. Learn. And keep going.
http://creativespectrum.blogspot.com/ recommends free autism resource site http://www.mousetrial.com/free_stuff.html