A critical commentary on “A critical commentary on follow-up studies and “desistence” theories about transgender and gender non-conforming children”

  title={A critical commentary on “A critical commentary on follow-up studies and “desistence” theories about transgender and gender non-conforming children”},
  author={Thomas D. Steensma and Peggy T Cohen-Kettenis},
  journal={International Journal of Transgenderism},
  pages={225 - 230}
The article entitled “A critical commentary on followup studies and “desistence” theories about transgender and gender non-conforming children” by Temple Newhook et al. (2018) is a plea to abandon longitudinal studies on the development of gender variant children as they do not respect children’s autonomy. A few relatively recent studies are criticized and it is concluded that conducting longitudinal psychosexual outcome studies and acknowledging the children’s feelings are contradictory. We… 

Informed Consent or Scare Tactics? A Response to Levine et al.'s "Reconsidering Informed Consent for Trans-Identified Children, Adolescents, and Young Adults".

  • J. Drescher
  • Psychology, Medicine
    Journal of sex & marital therapy
  • 2022
The author concludes by noting that clinicians who advocate for delaying treatment to GD/GI minors who need and may benefit from it to "protect" those who "aren't really" transgender is an ethically troubling issue.

Importance of being persistent. Should transgender children be allowed to transition socially?

There is no evidence that social transition per se leads to unnecessary medical transition; so should a child persist, those who have enabled social transition should not be held responsible for unnecessary bodily harm.

Commentary: Gender diversity and adolescent mental health - a reflection on Potter et al. (2020).

  • S. Burke
  • Psychology
    Journal of child psychology and psychiatry, and allied disciplines
  • 2020
It is shown that individual differences in gender identity significantly relate to adolescent mental health problems and this need of studies within the behavioral and medical sciences to consider more carefully variations in a person's subjective experience of gender is addressed.

Gender dysphoria in adolescents: can adolescents or parents give valid consent to puberty blockers?

The claim that gender diverse minors and their families should not be able to consent to hormonal treatment for gender dysphoria refers particularly toormonal treatment with so-called ‘blockers’, analogues that suspend temporarily pubertal development.

Transgender Children and the Right to Transition: Medical Ethics When Parents Mean Well but Cause Harm

  • Maura Priest
  • Psychology
    The American journal of bioethics : AJOB
  • 2019
Transgender adolescents should have the legal right to access puberty-blocking treatment (PBT) without parental approval, and the state has a role to play in publicizing information about gender dysphoria.

Pathways of Gender Development

Historically, theories of gender development have focused on normative and variant development, with a focus on characteristics that identify children as members of one group or the other. There is

Sex, gender and gender identity: a re-evaluation of the evidence

The authors consider the uncertainties that clinicians face when dealing with something that is no longer a disorder nor a mental condition and yet for which medical interventions are frequently sought and in which mental health comorbidities are common.

Learning to listen to trans and gender diverse children: A Response to Zucker (2018) and Steensma and Cohen-Kettenis (2018)

ABSTRACT The authors answer recent responses by Steensma & Cohen-Kettenis (2018) and Zucker (2018) to our critical commentary on “desistance” stereotypes and their underlying research on trans and

Ten years of experience in counseling gender diverse youth in Flanders, Belgium. A clinical overview

Results are indicative of the need for mental support for trans youth and their families and moreover, highlight theneed for longitudinal follow-up studies.

Neurobiology of Pediatric Gender Identity

Evidence for sex-atypical differentiation of brain function and structure among transgender and gender diverse youth and findings with regard to the effects of gender-affirming hormonal treatment on the brain are presented.



A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children

ABSTRACT Background: It has been widely suggested that over 80% of transgender children will come to identify as cisgender (i.e., desist) as they mature, with the assumption that for this 80%, the

Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study

Both persisters and desisters stated that the changes in their social environment, the anticipated and actual feminization or masculinization of their bodies, and the first experiences of falling in love and sexual attraction had influenced their gender related interests and behaviour, feelings of gender discomfort and gender identification.

More than two developmental pathways in children with gender dysphoria?

Poor peer relations predict parent- and self-reported behavioral and emotional problems of adolescents with gender dysphoria: a cross-national, cross-clinic comparative analysis

A measure of poor peer relations was the strongest predictor of CBCL and YSR behavioral and emotional problems in gender dysphoric adolescents.

Behavioral and Emotional Problems on the Teacher’s Report Form: A Cross-National, Cross-Clinic Comparative Analysis of Gender Dysphoric Children and Adolescents

This first cross-national investigation that assessed behavior and emotional problems and the quality of peer relations, both measured by the Teacher’s Report Form (TRF), in a sample of gender dysphoric patients, showed the same pattern of emotional and behavioral problems in both countries.

Controversies in Gender Diagnoses.

The work summarizes some of the published conclusions of the DSM-5 and ICD-11 revision processes regarding three particular controversies: stigma versus access to care; the retention of a child gender diagnosis; and the treatment of prepubescent transgender children.

Report of the American Psychiatric Association Task Force on Treatment of Gender Identity Disorder

Current evidence was judged sufficient to support recommendations for adults in the form of an evidence-based APA Practice Guideline with gaps in the empirical data supplemented by clinical consensus.

Demographic Characteristics, Social Competence, and Behavior Problems in Children with Gender Identity Disorder: A Cross-National, Cross-Clinic Comparative Analysis

This study—the first cross-national, cross-clinic comparative analysis of children with gender identity disorder—found far more similarities than differences in both social competence and behavior problems.

Factors associated with desistence and persistence of childhood gender dysphoria: a quantitative follow-up study.

Gender dysphoria in childhood

A clinical picture is provided of children who are referred to gender identity clinics and the clinical criteria are described including what is known about the prevalence of childhood GD.