Debate: The pressing need for research and services for gender desisters/detransitioners.

@article{Butler2020DebateTP,
  title={Debate: The pressing need for research and services for gender desisters/detransitioners.},
  author={Catherine Butler and Annabelle Hutchinson},
  journal={Child and adolescent mental health},
  year={2020},
  volume={25 1},
  pages={
          45-47
        }
}
The number of people presenting at gender clinics is increasing worldwide. Many people undergo a gender transition with subsequent improved psychological well-being (Paediatrics, 2014, 134, 696). However, some people choose to stop this journey, 'desisters', or to reverse their transition, 'detransitioners'. It has been suggested that some professionals and activists are reluctant to acknowledge the existence of desisters and detransitioners, possibly fearing that they may delegitimize… 
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11 Citations
Highly Influential Citations
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Background Citations
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11 Citations

Citation Type

Citation Type

Debate: Reality check - Detransitioner's testimonies require us to rethink gender dysphoria.
TLDR
The anecdotal reports by detransitioners indicate that systematic long-term follow-up of those who have been prescribed medical interventions by NHS and private clinics is essential to understanding the gestalt.
One Size Does Not Fit All: In Support of Psychotherapy for Gender Dysphoria
Turban, Beckwith, Reisner, and Keuroghlian (2020) published a study in which they set out to examine the effects of gender identity conversion on the mental health of transgender-identifying…
Detransition-Related Needs and Support: A Cross-Sectional Online Survey
TLDR
The results showed important psychological needs in relation to gender dysphoria, comorbid conditions, feelings of regret and internalized homophobic and sexist prejudices are being met.
Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners
TLDR
More research is needed to understand this population of individuals who experienced gender dysphoria, chose to undergo medical and/or surgical transition and then detransitioned by discontinuing medications, having surgery to reverse the effects of transition, or both.
A Typology of Gender Detransition and Its Implications for Healthcare Providers
TLDR
A typology of gender detransition based on the cessation or the continuation of a transgender identity to address this issue is suggested, highlighting the challenges that clinicians face when treating individuals with gender dysphoria.
Preventing transition "regret": An institutional ethnography of gender-affirming medical care assessment practices in Canada.
Gender detransition: a case study.
TLDR
The author considers and critiques the affirmative model of care for gender dysphoric youth in light of this case of a young woman who pursued a gender transition and returned to identifying as female after almost two years on testosterone.
Editorial: Improving health care for gender diverse youth through education and training.
  • C. Ahnallen
  • Sociology
    Child and adolescent mental health
  • 2020
TLDR
There has been a significant cultural shift to identify gender identity as an important concept that is related to human development, but there is not yet consensus on how caregivers and healthcare systems ought to attend to this awareness.
Defining Desistance: Exploring Desistance in Transgender and Gender Expansive Youth Through Systematic Literature Review
Background: Desistance is a concept that has been poorly defined in the literature, yet greatly impacts the arguments for and against providing gender-affirming care for transgender and gender expa...
Family-Based Interventions with Transgender and Gender Expansive Youth: Systematic Review and Best Practice Recommendations
Research on transgender and gender expansive (TGE) youth has highlighted the disproportionate and challenging mental health and developmental outcomes faced by these young people. Research also lar...
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References

SHOWING 1-9 OF 9 REFERENCES
Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study
TLDR
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.
‘Taking the lid off the box’: The value of extended clinical assessment for adolescents presenting with gender identity difficulties
TLDR
A joint case review of the authors caseloads over an 18-month period is presented, to identify and describe those young people who presented to the Gender Identity Development Service (GIDS) with gender dysphoria emerging in adolescence and who, during the course of assessment, ceased wishing to pursue medical (hormonal) interventions and/or who arrived at a different understanding of their embodied distress.
More than two developmental pathways in children with gender dysphoria?
Gender dysphoria in childhood
TLDR
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.
Two years of gender identity service for minors: overrepresentation of natal girls with severe problems in adolescent development
TLDR
The findings do not fit the commonly accepted image of a gender dysphoric minor and treatment guidelines need to consider gender dysphoria in minors in the context of severe psychopathology and developmental difficulties.
Transitioning Back to Maleness
  • S. Levine
  • Psychology
    Archives of sexual behavior
  • 2018
TLDR
Regret, defenses against regret, and a dramatic 3-day catharsis followed by the patient’s first loving relationship are described.
The myth of persistence: Response to “A critical commentary on follow-up studies and ‘desistance’ theories about transgender and gender non-conforming children” by Temple Newhook et al. (2018)
ABSTRACT Temple Newhook et al. (2018) provide a critique of recent follow-up studies of children referred to specialized gender identity clinics, organized around rates of persistence and desistance.…
Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment
TLDR
A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, followed by cross-sex hormones and gender reassignment surgery, provides gender dysphoric youth who seekgender reassignment from early puberty on, the opportunity to develop into well-functioning young adults.
An Analysis of All Applications for Sex Reassignment Surgery in Sweden, 1960–2010: Prevalence, Incidence, and Regrets
TLDR
There was a significant decline of regrets over the time period, and the proportion of FM individuals 30 years or older at the time of application remained stable around 30 %.