Early Physical Intervention for Young People with Atypical Gender Identity Development

  title={Early Physical Intervention for Young People with Atypical Gender Identity Development},
  author={Bernadette Wren},
  journal={Clinical Child Psychology and Psychiatry},
  pages={220 - 231}
  • Bernadette Wren
  • Published 1 April 2000
  • Psychology
  • Clinical Child Psychology and Psychiatry
This article describes the misery and frustration of young people for whom the external reality of the body is at odds with their gender identity. As hormonal and surgical treatments to alter the sexual body increase in sophistication, clinicians may be under pressure to provide this treatment to the under-18s – if only for the postponement of puberty. This pressure is especially powerful in the absence of evidence for the effectiveness of psychological treatment in reconciling cross- gendered… 
Transgender Adolescents and the Gender-Affirming Interventions: Pubertal Suppression, Hormones, Surgery, and Other Pharmacological Interventions
This chapter aims to review pubertal stages for youth, to present the medical interventions recommended for adolescents who are experiencing gender dysphoria, and to comprehensively review the guidelines provided by the Endocrine Society and the World Professional Association for Transgender Health.
Surgical Treatment of Gender Dysphoria in Adults and Adolescents: Recent Developments, Effectiveness, and Challenges
It is concluded that SRS is an effective treatment for transsexualism and the only treatment that has been evaluated empirically with large clinical case series with special attention to the effects of SRS on gender dysphoria, sexuality, and regret.
The treatment of adolescent transsexuals: changing insights.
The pros and cons of the various approaches to youngsters with GID are presented, hopefully inciting a sound scientific discussion of the issue.
Transgender children and youth: a child welfare practice perspective.
The focus is limited to a discussion about the recognition of gender identity; an examination of the adaptation process through which gender variant children and youth go through to deal with the stress of an environment where there is not a "goodness of fit".
Lives in a chiaroscuro. Should we suspend the puberty of children with gender identity disorder?
This paper argues that suspension of puberty is not only not unethical: if it is likely to improve the child’s quality of life and even save his or her life, then it is indeed unethical to defer treatment.
Adolescents with gender dysphoria.
ORIGINAL RESEARCH—INTERSEX AND GENDER IDENTITY DISORDERS The Treatment of Adolescent Transsexuals: Changing Insights
Treatment of individuals with gender identity disorder (GID) has in medicine nearly always met with a great deal of skepticism.
Mourning the Body as Bedrock
The concept of massive gender trauma is introduced, a clinical syndrome arising at the onerous intersection of the misgendering of transgender patients and the subjective, anguished experience of the natal body.
The discursive and clinical production of trans youth: gender variant youth who seek puberty suppression
This article focuses on therapeutic interventions with gender variant youth and, in particular, pubertal suppression. The aim is to address the question of which kinds of subjects are enabled, and
The Application of Self-Discrepancy Theory to the Mental Health Outcomes of Transsexuals who are Living in their Preferred Gender
The present project used a theoretical framework based on the two core components of this disorder, gender and identity, by utilising identity theory and self-discrepancy theory to help explain the interplay between being gender incongruent and achieving gender congruence post transition.


Pubertal delay as an aid in diagnosis and treatment of a transsexual adolescent
A postoperative follow-up case-study of a female-to-male transsexual who was treated with a combination of an LHRH agonist and psychotherapy at age 13, and subsequently underwent sex reassignment at 18.
Effects of adequacy of gender reassignment surgery on psychological adjustment: A follow-up of fourteen male-to-female patients
Factors which make it difficult for postoperative transsexuals to “pass” or which continue to remind them of their gender-reassigned status are associated with adjustment difficulties, suggesting that surgical results may be a major determinant of postoperative psychopathology.
The etiology of boyhood gender identity disorder: A model for integrating temperament, development, and psychodynamics
In this paper, we present a model for conceptualizing the etiology of boyhood gender identity disorder. We illustrate the model with a specific case of a three‐year‐old boy who developed a gender
Blending Genders: Social Aspects of Cross-Dressing and Sex Changing
First published in 1995, the book describes personal experiences of those who cross-dress and sex change, how they organise themselves socially - in both `outsider' and `respectable' communities. The
Female-to-male transsexualism : historical, clinical, and theoretical issues
In undergoing this life, many people always try to do and get the best. New knowledge, experience, lesson, and everything that can improve the life will be done. However, many people sometimes feel
Sexual Identity Conflict in Children and Adults
Verbatim data are presented from transsexual patients—children and adults—and their parents and partners. The emphasis is on men who wish to become women and to a lesser extent on women who wish to
Gender identity disorders in children and adolescents.
Treatment and prevention of the emotional and behavioural problems are essential, even if the atypical gender development remains unchanged.
Disorienting Sexuality : Psychoanalytic Reappraisals of Sexual Identities
Disorienting Sexuality exposes the biases against gay men and lesbians in psychoanalytic theory and practice. In the introduction, Domenici and Lesser draw a brief history of anti-homosexual
Gender Identity Disorder and Psychosexual Problems in Children and Adolescents
  • S. Bradley, K. Zucker
  • Psychology, Medicine
    Canadian journal of psychiatry. Revue canadienne de psychiatrie
  • 1990
This article provides a selected overview of the literature on gender identity disorder and psychosexual problems in children and adolescents, with a focus on diagnosis, clinical course, etiology,
The competency of children and adolescents to make informed treatment decisions.
The findings do not support the denial of the right of self-determination to adolescents in health-care situations on the basis of a presumption of incapacity, and children as young as 9 appear able to participate meaningfully in personal health- Care decision making.