Children With Gender Identity Disorder

This book explores the ethical, clinical and legal issues surrounding the care and treatment of children with identity disorder (GID), proposing ways of valuing gender diversity, and stressing the responsibilities that a civil society should have towards trans-youth.

This unique and timely volume provides a comprehensive overview of the most recent clinical work and research on the topic. Following an overview of the disorder, the first section of the book deals with young children, providing a detailed analysis of gender identity disorder in both boys and girls. The second section, which focuses on adolescents, covers gender identity disorder, transvestic fetishism - also based on the largest sample of individuals ever studied - and homosexuality. Detailed clinical case material, which brings the issues to life, is included throughout.

Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature. The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs. While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.

In recent years, there has been an explosion in the number of children and young people who diagnose themselves as gender dysphoric, or trans. In the UK, and worldwide, there is a growing tendency to refer them on to 'specialist' gender services almost as soon as they express any confusion or distress about their biological sex or gender identity. Due to the rapidly rising numbers and various pressures on the system, patients are increasingly likely to be offered life-altering medication and/or surgical treatments, often with little exploration of their emotional world. As so little is yet known or understood regarding this increase in gender incongruent patients, it seems precipitous to proceed onto physical treatments before any assessment work is undertaken. Many who present as gender dysphoric have complex needs with comorbid problems such as autism, histories of abuse or trauma, social phobias, depression, eating disorders, and other mental health symptoms. Therefore, all aspects of the individual's life deserve thorough assessment and therapeutic work. This book is aimed primarily at clinicians working in the field to provide a model for understanding, assessing, and treating gender dysphoria. The model uses a psychoanalytic framework to help explain disturbed states of mind and how psychic defences can be enlisted unconsciously to avoid overwhelming psychic pain. This offers professionals a way of trying to think with, and offer understanding to, their trans-identifying clients. Clinical examples are given to illustrate these processes and promote the understanding of transgender children, adolescents, and young people and their internal worlds, their thinking, and their interpersonal relationships. As well as clinical exploration and understanding, the book includes an overview of the current political, social, and clinical environments which have all impacted on the clinical care of trans-identifying individuals. As well as professional and trainee clinicians, this book might also prove useful to parents, other professionals, and possibly the gender dysphoric person too.

An authoritative guide to understanding and navigating gender identity from an acclaimed expert on the mental health of transgender and gender diverse youth. Kids today are more gender fluent and expansive than ever before. In America, around two percent of teenagers (over 700,000) openly identify as transgender. As it becomes increasingly common for us to encounter and know transgender kids, as well as kids with more expansive notions of gender than past generations, it is vital that we have the tools we need in order to truly see and support them. Free to Be is an authoritative deep dive by internationally renowned child and adolescent psychiatrist Dr. Jack Turban into the science, medicine, and politics of gender identity. You will be immersed in the lives of three trans and gender diverse youth—Meredith, Kyle, and Sam—as they navigate their gender identities, make decisions around gender-affirming medical and psychological care, and confront an overwhelming political and social terrain. By combining the latest scientific research, stories of transgender children, and the intricacies of today’s political gender wars, Free to Be gives you the tools to help the kids in your life navigate the complexity of gender identity, while also coming to better understand what the nuances of gender mean to yourself and society at large.

When developmental psychologists set forth the theory that the roots of adult psychopathology could be traced to childhood experience and behavior, the idea quickly took hold. Subsequently, as significant research in this area advanced during the past decade, more sophisticated theory, more accurate research methodologies, and improved replication of empirical findings have been the result. The Third Edition of the Handbook of Developmental Psychopathology incorporates these research advances throughout its comprehensive, up-to-date examination of this diverse and maturing field. Integrative state-of-the-art models document the complex interplay of risk and protective factors and other variables contributing to normal and pathological development. New and updated chapters describe current refinements in assessment methods and offer the latest research findings from neuroscience. In addition, the Third Edition provides readers with a detailed review across the spectrum of salient topics, from the effects of early deprivation to the impact of puberty. As the field continues to shift from traditional symptom-based concepts of pathology to a contemporary, dynamic paradigm, the Third Edition addresses such key topics as: Early Childhood disorders, including failure to thrive and attachment disorders. Aggression, ADHD, and other disruptive conditions. Developmental models of depression, anxiety, self-injury/suicide, and OCD. The autism spectrum and other chronic developmental disorders. Child maltreatment and trauma disorders. The Third Edition of the Handbook of Developmental Psychopathology is a discipline-defining, forward-looking resource for researchers, clinicians, scientist-practitioners, and graduate students in such fields as developmental psychology, psychiatry, social work, child and school psychology, educational psychology, and pediatrics.“p>

This book serves as a guide to key topics regarding pediatric gender identity to help clinicians better care for transgender and gender diverse youth. Written by experts in the field, it covers critical considerations for child health providers from a variety of disciplines in a range of clinical settings. Patients, families and other community agencies can also find useful information about current practices and recommendations for care and support. The text begins by overviewing terminology, epidemiology, gender identity development, and relevant neurobiology. Next, the text focuses on the emergence of affirmative treatment paradigms using a patient-centered, consent based framework. Topics include psychotherapeutic support, gender-affirming medical and surgical care, management of co-existing psychiatric conditions, sexual health and fertility, legal considerations, international considerations, and more. Pediatric Gender Identity can be used as a framework to address core clinical issues and offers practical considerations for gender-affirming care. Using the growing science and understanding of gender development, this book is an excellent resource for all professionals working with gender diverse youth, including child and adolescent psychiatrists, pediatricians, pediatric surgeons, psychologists, therapists, researchers, school and educational leaders, and students.