Memo Outlining Evidence for Change for Gender Identity Disorder in the DSM-5

Zucker, Kenneth J.; Cohen‐Kettenis, Peggy T.; Drescher, Jack; Meyer‐Bahlburg, Heino F. L.; Pfäfflin, Friedemann; Womack, William M.

doi:10.1007/s10508-013-0139-4

Cited by 99 publications

(52 citation statements)

References 106 publications

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“…Children who present to clinicians with persistent cross‐gender expression and/or identification may be diagnosed with gender dysphoria (Zucker et al., ). Most children diagnosed with gender dysphoria do not grow to be adults with gender dysphoria (i.e., transgender adults).…”

Section: Gender Nonconforming Children and Youthmentioning

confidence: 99%

Gender nonconforming and transgender children/youth

Alegría

2016

Journal of the American Association of Nurse Practitioners

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Purpose The aim of this article is to provide foundational knowledge on gender nonconforming/transgender children/youth. With this knowledge, providers’ confidence and ability to address the needs of patients/families can increase. Data sources Academic Search Premier, Cinahl, PubMed, World Professional Association for Transgender Health. Conclusions The number of gender nonconforming/transgender children/youth presenting to healthcare providers is increasing. The situation presents a myriad of challenges to families. The identity trajectory of gender nonconforming children is variable, and watchful waiting while providing support to the child and family is advised. If gender dysphoria persists as puberty approaches, treatment with puberty blockers is recommended. This provides youth time to further explore their identity, while alleviating the distress of developing unwanted secondary natal sex characteristics. For these individuals, cross‐sex hormones may be started at age 16. Implications for practice The complexities of providing care to gender nonconforming children/youth and their families are best met through an interdisciplinary approach. Consultation with and/or referral to specialists knowledgeable about transgender health care is advised. Beyond a basic understanding of gender nonconformance, of primary importance to patients/families is being heard and supported by their providers. Establishing a safe and welcome environment is paramount. Resources are provided.

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Section: Gender Nonconforming Children and Youthmentioning

confidence: 99%

Gender nonconforming and transgender children/youth

Alegría

2016

Journal of the American Association of Nurse Practitioners

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“…Those favoring retention of the diagnosis emphasize its importance for obtaining insurance coverage for psychiatric, medical, and surgical treatment and legal protection from discrimination (MeyerBahlburg 2010). Instead of being eliminated, the diagnostic criteria were altered to emphasize the distress rather than the identity component (Zucker et al 2013). …”

Section: Medicalizationmentioning

confidence: 99%

Pubertal Suppression and Professional Obligations: May a Pediatric Endocrinologist Refuse to Treat an Adolescent With Gender Dysphoria?

Antommaria

2014

The American Journal of Bioethics

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“…[7][8][9] In agreement with the Diagnostic and Statistical Manual of Mental Disorders (DSM) V new criteria, transsexuals [transwomen and transmen] are persons experiencing 'a marked incongruence between one's experienced/expressed gender and assigned gender, of at least 6 months duration'. 10,11 Those wishing to acquire the physical traits of the opposite sex can undergo hormonal treatment in order to modify their secondary sexual characteristics (voice, hair, etc.) or can consider surgical options for gender reassignment.…”

Section: Introductionmentioning

confidence: 99%