Practice Parameter on Gay, Lesbian, or Bisexual Sexual Orientation, Gender Nonconformity, and Gender Discordance in Children and Adolescents

Adelson, Stewart L.

doi:10.1016/j.jaac.2012.07.004

Cited by 230 publications

(106 citation statements)

References 83 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Preferably, such work is done by child psychologists or psychiatrists who received some training in sexology, as offered in many Western countries by way of courses or workshops, and obtained an introduction into and supervision of clinical work with DSD patients, as offered at some DSD-specialized centers. In the context of current efforts to improve the multidisciplinary care for LGBT patients, related competence training is being widely disseminated [25,26,27], which also overlaps with the training needs of providers of DSD care [28]. …”

Section: Gender Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Gender Assignment, Reassignment and Outcome in Disorders of Sex Development: Update of the 2005 Consensus Conference

Meyer‐Bahlburg

Dalke²,

Berenbaum³

et al. 2016

Horm Res Paediatr

View full text Add to dashboard Cite

Background: Societal changes are increasingly moving the conceptualization of gender from a set of binary categories towards a bimodal continuum, which along with the cautious conclusions resulting from the 2005 Consensus Conference influences gender-related clinical work with patients with disorders of sex development. Objective: This article provides an update of these developments over the past decade along with an overview of pertinent new data. Conclusion: Considerably more research is needed on larger sample sizes with systematic long-term follow-up to ground the emerging trends in clinical management of the highly diverse disorders of sex development syndromes in a solid empirical basis.

show abstract

Section: Gender Assessmentmentioning

confidence: 99%

“…The combination of low gender typicality and high felt pressure may be particularly salient for the development of symptoms of anxiety and depression [41]. Therefore, coercion to change the emerging gender identity or gender expression of a child is considered harmful and unethical [26,27]. …”

Section: Gender Development In Genitally Typical Childrenmentioning

confidence: 99%

Gender Assignment, Reassignment and Outcome in Disorders of Sex Development: Update of the 2005 Consensus Conference

Meyer‐Bahlburg

Dalke²,

Berenbaum³

et al. 2016

Horm Res Paediatr

View full text Add to dashboard Cite

show abstract

“…2 Although not without debate, blocking pubertal development has rapidly become more widely available [3][4][5][6][7] and is now part of the clinical management guidelines for GD. [8][9][10][11][12] Gonadotropin-releasing hormone analogs (GnRHa) are a putatively fully reversible 13 medical intervention intended to relieve distress that gender dysphoric adolescents experience when their secondary sex characteristics develop. A protocol designed by CohenKettenis and Delemarre-van de Waal 14 (sometimes referred to as "the Dutch model") 4,7 considers adolescents, after a comprehensive psychological evaluation with many sessions over a longer period of time, eligible for puberty suppression, cross-sex hormones (CSH), and gender reassignment surgery (GRS) at the respective ages of 12, 16, and 18 years when there is a history of GD; no psychosocial problems interfering with assessment or treatment, for example, treatment might be postponed because of continuous moving from 1 institution to another or repeated psychiatric crises; adequate family or other support; and good comprehension of the impact of medical interventions.…”

mentioning

confidence: 99%

Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment

et al. 2014

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Puberty suppression has rapidly become part of the standard clinical management protocols for transgender adolescents. To date, there is only limited evidence for the long-term effectiveness of this approach after gender reassignment (cross-sex hormones and surgery). WHAT THIS STUDY ADDS:In young adulthood, gender dysphoria had resolved, psychological functioning had steadily improved, and well-being was comparable to same-age peers. The clinical protocol including puberty suppression had provided these formerly gender-dysphoric youth the opportunity to develop into well-functioning young adults. abstract BACKGROUND: In recent years, puberty suppression by means of gonadotropin-releasing hormone analogs has become accepted in clinical management of adolescents who have gender dysphoria (GD). The current study is the first longer-term longitudinal evaluation of the effectiveness of this approach. METHODS:A total of 55 young transgender adults (22 transwomen and 33 transmen) who had received puberty suppression during adolescence were assessed 3 times: before the start of puberty suppression (mean age, 13.6 years), when cross-sex hormones were introduced (mean age, 16.7 years), and at least 1 year after gender reassignment surgery (mean age, 20.7 years). Psychological functioning (GD, body image, global functioning, depression, anxiety, emotional and behavioral problems) and objective (social and educational/professional functioning) and subjective (quality of life, satisfaction with life and happiness) well-being were investigated. RESULTS:After gender reassignment, in young adulthood, the GD was alleviated and psychological functioning had steadily improved. Wellbeing was similar to or better than same-age young adults from the general population. Improvements in psychological functioning were positively correlated with postsurgical subjective well-being. CONCLUSIONS: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 seek gender reassignment from early puberty on, the opportunity to develop into well-functioning young adults. Pediatrics 2014;134:696-704 AUTHORS:

show abstract

“…2 Transgender: Individuals with an affirmed gender identity different than their biological sex. 6 Transgender can also be used to describe people whose gender identity, expression, or behaviors falls outside of culturally defined norms for their biological sex. 2 Cis-gender: Individuals whose affirmed gender matches their biological sex.…”

Section: Terminologymentioning

confidence: 99%

Understanding Gender Variance in Children and Adolescents

Simons¹,

Leibowitz²,

Hidalgo³

2014

Pediatr Ann

View full text Add to dashboard Cite

Gender variance is an umbrella term used to describe gender identity, expression, or behavior that falls outside of culturally defined norms associated with a specific gender. In recent years, growing media coverage has heightened public awareness about gender variance in childhood and adolescence, and an increasing number of referrals to clinics specializing in care for gender-variant youth have been reported in the United States. Gender-variant expression, behavior, and identity may present in childhood and adolescence in a number of ways, and youth with gender variance have unique health needs. For those experiencing gender dysphoria, or distress encountered by the discordance between biological sex and gender identity, puberty is often an exceptionally challenging time. Pediatric primary care providers may be families' first resource for education and support, and they play a critical role in supporting the health of youth with gender variance by screening for psychosocial problems and health risks, referring for gender-specific mental health and medical care, and providing ongoing advocacy and support.

show abstract

Practice Parameter on Gay, Lesbian, or Bisexual Sexual Orientation, Gender Nonconformity, and Gender Discordance in Children and Adolescents

Cited by 230 publications

References 83 publications

Gender Assignment, Reassignment and Outcome in Disorders of Sex Development: Update of the 2005 Consensus Conference

Gender Assignment, Reassignment and Outcome in Disorders of Sex Development: Update of the 2005 Consensus Conference

Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment

Understanding Gender Variance in Children and Adolescents

Contact Info

Product

Resources

About