-
Pediatric Annals Dec 2023Gender identity development is conceptualized as a biopsychosocial process that is influenced by broader historical, social, and cultural contextual factors. This review... (Review)
Review
Gender identity development is conceptualized as a biopsychosocial process that is influenced by broader historical, social, and cultural contextual factors. This review outlines the current understanding of the biopsychosocial and contextual factors that influence gender identity development in children and adolescents. Developmental milestones for gender identity development in youth are presented, and unique developmental needs for transgender and gender diverse (TGD) youth are reviewed. This article also reviews emerging areas of relevance for TGD populations, such as detransitioning and transition regret. Clinicians working with TGD populations should aim to develop individualized, evidence-based care plans that flexibly meet each youth's distinct developmental and contextual psychosocial and health care needs. .
Topics: Adolescent; Child; Humans; Female; Male; Transgender Persons; Gender Identity; Transsexualism; Delivery of Health Care; Emotions
PubMed: 38049193
DOI: 10.3928/19382359-20231016-05 -
AMA Journal of Ethics Nov 2023This essay connects loneliness with health problems and argues that both are comorbid with authoritarian politics. Although an old idea from Plato and Aristotle, this...
This essay connects loneliness with health problems and argues that both are comorbid with authoritarian politics. Although an old idea from Plato and Aristotle, this problem takes an acute shape in the contemporary world, as argued by Hegel, Hannah Arendt, and Kate Manne, and has a gendered dimension, as men are lonelier than women. This article also attends, briefly, to empirical material about loneliness in the contemporary world.
Topics: Male; Humans; Female; Loneliness; Gender Identity; Politics
PubMed: 38085591
DOI: 10.1001/amajethics.2023.850 -
Soins. Psychiatrie 2023Identity is a widely debated topic. The fact that human beings want to change sex and gender poses a fundamentally societal question. Long marginalized, this reality has...
Identity is a widely debated topic. The fact that human beings want to change sex and gender poses a fundamentally societal question. Long marginalized, this reality has become a phenomenon with varying degrees of media coverage. The definition and place of sex, gender, its acceptance and transformation are anthropologically characteristic of the human race and its very nature. The question is that of the limits of the body, of biology and anatomy. We are entering a process of transition through transgenderism, its medicalization and change of civil status. Things can be seen as a trajectory, not a state.
Topics: Male; Female; Humans; Gender Identity; Mental Disorders
PubMed: 37479353
DOI: 10.1016/j.spsy.2023.06.006 -
Psycho-oncology Aug 2023Childhood cancer may negatively impact childhood cancer survivors' (CCS) sexuality. However, this is an understudied research area. We aimed to describe the psychosexual...
OBJECTIVES
Childhood cancer may negatively impact childhood cancer survivors' (CCS) sexuality. However, this is an understudied research area. We aimed to describe the psychosexual development, sexual functioning and sexual satisfaction of CCS, and identify determinants for these outcomes. Secondarily, we compared the outcomes of a subsample of emerging adult CCS to the Dutch general population.
METHODS
From the Dutch Childhood Cancer Survivor Study LATER cohort (diagnosed 1963-2001), 1912 CCS (18-71 years, 50.8% male) completed questions on sexuality, psychosocial development, body perception, mental and physical health. Multivariable linear regressions were used to identify determinants. Sexuality of CCS age 18-24 (N = 243) was compared to same-aged references using binomial tests and t-tests.
RESULTS
One third of all CCS reported hindered sexuality due to childhood cancer, with insecure body the most often reported reason (44.8%). Older age at study, lower education, surviving central nervous system cancer, poorer mental health and negative body perception were identified as determinants for later sexual debut, worse sexual functioning and/or sexual satisfaction. CCS age 18-24 showed significantly less experience with kissing (p = 0.014), petting under clothes (p = 0.002), oral (p = 0.016) and anal sex (p = 0.032) when compared to references. No significant differences with references were found for sexual functioning and sexual satisfaction, neither among female CCS nor male CCS age 18-24.
CONCLUSIONS
Emerging adult CCS reported less experience with psychosexual development, but similar sexual functioning and sexual satisfaction compared to references. We identified determinants for sexuality, which could be integrated in clinical interventions for CCS at risk for reduced sexuality.
Topics: Adult; Child; Humans; Male; Female; Cancer Survivors; Neoplasms; Orgasm; Survivors; Sexual Behavior; Sexuality; Psychosexual Development
PubMed: 37365748
DOI: 10.1002/pon.6181 -
Journal of the American Academy of... Mar 2024Decades of research show that LGBTQIA+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual, and others) youth experience higher rates of psychiatric illness...
Decades of research show that LGBTQIA+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual, and others) youth experience higher rates of psychiatric illness and present to mental health settings more often than their heterosexual, cisgender peers. General guidelines for working with LGBTQIA+ youth exist; however, little has been written about the unique challenges facing LGBTQIA+ youth and their families in inpatient psychiatric settings and strategies for ameliorating them. As LGBTQIA+ youth attempt suicide at much higher rates than their peers, inpatient settings see a disproportionate number of these youth. Providing LGBTQIA+ youth with affirming care during their inpatient admission therefore has the potential to shift mental illness trajectories of youth, increase family support, and reduce the number of lives lost to suicide. In this article, we outline specific barriers to affirming care in inpatient child and adolescent psychiatric settings and propose practical strategies that providers can implement to overcome these barriers.
Topics: Female; Child; Humans; Adolescent; Inpatients; Sexual and Gender Minorities; Transgender Persons; Gender Identity; Sexual Behavior
PubMed: 37451313
DOI: 10.1016/j.jaac.2023.04.020 -
Annales de Chirurgie Plastique Et... Nov 2023Our consultations are saturated by an influx of requests from young people - and very often from their parents - for whom the binarity of the boy/girl classification...
Our consultations are saturated by an influx of requests from young people - and very often from their parents - for whom the binarity of the boy/girl classification has been shattered, and whose only watchword is: "I choose my gender, my sexuality, my body, my way of being, of moving and representing myself, I want to become what I am". For them, anatomy is no longer a fatality: hormones, mutilating and restorative surgeries, increasingly sophisticated aesthetic techniques make it possible to adapt their body and their gender to their intimate aspirations. Psychological support must help these patients to explore their gender identity, and allow them to live it as well as possible in their social and family environment.
Topics: Adolescent; Female; Humans; Male; Gender Identity; Health Services for Transgender Persons
PubMed: 37537014
DOI: 10.1016/j.anplas.2023.06.007 -
Biological Psychiatry Oct 2023Schizophrenia is a severe neuropsychiatric disorder with significant differences in the incidence and symptomology between cisgender men and women. In recent years,... (Review)
Review
Schizophrenia is a severe neuropsychiatric disorder with significant differences in the incidence and symptomology between cisgender men and women. In recent years, considerably more attention has been on the inclusion of sex and gender in schizophrenia research. However, the majority of this research has failed to consider gender outside of the socially constructed binary of men and women. As a result, little is known about schizophrenia in transgender and gender-nonconforming populations. In this review, we present evidence showing that transgender and gender-nonconforming individuals have elevated risk of developing schizophrenia, and we discuss minority stress theory and other potential factors that may contribute to this risk. The need for inclusion of transgender and gender-nonconforming communities in schizophrenia research is emphasized, alongside a discussion on considerations and challenges associated with this type of research. Finally, we offer specific strategies to make research on schizophrenia, and research on other neuropsychiatric disorders, more inclusive of those populations that do not fall within the socially constructed gender binary. If we are to succeed in the development of more personalized therapeutic approaches for all, a better understanding of the variability of the human brain is needed.
Topics: Male; Humans; Female; Schizophrenia; Gender Identity; Transgender Persons
PubMed: 37003472
DOI: 10.1016/j.biopsych.2023.03.018 -
MCN. the American Journal of Maternal...Nurses play a critical role in providing gender-affirming care for transgender and gender-diverse youth. With heightened debate about the clinical care for transgender... (Review)
Review
Nurses play a critical role in providing gender-affirming care for transgender and gender-diverse youth. With heightened debate about the clinical care for transgender and gender-diverse youth in the national and global spotlight, now more than ever before nurses must equip themselves with the knowledge and the evidence spanning more than 4 decades that support the clinical use of gender-affirming care for youth and young adults. By exploring gender development and gender-affirming care approaches through the lifespan perspective, this review provides an up-to-date discussion about best practices and clinical implications for providing equitable care for transgender and gender-diverse youth from birth to childhood and through adolescence developmental phases. A transgender and gender-diverse youth's future willingness to access health care is dependent on how positive their interactions are with their care team at this sensitive moment in their life. Nurses must not let political rhetoric impede their practice and ethical guidelines to provide competent, skilled, and unbiased care. Knowledgeable, informed, and empowered nurses can provide life-saving care to transgender and gender-diverse youth and their families.
Topics: Adolescent; Female; Humans; Male; Delivery of Health Care; Gender Identity; Transgender Persons; Child
PubMed: 38112665
DOI: 10.1097/NMC.0000000000000981 -
Journal of Obstetric, Gynecologic, and... Nov 2023Transgender and gender-nonconforming people remain excluded from women's health spaces, and nurses with expertise in women's health best serve their needs when they seek... (Review)
Review
Transgender and gender-nonconforming people remain excluded from women's health spaces, and nurses with expertise in women's health best serve their needs when they seek sexual, reproductive, gynecologic, or obstetric care. However, commentary regarding the term "women" and exclusionary policies and behaviors in health care marginalize gender-nonconforming patients and contribute to health disparities. Therefore, the purpose of this article is twofold. First, we review terminology related to gender-nonconforming populations and their known health care needs; provide a brief historical overview of gender and health care; and describe the influence of White supremacist, misogynist, and heteronormative influences in women's health care. Second, we generate a call to action and specifically discuss the responsibilities of nurses and nursing organizations to ensure the provision of gender-equitable and respectful care and generate clinical recommendations for the specialty.
Topics: Pregnancy; Humans; Female; Women's Health; Gender Identity; Transgender Persons; Sexual Behavior; Delivery of Health Care
PubMed: 37699533
DOI: 10.1016/j.jogn.2023.08.007 -
Journal of Nursing Scholarship : An... Jan 2024The visibility and discussion on the rights and needs of Trans and Non-Binary communities in relation to healthcare have seen growing prominence in recent years. Despite...
The visibility and discussion on the rights and needs of Trans and Non-Binary communities in relation to healthcare have seen growing prominence in recent years. Despite an overall improvement in access to legal protections, civil rights, and in many jurisdictions specialist provision of healthcare for gender minorities, there remain poorer health outcomes in many areas and ongoing experiences of discrimination and transphobia. In this article, we set out the prerogative for nurses to step up as authentic allies for Trans and Non Binary people and put forward strategies to enhance the experience of gender minorities in healthcare through practice, education, and systems change.
Topics: Humans; Sexual and Gender Minorities; Delivery of Health Care; Gender Identity
PubMed: 37243377
DOI: 10.1111/jnu.12918