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Journal of Sex & Marital Therapy 2023Although transition regret and detransition are often dismissed as rare, the increasing number of young detransitioners who have come forward in recent years to publicly...
Although transition regret and detransition are often dismissed as rare, the increasing number of young detransitioners who have come forward in recent years to publicly share their experiences suggests that there are cracks in the gender-affirmation model of care that can no longer be ignored. In this commentary, I argue that the medical community must find ways to have more open discussions and commit to research and clinical collaboration so that regret and detransition really are vanishingly rare outcomes. Moving forward, we must recognize detransitioners as survivors of iatrogenic harm and provide them with the personalized medicine and supports they require.
Topics: Humans; Emotions; Iatrogenic Disease; Gender Identity
PubMed: 37334817
DOI: 10.1080/0092623X.2023.2224320 -
Med (New York, N.Y.) Jul 2022The LBGTQ + community has achieved great progress since the Stonewall riot of 1969, but queer identities, in particular trans and non-binary people, are still...
The LBGTQ + community has achieved great progress since the Stonewall riot of 1969, but queer identities, in particular trans and non-binary people, are still marginalized and threatened. This Pride month, our authors reflect on the importance of visibility in medicine, and the benefits it brings to patients and science as a whole. While these Voices offer a snapshot of the current state in the US, the overarching themes reverberate globally. Med is committed to supporting our community on its journey toward global inclusivity.
Topics: Gender Identity; Humans; Sexual and Gender Minorities
PubMed: 35738277
DOI: 10.1016/j.medj.2022.06.003 -
Acta Paediatrica (Oslo, Norway : 1992) Dec 2019This review aimed to provide a comprehensive overview of the psychosocial developmental trajectory of various diseases during childhood and adolescence. (Review)
Review
AIM
This review aimed to provide a comprehensive overview of the psychosocial developmental trajectory of various diseases during childhood and adolescence.
METHODS
Studies of Dutch young adults aged 18-35 years, who had grown up with a chronic disease, were included if the Course of Life Questionnaire had been used to assess psychosocial developmental milestones in three domains: social, autonomy and psychosexual. Differences between the disease groups and the general population were presented as Cohen's d and odds ratios.
RESULTS
We included 17 studies comprising 1899 young adults, who had grown up with 18 different paediatric diseases. Psychosocial development was delayed in all three questionnaire domains. Remarkable findings with regard to specific milestones were as follows: less participation in sports clubs in the social domain, less likely to have had paid jobs in the autonomy domain and later sexual intimacy in the psychosexual domain. End-stage renal disease, galactosaemia (males), childhood cancer and orthotopic liver transplants were the most affected disease groups.
CONCLUSION
Children and adolescents with chronic diseases risked delays in psychosocial development. This should be addressed by healthcare providers, along with the physical aspects of diseases, and they should focus on the optimal psychosocial development of the patient.
Topics: Adolescent; Adolescent Development; Child; Child Development; Chronic Disease; Humans; Personal Autonomy; Psychosexual Development; Young Adult
PubMed: 31250466
DOI: 10.1111/apa.14918 -
Endocrinologia, Diabetes Y Nutricion Mar 2023In the past five years, healthcare organisation for trans people in Spain has changed as laws intended to protect sexual and gender diversity have been put in place. As... (Review)
Review
In the past five years, healthcare organisation for trans people in Spain has changed as laws intended to protect sexual and gender diversity have been put in place. As a result, endocrinologists are not only on the front lines (understood as prescribing and following up gender-affirming hormone therapy) but also coordinating multidisciplinary healthcare for these individuals. Advances in transgender medicine, the complexity of diverse trans identities and the impact of hormone therapy on quality of life and risk of middle- and long-term complications call for in-depth examination of a personalised biopsychosocial approach to trans people that requires specific training in this field of knowledge as well as updates on the concepts, terminology and drug treatments used.
Topics: Humans; Male; Female; Gender Identity; Quality of Life; Transgender Persons; Transsexualism; Hormones
PubMed: 36543601
DOI: 10.1016/j.endien.2022.11.007 -
Archives of Sexual Behavior Oct 2023
Topics: Humans; Gender Identity
PubMed: 37698737
DOI: 10.1007/s10508-023-02695-3 -
Pediatric Annals Sep 2021
Topics: Adolescent; Child; Gender Identity; Health Services for Transgender Persons; Humans; Transgender Persons; Transsexualism
PubMed: 34542336
DOI: 10.3928/19382359-20210818-04 -
Culture, Health & Sexuality Oct 2022Nonbinary young adults (who do not identify with a binary male or female identity and may hold diverse gender identities, including genderqueer, nonbinary and agender)...
Nonbinary young adults (who do not identify with a binary male or female identity and may hold diverse gender identities, including genderqueer, nonbinary and agender) may have unique and unmet sexual healthcare needs compared to binary transgender and cisgender people. However, there is limited knowledge about the sexual health and healthcare needs of nonbinary young adults. We conducted 19 semi-structured, in-depth interviews between August and November 2018 with nonbinary people aged 18-30 years in New England. Interview topics included experiences accessing sexual healthcare and engaging in sexual activity. Interviews were transcribed and transcripts were analysed using inductive and deductive thematic analysis. Three main themes were identified. First, participants described barriers to accessing high-quality sexual healthcare at both the interpersonal and institutional level. Second, participants employed strategies to meet their sexual healthcare needs despite encountering barriers. Third, participants articulated the ways nonbinary gender identities affect sexual relationships, with implications for sexual health. These findings underscore the need for research and advocacy - in collaboration with nonbinary persons themselves - to develop best practices to meet the sexual healthcare needs and advance the sexual health of nonbinary young people.
Topics: Adolescent; Female; Gender Identity; Health Services Accessibility; Humans; Male; Sexual Behavior; Transgender Persons; Transsexualism; Young Adult
PubMed: 34657546
DOI: 10.1080/13691058.2021.1946595 -
Pediatric Annals Sep 2021The coronavirus disease 2019 pandemic has put strains on transgender and gender expansive (TGE) children and youth, with increased rates of anxiety and depression, lower...
The coronavirus disease 2019 pandemic has put strains on transgender and gender expansive (TGE) children and youth, with increased rates of anxiety and depression, lower access to medical and mental health services, and greater exposure to unaccepting home environments. At the same time, for some of these young people, particularly those with supportive living situations, sheltering in place and online schooling has afforded them the opportunity to freely explore and consolidate their gender, protected from the strains of socially induced anxieties, and anticipated or experienced negative, hostile messages from their surrounding environment (ie, school or public meeting places). Culling from emerging data on the psychosocial effects of the pandemic on TGE children and youth, an argument is made for an understanding of these young people's experiences as both stress-inducing and resilience-building, each existing in dialectic tension with the other. Providers are called on to hold both in mind to fortify the biopsychosocial well-being of transgender and gender expansive children and youth. .
Topics: Adolescent; COVID-19; Child; Gender Identity; Humans; Physical Distancing; SARS-CoV-2; Transgender Persons; Transsexualism
PubMed: 34542341
DOI: 10.3928/19382359-20210818-01 -
Journal of the American Academy of... Aug 2022Youth view gender as a spectrum of experiences, not the cis-binary framework of girls/women versus boys/men. However, research has historically focused on cisgender...
Youth view gender as a spectrum of experiences, not the cis-binary framework of girls/women versus boys/men. However, research has historically focused on cisgender people, without considering the rich experiences of transgender and non-binary people. Method. To address gaps in the inclusion of transgender and gender non-binary youth in research, a group of transgender and non-binary youth came together through a research-based youth engagement initiative to discuss what they wanted researchers to know about gender. Results. Youth propose ten guidelines and principles that they ask researchers to acknowledge, respect, and apply. These guidelines and principles focus on acknowledging and accepting diverse experiences situated on a gender spectrum, committing to learning more about gender, incorporating gender appropriately in their research initiatives, and engaging with transgender and non-binary youth in the research they conduct. Funders, research ethics boards, and publishers are also responsible for attending to gender. Conclusions. Researchers are called on to consider these guidelines and principles and to engage in dialogue around them in order to better capture the experiences of transgender and non-binary youth in the new evidence base as it emerges.
Topics: Adolescent; Female; Gender Identity; Humans; Male; Research Design; Transgender Persons; Transsexualism
PubMed: 34990762
DOI: 10.1016/j.jaac.2021.12.010 -
Archives of Sexual Behavior Oct 2022Blanchard proposed that autogynephilia is a natal male's paraphilic sexual arousal in response to the thought or fantasy of being a woman. Furthermore, based on evidence...
Blanchard proposed that autogynephilia is a natal male's paraphilic sexual arousal in response to the thought or fantasy of being a woman. Furthermore, based on evidence collected from natal males with gender dysphoria, Blanchard argued that autogynephilia is the fundamental motivation among nonhomosexual males (i.e., those not exclusively attracted to men) who pursue sex reassignment surgery or live as transgender women. These ideas have been challenged by several writers who have asserted, or offered evidence, that autogynephilia is common among women. However, their evidence was weakened by problematic measures and limited comparison groups. We compared four samples of autogynephilic natal males (N = 1549), four samples of non-autogynephilic natal males (N = 1339), and two samples of natal females (N = 500), using Blanchard's original measure: the Core Autogynephilia Scale. The autogynephilic samples had much higher mean scores compared with non-autogynephilic natal males and natal females, who were similar. Our findings refute the contention that autogynephilia is common among natal females.
Topics: Fantasy; Female; Gender Dysphoria; Gender Identity; Humans; Male; Sex Reassignment Surgery; Transgender Persons; Transsexualism
PubMed: 35759067
DOI: 10.1007/s10508-022-02359-8