Clinical Management of Gender Dysphoria in Young Boys

Lothstein, Abpp Leslie M.

doi:10.1300/j056v05n04_06

Cited by 4 publications

(2 citation statements)

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“…In some respects, this is the sine qua non of the developmental end-state of gender dysphoria. Much less is known about the salience of anatomic dysphoria in children with GID (Coates, 1985;Lothstein, 1992). Other than one general item on the GIQC that pertains to anatomic dysphoria (Johnson et al, 2004), I am not aware of any other published empirical data on putative indicators of this construct.…”

Section: Anatomic Dysphoriamentioning

confidence: 99%

The DSM Diagnostic Criteria for Gender Identity Disorder in Children

Zucker

2009

Arch Sex Behav

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In this article, I review the diagnostic criteria for Gender Identity Disorder (GID) in children as they were formulated in the DSM-III, DSM-III-R, and DSM-IV. The article focuses on the cumulative evidence for diagnostic reliability and validity. It does not address the broader conceptual discussion regarding GID as "disorder," as this issue is addressed in a companion article by Meyer-Bahlburg (2009). This article addresses criticisms of the GID criteria for children which, in my view, can be addressed by extant empirical data. Based in part on reanalysis of data, I conclude that the persistent desire to be of the other gender should, in contrast to DSM-IV, be a necessary symptom for the diagnosis. If anything, this would result in a tightening of the diagnostic criteria and may result in a better separation of children with GID from children who display marked gender variance, but without the desire to be of the other gender.

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Section: Anatomic Dysphoriamentioning

confidence: 99%

The DSM Diagnostic Criteria for Gender Identity Disorder in Children

Zucker

2009

Arch Sex Behav

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“…Cole et al (1997) observed similar percentages: 8% among MtF transsexuals and 1% among FtM transsexuals. Lothstein (1992) suggested that attempted genital self-mutilation was an underreported symptom of childhood gender dysphoria in boys. Incarcerated transgender persons who are denied access to cross-sex hormones may be at increased risk for this type of self-harm .…”

Section: Suicide and Self-harm In Transgender Personsmentioning

confidence: 99%