Guía clínica de atención a menores transexuales, transgéneros y de género diverso

“I Don’t Want to be a Girl. I Am a Girl!” Experiences Before, During and After Transition in Families with Trans Children and Adolescents

“…Previous research also reported discomfort prior to children's transition and affirmation of their gender identity (Horton, 2022), and negative effects of rejection and non-affirmation of gender identity in childhood such as insecure attachment (Wallace & Russell, 2013), shame (Turban, 2017), lack of belonging, post-traumatic stress disorder and low self-esteem (Ehrensaft et al, 2018), and high levels of depression, anxiety, or suicidal ideation (Srivastava et al, 2020), among others. We found that these expressions and feelings manifest from very early ages, even before the development of language, in agreement with the findings of other researchers reporting that children are aware of their gender identity from very early ages (Ehrensaft, 2017;Moral et al, 2022), often between 2 and 4 years old (Gómez-Gil et al, 2006).…”

“…Regarding pubertal changes and the development of secondary sexual characteristics, the stories recount that, while still valuing their bodies as they are, parents understand that treatment with pubertal inhibitors and subsequent hormone therapy can be of great help to their children once puberty has begun. From the field of endocrinology, the benefits and possible side effects of pubertal inhibitors continue to be discussed (Moral et al, 2022) but, in line with what was expressed by the participants in our study, Guerrero et al (2015) pointed out benefits at the psychological level associated with reduced effects of social stigmatization and, above all, the presence of unwanted sexual characteristics.…”

The Role of Healthcare Professionals in the Transition Process: A Qualitative Study of Families of Trans Children and Adolescents

“…However, in light of the stories analyzed herein, delaying hormone treatment, far from being an act of prudence, could be considered an iatrogenic decision with devastating effects on the psycho-social development of these adolescents. New models of care focusing on transaffirmative care have led to greater accessibility to care for this group [48] and have improved their well-being, as reflected in one of the stories in this study in which the transition began more recently; this is in line with recent evidence demonstrating the benefits of both pubertal blocking and gender-affirming treatment on the health care of trans people [4,49].…”

“…In contrast to non-binary people, who do not typically identify as such until adolescence or early adulthood, trans people's identity awareness may emerge during the early stages of puberty [2] or even during early childhood [3,4]. Consequently, we are witnessing a growing interest in trans childhood, and the number of studies on the issue of trans children and adolescents has grown exponentially [5].…”

Psychology and gender dysphoria: beyond queer ideology

“…Por otra parte, es conocida la presencia de trastornos psicológicos en adolescentes con disforia de género, entre ellos, depresión, ansiedad, conducta autolesiva, ideación y comportamiento Tabla 2. Calidad y conclusiones de la pretendida evidencia de la Guía clínica de atención a menores transexuales (Moral-Martos et al, 2022).…”