In Support of Research Into Rapid-Onset Gender Dysphoria

Hutchinson, Anna; Midgen, Melissa; Spiliadis, Anastassis

doi:10.1007/s10508-019-01517-9

Cited by 24 publications

(15 citation statements)

References 11 publications

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“…As many studies have reported, there is an evident bias in the sex ratio of referrals to these centers, showing a slight preference for assigned females at birth (AFAB) over assigned males at birth (AMAB) [9][10][11][12][13]. Additionally, some authors have reported new presentations of gender incongruence among recent referrals-especially AFABs-characterized by "rapid onset," with feelings of gender dysphoria presenting rapidly around the time of pubertal changes [8,14,15]. However, the notion of rapid onset has been criticized by some authors, and requires further research [16].…”

Section: Introductionmentioning

confidence: 99%

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Giovanardi

Fortunato

Mirabella

et al. 2020

IJERPH

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In recent years, Italy, similar to many other countries, has witnessed an increase in children and adolescents presenting gender incongruence. This trend has led to the development and implementation of specialized centers providing care and support for these youths and their families. The present study aimed at investigating the functioning of agencies specialized in working with transgender and gender non-conforming youths in the Italian territory. Professionals in these agencies were interviewed about their perspectives on their agency’s functioning, networks with other services, and work with trans* youths and their families. A semi-structured interview was developed and administered to professionals in specialized centers and associations dedicated to trans * youths, and deductive thematic analysis was applied to the transcripts. Eight professionals were interviewed: six working in specialized centers and two working in associations. The qualitative analyses of transcripts revealed four main themes, pertaining to service referrals, assessment protocols and intervention models, psychological support for youths and families, and agency shortcomings. The study explored the functioning of Italian agencies specialized in caring for transgender and gender non-conforming youths, from the perspective of professionals working in these agencies. While several positive aspects of the work emerged, the study highlighted a lack of uniformity across the Italian territory and the need for better networks between agencies and other medical professionals.

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Section: Introductionmentioning

confidence: 99%

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Giovanardi

Fortunato

Mirabella

et al. 2020

IJERPH

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“…This report did not collect data from the adolescents and young adults or clinicians and therefore does not validate the phenomenon." 4 Despite this parent-centered study prompting substantial social 5 and methodological 6 critique in tandem with calls for more robust research studies with samples of TGD adolescents, 7 the notion of ROGD has been used in recent legislative debates to argue for and subsequently enact policies that prohibit gender-affirming medical care for TGD adolescents. 8 Notably, all relevant major medical organizations, including the American Academy of Pediatrics, oppose such legislative efforts.…”

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confidence: 99%

Sex Assigned at Birth Ratio Among Transgender and Gender Diverse Adolescents in the United States

et al. 2022

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OBJECTIVE: Representatives of some pediatric gender clinics have reported an increase in transgender and gender diverse (TGD) adolescents presenting for care who were assigned female sex at birth (AFAB) relative to those assigned male sex at birth (AMAB). These data have been used to suggest that youth come to identify as TGD because of “social contagion,” with the underlying assumption that AFAB youth are uniquely vulnerable to this hypothesized phenomenon. Reported changes in the AMAB:AFAB ratio have been cited in recent legislative debates regarding the criminalization of gender-affirming medical care. Our objective was to examine the AMAB:AFAB ratio among United States TGD adolescents in a larger and more representative sample than past clinic-recruited samples. METHODS: Using the 2017 and 2019 Youth Risk Behavior Survey across 16 states that collected gender identity data, we calculated the AMAB:AFAB ratio for each year. We also examined the rates of bullying victimization and suicidality among TGD youth compared with their cisgender peers. RESULTS: The analysis included 91 937 adolescents in 2017 and 105 437 adolescents in 2019. In 2017, 2161 (2.4%) participants identified as TGD, with an AMAB:AFAB ratio of 1.5:1. In 2019, 1640 (1.6%) participants identified as TGD, with an AMAB:AFAB ratio of 1.2:1. Rates of bullying victimization and suicidality were higher among TGD youth when compared with their cisgender peers. CONCLUSION: The sex assigned at birth ratio of TGD adolescents in the United States does not appear to favor AFAB adolescents and should not be used to argue against the provision of gender-affirming medical care for TGD adolescents.

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Saying that Bauer et al studied rapid onset gender dysphoria is inaccurate and misleadingTo the Editor:Clinicians worldwide are observing a new and growing cohort of adolescents who lacked obvious signs of gender dysphoria before puberty presenting with late-onset gender dysphoria. [1][2][3][4][5] Bauer et al purport to study "rapid onset gender dysphoria" (ROGD), but, unfortunately, adopt a novel definition. 6,7 They asked adolescents attending a first referral visit at a gender clinic when they "realized [their] gender was different from what other people called [them]."

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mentioning

confidence: 99%

Saying that Bauer et al studied rapid onset gender dysphoria is inaccurate and misleading

Littman¹

2022

The Journal of Pediatrics

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In Support of Research Into Rapid-Onset Gender Dysphoria

Cited by 24 publications

References 11 publications

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network

Sex Assigned at Birth Ratio Among Transgender and Gender Diverse Adolescents in the United States

Saying that Bauer et al studied rapid onset gender dysphoria is inaccurate and misleading

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