Response to Comment on “Outbreak: On Transgender Teens and Psychic Epidemics”

Marchiano, Lisa

doi:10.1080/00332925.2019.1626674

Cited by 3 publications

(3 citation statements)

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“…A compartmentalizing process is required in the presentation and phenomenology so that one concept (dysphoria about gender identity) can be teased apart from other investments of gender, body, and sexuality. Recent controversial debates about transitions in adolescents about the influence of the peer group and social media (Littman, 2018(Littman, , 2019Marchiano, 2017Marchiano, , 2019Marchiano, , 2021Short, 2019) may add possible new contributions that need exploration in child assessment, and such influence questions the 'authenticity' of any gender assertion. However, Turban et al (2022b) conclude that any social contagion hypothesis should be discounted and that medical care for transitioning adolescents should not be withheld.…”

Section: Discussionmentioning

confidence: 99%

“…The risk is that these trends may lead to medical transition being considered for prepubescent children too, particularly given the ingress of social media and peer influence in their lives. The worries reported in medical journalism have paralleled scholarly publications on the topic (Littman, 2018(Littman, , 2019Marchiano, 2017Marchiano, , 2019Marchiano, , 2021Short, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Indicators for continuance of childhood gender dysphoria into adulthood: A critical interpretive synthesis of literature (2000–2020)

Cooke

Moodley

2023

Int Health Trends & Persp

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Introduction: Health professionals are unable to predict whether gender nonconforming distress or manifestations will continue after puberty. They also hold varied ideologies about gender. Information about these indicators lacks integration to benefit decision-making about how to intervene in childhood gender dysphoria. Aims: The aim of this review was to synthesize the literature on early indicators that anticipate the continuity of childhood gender dysphoria following puberty. A secondary aim, because of the ideological debates that underpin clinical decisions in transgender health care, was to critically interpret that literature. Methods: A critical interpretive synthesis was selected to integrate and offer a critical appraisal of literature (n=20). Results: A synthesizing argument was developed from four constructs: the intensity of gender dysphoric feelings, the child’s assertion of their gender identity, the stability of gender identity, and gender is a composite of multiple selves. Conclusions: The framing of experts’ arguments fed into presumed stability of gender identity. No single homogenous indicator can be postulated, but a compartmentalizing process is needed to understand the experiential world of a child’s gender nonconformity so that one concept (dysphoria about gender identity) can be teased apart from other investments of gender, body, and sexuality. Our constructs of the intensity of feelings and gender as a composite of multiple selves were found to challenge DSM-5 criteria. Understanding that multiple transitions may occur can help a child locate a gendered positioning in which they are comfortable. This could enable health practitioners offer affirmative care while remaining cautious about using medical treatments that cannot be reversed. The search for indicators itself, however, can be considered a historical moment, given the developments in the field in the 2 years after this review was conducted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Indicators for continuance of childhood gender dysphoria into adulthood: A critical interpretive synthesis of literature (2000–2020)

Cooke

Moodley

2023

Int Health Trends & Persp

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“…has been suggested as an appropriate method for controlling for such bias (40,41). Gender identity is currently extensively portrayed in the media (42) and is thus likely to be a topic which tempts adolescents to give facetious responses. In the present study, a sincerity screening question was presented at the end of the survey as follows: "Have you responded in this survey as honestly as possible?"…”

Section: Honesty Of Respondingmentioning

confidence: 99%

Normative and negative sexual experiences of transgender identifying adolescents in the community

Heino

Fröjd

Marttunen

et al. 2020

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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Background: Sexuality is a major facet of development during adolescence. Apace with normal sexual development, sexual experiences become more common and intimate. Recent research reports mixed results as to whether this is the case among transgender identifying adolescents. Recent research also suggests that trans youth experience negative sexual experiences (such as dating violence and sexual harassment) more often than their cisgender identifying peers. However, most studies have had clinical or selected samples. Objective: The aim of this study is to compare the normative as well as negative sexual experiences of trans youth with their cisgender peers in the general population. Method: Our study included 1386 pupils of the ninth year of comprehensive school in Finland, mean age (SD) 15.59 (0.41) years. We compared sexual experiences, sexual harassment and dating violence among trans youth and their cisgender identifying peers. Distributions of the outcome variables were calculated among the whole sample and by sex. Next, multivariate associations were studied using logistic regression adjusting for age, sex, honesty of responding and depression. Odds Ratios (OR) with 95% confidence intervals (CI) are given. Results: After adjusting for age, sex, honesty of responding and ultimately for depression, normative sexual experiences of trans youth did not differ systematically from those of the mainstream, cisgender identifying youth. After adjusting for sex, age and honesty, transgender youth had increased Odds Ratios for experiences of sexual coercion and dating violence perpetration. In the final models however, no statistically significant differences were detected in the negative sexual experiences between transgender and cisgender youth. Conclusion: Transgender identifying adolescents presented neither with delayed nor with excessively advanced sexual experiences. However, transgender youth seem to be more susceptible to subjection to sexual coercion and, unexpectedly, dating violence perpetration than their cisgender peers. However, these associations may in fact relate more closely to depression, a prevalent phenomenon among trans youth, than transgender identity itself.

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Transgender Embodiment as an Appeal to Thought: A Psychoanalytic Critique of “Rapid Onset Gender Dysphoria”

Farley

Kennedy

2020

Studies in Gender and Sexuality

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Response to Comment on “Outbreak: On Transgender Teens and Psychic Epidemics”

Cited by 3 publications

References 10 publications

Indicators for continuance of childhood gender dysphoria into adulthood: A critical interpretive synthesis of literature (2000–2020)

Indicators for continuance of childhood gender dysphoria into adulthood: A critical interpretive synthesis of literature (2000–2020)

Normative and negative sexual experiences of transgender identifying adolescents in the community

Transgender Embodiment as an Appeal to Thought: A Psychoanalytic Critique of “Rapid Onset Gender Dysphoria”

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