Transexualidad: transiciones, detransiciones y arrepentimientos en España

Guerra, Mario Pazos; Balaguer, Marcelino Gómez; Porras, Mariana Gomes; Murillo, Felipe Hurtado; Izquierdo, Eva; Ariño, Carlos Morillas

doi:10.1016/j.endinu.2020.03.008

Cited by 26 publications

(21 citation statements)

References 16 publications

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“…This category potentially includes anyone who identified as transgender, socially or medically transitioned, and later returned to identifying with his/her birth sex. The reasons behind core or primary detransitions are multifarious, and may comprise: realizing that transitioning does not alleviate GD (Dodsworth, 2020;Herzog, 2017;Lev, 2019;Marchiano, 2020), finding alternative ways to cope with GD (Herzog, 2017;Stella, 2016), mental health concerns (Post-Trans, n.d.;Stella, 2016), solving previous psychological/emotional problems that contributed to GD (Butler & Hutchinson, 2020;Stella, 2016), the remission of GD itself over time (Stella, 2016), understanding how past trauma, internalized sexism, and other psychological difficulties influenced the experience of GD (Dodsworth, 2020;Gonz alez, 2019;Herzog, 2017;McFadden, 2017;Post-Trans, n.d.;Stella, 2016;Yoo, 2018); the reconciliation with one's sexuality (Marchiano, 2020;GNC Centric, 2019;Pazos-Guerra et al, 2020;Post-Trans, n.d.); and a change in individual, political, social, or religious views that leads the person to question his/her transgender status (Dodsworth, 2020;Exp osito-Campos, 2020;Herzog, 2017;Kermode, 2019;Stella, 2016;Turban & Keuroghlian, 2018).…”

Section: Core Gender Detransitionsmentioning

confidence: 99%

“…Nevertheless, even when comprehensive exploratory assessments have been carried out, some individuals might decide to detransition in the future (see, e.g., Pazos-Guerra et al, 2020). Prevention does not equate to prescience: it is very complicated-if not impossible-to know what will happen in each particular case.…”

Section: Is It Possible To Prevent Detransition?mentioning

confidence: 99%

“…Despite not being a genuinely novel phenomenon from a historical perspective-psychiatrist Harry Benjamin described one such case in his 1966 book The Transsexual Phenomenon-, research on detransition has been absent from the academic literature until recently. As a consequence, our understanding of this issue is still limited and primarily based on anecdotal evidence, which comes from a variety of sources such as personal testimonies shared on the internet (e.g., Gonz alez, 2019;Palmer, 2020), parent reports (e.g., Barnes, 2020), informal surveys carried out by detransitioners (Stella, 2016), media outlets (e.g., Dodsworth, 2020;Herzog, 2017), support groups (e.g., Post-Trans, n.d.; The Detransition Advocacy Network, n.d.), documentaries (e.g., BBC Newsnight, 2019), case studies (e.g., Cain & Velasco, 2020;Exp osito-Campos, 2020;Levine, 2018b;Pazos-Guerra et al, 2020;Turban & Keuroghlian, 2018), and the experiences of clinicians who work with this cohort (e.g., Graham, 2017;Marchiano, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…For instance, Turban and Keuroghlian (2018) describe the case of "Lupita," a transgender woman who stops and reverses her social and medical transition due to continuous harassment and institutional disregard but resumes the process after finding herself in a more favorable and accepting environment. Pazos-Guerra et al (2020), on their part, report the case of a 16-year-old transgender man who stops his hormonal treatment with testosterone after considering that it brings no more benefit to his identity. He expresses feeling less gender dysphoric and comfortable with the experienced physical changes.…”

Section: Introductionmentioning

confidence: 99%

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A Typology of Gender Detransition and Its Implications for Healthcare Providers

Expósito-Campos

2021

Journal of Sex & Marital Therapy

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Gender detransition is an emerging yet poorly understood phenomenon in our society. In the absence of research, clinicians and researchers have applied the concept of detransition differently, leading to inconsistencies in its use. The article suggests a typology of gender detransition based on the cessation or the continuation of a transgender identity to address this issue. Implications of this typology for healthcare providers are discussed, emphasizing the increasing necessity of developing clinical guidelines for detransitioners. Finally, the article reflects on the possibilities of preventing detransition, which underlines the challenges that clinicians face when treating individuals with gender dysphoria.

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Section: Core Gender Detransitionsmentioning

confidence: 99%

Section: Is It Possible To Prevent Detransition?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Typology of Gender Detransition and Its Implications for Healthcare Providers

Expósito-Campos

2021

Journal of Sex & Marital Therapy

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“…Although there were rare published reports about detransitioners prior to 2016, most of the published literature about detransition is recent (Callahan, 2018;D'Angelo, 2018;Djordjevic et al, 2016;Kuiper & Cohen-Kettenis, 1998;Levine, 2018;Marchiano, 2017;Pazos Guerra et al, 2020;Stella, 2016;Turban & Keuroghlian, 2018;Turban et al, 2021;Vandenbussche, 2021). The prevailing cultural narratives about detransition are that most individuals who detransition will retransition and that the reasons for detransition are discrimination, pressures from others, and nonbinary identification (Turban et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners

Littman¹

2021

Arch Sex Behav

107

147

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The study’s purpose was to describe a population of individuals who experienced gender dysphoria, chose to undergo medical and/or surgical transition and then detransitioned by discontinuing medications, having surgery to reverse the effects of transition, or both. Recruitment information with a link to an anonymous survey was shared on social media, professional listservs, and via snowball sampling. Sixty-nine percent of the 100 participants were natal female and 31.0% were natal male. Reasons for detransitioning were varied and included: experiencing discrimination (23.0%); becoming more comfortable identifying as their natal sex (60.0%); having concerns about potential medical complications from transitioning (49.0%); and coming to the view that their gender dysphoria was caused by something specific such as trauma, abuse, or a mental health condition (38.0%). Homophobia or difficulty accepting themselves as lesbian, gay, or bisexual was expressed by 23.0% as a reason for transition and subsequent detransition. The majority (55.0%) felt that they did not receive an adequate evaluation from a doctor or mental health professional before starting transition and only 24.0% of respondents informed their clinicians that they had detransitioned. There are many different reasons and experiences leading to detransition. More research is needed to understand this population, determine the prevalence of detransition as an outcome of transition, meet the medical and psychological needs of this population, and better inform the process of evaluation and counseling prior to transition.

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Health Care Experiences of Patients Discontinuing or Reversing Prior Gender-Affirming Treatments

et al. 2022

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IMPORTANCEMedical education, research, and clinical guidelines are available to support the initiation of gender-affirming care for transgender and nonbinary people. By contrast, little is known about the clinical experiences of those who discontinue or seek to reverse gender-affirming medical or surgical interventions due to a change in gender identity, often referred to as detransition. OBJECTIVE To examine the physical and mental health experiences of people who initiated medical or surgical detransition to inform clinical practice.DESIGN, SETTING, AND PARTICIPANTS Using constructivist grounded theory as a qualitative approach, data were collected in the form of in-depth interviews. Data were analyzed using an inductive 2-stage coding process to categorize and interpret detransition-related health care experiences to inform clinical practice. Between October 2021 and January 2022, individuals living in Canada who were aged 18 years and older with experience of stopping, shifting, or reversing a gender transition were invited to partake in semistructured virtual interviews. Study advertisements were circulated over social media, to clinicians, and within participants' social networks. A purposive sample of 28 participants who discontinued, shifted, or reversed a gender transition were interviewed. MAIN OUTCOMES AND MEASURESIn-depth, narrative descriptions of the physical and mental health experiences of people who discontinued or sought to reverse prior gender-affirming medical and/or surgical interventions. RESULTS Among the 28 participants, 18 (64%) were assigned female at birth and 10 (36%) were assigned male at birth; 2 (7%) identified as Jewish and White, 5 (18%) identified as having mixed race and ethnicity (which included Arab, Black, Indigenous, Latinx, and South Asian), and 21 (75%) identified as White. Participants initially sought gender-affirmation at a wide range of ages (15 [56%] were between ages 18 and 24 years). Detransition occurred for various reasons, such as an evolving understanding of gender identity or health concerns. Participants reported divergent perspectives about their past gender-affirming medical or surgical treatments. Some participants felt regrets, but a majority were pleased with the results of gender-affirming medical or surgical treatments. Medical detransition was often experienced as physically and psychologically challenging, yet health care avoidance was common. Participants described experiencing stigma and interacting with clinicians who were unprepared to meet their detransition-related medical needs.CONCLUSIONS AND RELEVANCE This study's results suggest that further research and clinical guidance is required to address the unmet needs of this population who discontinue or seek to reverse prior gender-affirming interventions.

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Transexualidad: transiciones, detransiciones y arrepentimientos en España

Cited by 26 publications

References 16 publications

A Typology of Gender Detransition and Its Implications for Healthcare Providers

A Typology of Gender Detransition and Its Implications for Healthcare Providers

Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners

Health Care Experiences of Patients Discontinuing or Reversing Prior Gender-Affirming Treatments

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