Transgender children and young people: how the evidence can point the way forward

The development of gender identity in children from around the age of 3 years is described. Wishes for transgender identity are distinguished from gender-atypical behaviour. Reasons for the recent rise in transgender referrals in the early teen years are discussed. The now widely used protocol devel...

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Main Author: Philip Graham
Format: Article
Language:English
Published: Cambridge University Press 2023-04-01
Series:BJPsych Bulletin
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056469422000031/type/journal_article
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author Philip Graham
author_facet Philip Graham
author_sort Philip Graham
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description The development of gender identity in children from around the age of 3 years is described. Wishes for transgender identity are distinguished from gender-atypical behaviour. Reasons for the recent rise in transgender referrals in the early teen years are discussed. The now widely used protocol developed by the Amsterdam group for assessing transgender children and young people and, where appropriate, offering them puberty blockers, cross-sex hormones and sex reassignment surgery is described. Evidence for the effectiveness of this approach is considered. The competence of young people to give consent to these procedures is discussed. Finally, proposals are made for topics urgently requiring further research.
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spelling doaj.art-27bf487bf30d45c1972e76260f400ffe2023-08-16T11:00:52ZengCambridge University PressBJPsych Bulletin2056-46942056-47082023-04-01479810410.1192/bjb.2022.3Transgender children and young people: how the evidence can point the way forwardPhilip Graham0https://orcid.org/0000-0003-3301-0312University College, London, UKThe development of gender identity in children from around the age of 3 years is described. Wishes for transgender identity are distinguished from gender-atypical behaviour. Reasons for the recent rise in transgender referrals in the early teen years are discussed. The now widely used protocol developed by the Amsterdam group for assessing transgender children and young people and, where appropriate, offering them puberty blockers, cross-sex hormones and sex reassignment surgery is described. Evidence for the effectiveness of this approach is considered. The competence of young people to give consent to these procedures is discussed. Finally, proposals are made for topics urgently requiring further research.https://www.cambridge.org/core/product/identifier/S2056469422000031/type/journal_articleTransgenderyoung peoplechildrenresearchtreatment
spellingShingle Philip Graham
Transgender children and young people: how the evidence can point the way forward
BJPsych Bulletin
Transgender
young people
children
research
treatment
title Transgender children and young people: how the evidence can point the way forward
title_full Transgender children and young people: how the evidence can point the way forward
title_fullStr Transgender children and young people: how the evidence can point the way forward
title_full_unstemmed Transgender children and young people: how the evidence can point the way forward
title_short Transgender children and young people: how the evidence can point the way forward
title_sort transgender children and young people how the evidence can point the way forward
topic Transgender
young people
children
research
treatment
url https://www.cambridge.org/core/product/identifier/S2056469422000031/type/journal_article
work_keys_str_mv AT philipgraham transgenderchildrenandyoungpeoplehowtheevidencecanpointthewayforward