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WPATH GEI Day 1 6) Foundations in Gender Development in Children &…
WPATH GEI Day 1
6) Foundations in Gender Development in Children & Adolescents
(S. J. Langer)
Adolescents
Adolescent identity development
Adolescent decision making
Differences between
children & adolescents
Puberty
Brain development
Sexual identity development
Development of abstract reasoning
Individuation from caregivers
Increasing maturity and decision-making capacity
Differning developmental trajectories
Since childhood
Suppressed and intensifies
Newly developed in adolescence
(Gender fluidity, culture)
Childhood & adolescent gender diversity
(Expected aspect of general human development)
Diverse gender expressions ≠ transgender identity
Gender development
Existing studies: Cisgender children only, or very binary
(Gender diverse & neurodiversity: May have a unique path?)
Theories: Biological, psychoanalytic, cognitive-development, social learning, gender schema theory, soocial cognitive
Incongruent mirroring - Distrust of internal feelings - Shame -
Internalized transphobia & minority stress
Studies (Olson)
Comparing with non-trans siblings (similar environment)
Social transition: Mental health become as good as their siblings
Puberty suppression
Starting at Tanner 2
Reversible “pause” button
Irreversible pubertal changes
Promotes lifelong appearnaces of affirmed gender
(Healthier outcomes)
Limitations
Bone development
Brain development (Executive functioning?)
Sexual and reprodutive / vagionoplasty
Studies
Young adult psychological outcome after puberty suppression and gender reassignment
https://pubmed.ncbi.nlm.nih.gov/25201798/
Puberty blocker
Hormones
Surgeries
Gender affirmation
Trans community (including adults)
School
Individual, family
Name, pronouns
Hair, clothes
Binding, packing; Padding, tucking…
Voice
Hormones (GAHT, menstrual suppression, androgen blocker)
Surgeries
Legal e.g. name
Hormones
Psychiatric issues because of hormones?
Would you give androgen blocker to a cis male if he also has manic episode?
Medically necessary hormones