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Geschlechtsinkongruenz bei Kindern und Jugendlichen - Begleitung, Psychotherapie und medizinische Interventionen


Pauli, Dagmar (2020). Geschlechtsinkongruenz bei Kindern und Jugendlichen - Begleitung, Psychotherapie und medizinische Interventionen. Swiss Archives of Neurology, Psychiatry and Psychotherapy, 171:w03102.

Abstract

In recent years, the treatment of people with gender incongruence and gender dysphoria has developed towards variable and needs-oriented support and self-determined decision making by those affected in the framework of informed consent. In the case of minors, the focus is on orientation towards the needs of those affected, the promotion of the ability to judge and the close involvement of those with custody, in order to prevent psychological aberrations and to ensure good support. Neither the interruption of puberty nor the omission of a puberty blockade is a neutral event for adolescents who have strong gender dysphoria and are developing secondary sexual characteristics. Careful use of terminology and pronouns enables respectful treatment of those affected. From Tanner stage 2−3 on, puberty blockade in adolescents with gender incongruence can reduce psychological problems. Sex-appropriate hormone treatment can be introduced in the case of continuous gender dysphoria and a confirmed diagnosis of permanent transidentity in minors capable of decision making. Psychological support depends on need and can facilitate a psychologically healthy development of adolescents with gender incongruence. A high percentage of adolescents with gender dysphoria suffer from secondary psychological problems such as anxiety, depression, suicidal tendencies and self-injury, especially when there is a lack of support from the family and school environment.

Keywords: Sexual dyphoria, sexual incongruence, sex identity disorder, transgender, puberty blockage, sexual assimilation, transition, sexually assimilated hormone treatment, children and adolescents, transsexuality

Abstract

In recent years, the treatment of people with gender incongruence and gender dysphoria has developed towards variable and needs-oriented support and self-determined decision making by those affected in the framework of informed consent. In the case of minors, the focus is on orientation towards the needs of those affected, the promotion of the ability to judge and the close involvement of those with custody, in order to prevent psychological aberrations and to ensure good support. Neither the interruption of puberty nor the omission of a puberty blockade is a neutral event for adolescents who have strong gender dysphoria and are developing secondary sexual characteristics. Careful use of terminology and pronouns enables respectful treatment of those affected. From Tanner stage 2−3 on, puberty blockade in adolescents with gender incongruence can reduce psychological problems. Sex-appropriate hormone treatment can be introduced in the case of continuous gender dysphoria and a confirmed diagnosis of permanent transidentity in minors capable of decision making. Psychological support depends on need and can facilitate a psychologically healthy development of adolescents with gender incongruence. A high percentage of adolescents with gender dysphoria suffer from secondary psychological problems such as anxiety, depression, suicidal tendencies and self-injury, especially when there is a lack of support from the family and school environment.

Keywords: Sexual dyphoria, sexual incongruence, sex identity disorder, transgender, puberty blockage, sexual assimilation, transition, sexually assimilated hormone treatment, children and adolescents, transsexuality

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Department of Child and Adolescent Psychiatry
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Social Sciences & Humanities > Clinical Psychology
Health Sciences > Neurology (clinical)
Health Sciences > Psychiatry and Mental Health
Language:German
Date:31 May 2020
Deposited On:15 Jan 2021 16:50
Last Modified:14 Mar 2024 04:31
Publisher:EMH Swiss Medical Publishers
ISSN:2297-6981
OA Status:Gold
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.4414/sanp.2020.03102
  • Content: Published Version
  • Language: German
  • Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)