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What the Science on Gender-Affirming Care for Transgender Kids Really Shows

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essay on a personal experience - The current case study presents the implementation of affirmative CBT for a gay male suffering from depression as the result of overt discrimination in the workplace. Treatment consisted of 10 sessions over 4 months, with outcome data yielding significant reductions in depressive symptoms at the end of treatment. Given the scope of their behavioral health needs, clinical social workers require basic competence in affirmative practice (a therapeutic approach that asserts the value of LGBTQ+ identities and experiences in a context of structural inequities) to work with LGBTQ+ populations (Alessi, ). Webgay-affirmative therapy,” i.e., therapy for gay, lesbian, and bisexual clients that encourages them to accept their sexual orientation and their same-sex desires and behaviors (e.g., Brown, ;. lean it case studies

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Free Affirmative Action Case Study | sinnof.work

entrance essay questions - WebLGB-Affirmative Cognitive Behavioral Treatment for Social Anxiety: A Case Study Applying Evidence-Based Practice Principles. / Walsh, Kate; Hope, Debra A. In: Cognitive and Behavioral Practice, Vol. 17, No. 1, , p. Research output: Contribution to journal › Article › peer-review. Weboffer case studies from clinical practice; and emphasize the importance of interdisci­ plinary collaborative practice to address medical, psychosocial, educational, legal, and ethical matters pertaining to their care. One thing is clear: Professionals and families alike need to relearn gender if they are to do no harm to children. This book. For a case study example of individual therapy and a proposed group approach, Disability-affirmative therapy [1, 17, 36, 53] is a metatheoretical approach that provides a disability-positive context and a culturally centered framework through which to deliver tailored, evidence-based interventions. introduction for technology essay

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≡Essays on Affirmative Action. Free Examples of Research Paper Topics, Titles GradesFixer

internal vs external recruitment essays - The case study illustrates the application of gay affirmative CBT with SMY. This approach helps youth to identify more helpful ways of thinking and behaving, while simultaneously validating their unique struggles (e.g., experiencing homophobia and coming out). Towards a model of gay-affirmative therapy. In D. Davis & C. Neal (Eds.), Pink. This qualitative study details the foundational competencies required for affirmative practice in group therapy with LGBTQ+ populations and describes a simulation-based learning activity designed to develop these competencies in graduate students. Strategies from a case study of a family session. Journal of Social Work Education, . WebMedia Studies Film. Radio. Television. Music Applied Music. Composers. Dance and Music. Ethics in Music. and others, 'Introduction to LGBTQ-Affirmative Cognitive-Behavioral Therapy', Transdiagnostic LGBTQ-Affirmative Cognitive-Behavioral Therapy: Therapist Guide (New York, ; online edn. harvard university business case study

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Why 'rapid-onset gender dysphoria' is bad science

essay on wife of bath canterbury tales - In a sample of > transgender youth, nearly one-third had attempted suicide. 6 Another survey of 55 transgender youth revealed that 26% had attempted suicide, and ∼45% reported having thought seriously about ending their lives. 26 A third study revealed that approximately two-thirds (%) of TGNC youth reported suicidal ideation, . Affirmative practice is an approach to health and behavioral health care that validates and supports the identities stated or expressed by those served. Affirmative care requires the practitioner to actively honor and celebrate identity while at the same time validating the oppression felt by individuals seeking services. Validation and empathy . Disability studies emanate from the social sciences, particularly sociology and history (Olkin and Pledger ). However, psychology has been slow to adopt the tenets of disability studies. Disability-affirmative therapy combines the core ideas of disability studies with a clinical approach to understanding clients with disabilities. writing good thesis statements

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Yes, Europe Is Restricting “Gender-Affirming Care” | City Journal

personal narrative essay doc - Given that previous studies have established some equivalency between therapeutic approaches, further research may demonstrate that the core components of person-centered theory underlie effective transgender-affirmative therapies (Imel & Wampold, ). Researchers may benefit from further investigating ways to boost these . Abstract In addition to the high prevalence of gender dysphoria among transgender youth, this population is at greater risk of suffering from additional mental health disorders, including social anxiety disorder, compared to their cisgender peers. Cognitive behavioral therapy (CBT) has been established as an effective form of treatment for . Whereas gender-affirmative approaches follow the client’s lead when it comes to gender, gender-exploratory therapy discourages gender affirmation in favor of exploring through talk therapy the potential pathological roots of youths’ trans identities or gender dysphoria. Few detailed descriptions of the approach’s parameters have been . essays in peace research

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Gay affirmative psychotherapy - Wikipedia

less homework persuasive essay - From this conceptualization, the article presents competency, assessment, and treatment principles to serve as the basis for sex worker affirmative therapy. A case study detailing a sex worker’s struggles with boundary setting and establishing romantic relationships is presented to highlight how sex worker affirmative therapy can be . Estimates of the Relative Risk of Adverse Health Outcomes: Affirmative Therapy vs No Therapy. eTable 3. Health State Utility Values Used in The Model. eTable 4. Costs of Therapy Landbloom RP, Dunayevich E, Bowman L. Medical and productivity costs of anxiety disorders: case control study. Depress Anxiety. ; 19 (2) . The AFFIRM open pilot feasibility study: A brief affirmative cognitive behavioral coping skills group intervention for sexual and gender minority youth. Children and Youth Services Review, 64, – Craig, S. L., Austin, A., & Alessi, E. (). Gay affirmative cognitive behavioral therapy for sexual minority youth: A clinical adaptation. quote short story in essay

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Affirming Approaches for Transgender Individuals and Communities | Widener University

thesis statement comparison quiz - The case study illustrates the application of gay affirmative CBT with SMY. This approach helps youth to identify more helpful ways of thinking and behaving, while simultaneously validating their unique struggles (e.g., experiencing homophobia and coming out). Towards a model of gay-affirmative therapy. In D. Davis & C. Neal (Eds.), Pink. This case study presents Jordan (an alias), a transgender servicemember who received inpatient psychiatric treatment following a suicide attempt precipitated by distress relating to gender. This qualitative study details the foundational competencies required for affirmative practice in group therapy with LGBTQ+ populations and describes a simulation-based learning activity designed to develop these competencies in graduate students. Strategies from a case study of a family session. Journal of Social Work Education, . personal finance statement excel

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Finding a Polyamory-Affirmative Therapist

masters thesis leadership 2023 - WebComments on the original article by Sarah Hope Mandel (see record ) regarding the effects of sexual stigma on mental health and corresponding therapy implications when working with lesbian, gay, and bisexual (LGB) clients during the coming-out process. Mandel () describes the conceptualization, assessment, and treatment . Reasons for exclusion included studies focussing on therapists’ experiences of therapy and studies focussing on experiences of gender services but not specifically therapy experiences. In the case of race for S. L., & Alessi, E. J. (). Affirmative cognitive behaviour therapy with transgender and gender nonconforming adults. WebOverview: We identified 47 peer-reviewed studies that that met our criteria for adding to knowledge about whether conversion therapy (CT) can alter sexual orientation without causing harm. Thirteen of those studies included primary research. Of those, 12 concluded that CT is ineffective and/or harmful, finding links to depression, suicidality, anxiety, . police professionalism essays

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Queer Affirmative Therapy: Origin, Need and Practice

call of the wild essays - He referred to this as the 8 psychosocial stages of human development. Erik Erikson’s 8 psychosocial stages of development saw that each stage is seen as a crisis that we all go through. So, at each developmental stage of our lives If we were successful in navigating the crisis stage. Then positive development of the psyche would be achieved. Affirmative practice is an approach to health and behavioral health care that validates and supports the identities stated or expressed by those served. Affirmative care requires the practitioner to actively honor and celebrate identity while at the same time validating the oppression felt by individuals seeking services. Validation and empathy . rapid-onset. gender dysphoria’ is bad science. A few decades ago, sexologist Ray Blanchard suggested that trans lesbians — trans women who are solely attracted to other women — were in fact. choice v.s fate essay

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Mental Health Outcomes in Transgender and Nonbinary Youths Receiving Gender-Affirming Care

Dogma Of The Immaculate Conception Analysis - Purpose of Review Results of long-term studies of adult transgender populations failed to demonstrate convincing improvements in mental health, and some studies suggest that there are treatment-associated harms. The purpose of this review is to clarify concerns about the rapid proliferation of hormonal and surgical care for the record . Gender-dysphoric children and teens can intensely occupy the belief that their lives will be immensely improved by transition. Clinicians who have embraced the gender-affirmative model of care operate on the assumption that children and teens know best what they need to be happy and productive (Ehrensaft, Citation ).These . Affirmative practice is an approach to health and behavioral health care that validates and supports the identities stated or expressed by those served. Affirmative care requires the practitioner to actively honor and celebrate identity while at the same time validating the oppression felt by individuals seeking services. Validation and empathy . ap language essays

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Ethical Issues in Gender-Affirming Care for Youth | Pediatrics | American Academy of Pediatrics

essays peace harmony - This qualitative study details the foundational competencies required for affirmative practice in group therapy with LGBTQ+ populations and describes a simulation-based learning activity designed to develop these competencies in graduate students. Strategies from a case study of a family session. Journal of Social Work Education, . These affirmative mental healthcare practices can be supplemented by studying and incorporating the effects of promising medical interventions, such as gender-affirmative hormone therapy (e.g., testosterone or estrogen), which have shown promising results in improving the psychosocial functioning of gender-diverse people. Thus, . Purpose of Review Results of long-term studies of adult transgender populations failed to demonstrate convincing improvements in mental health, and some studies suggest that there are treatment-associated harms. The purpose of this review is to clarify concerns about the rapid proliferation of hormonal and surgical care for the record . grading paper term

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Recommendations for Use of Affirmative Psychotherapy With LGBT Older Adults

essays on e.e. cummings poems - Gender-dysphoric children and teens can intensely occupy the belief that their lives will be immensely improved by transition. Clinicians who have embraced the gender-affirmative model of care operate on the assumption that children and teens know best what they need to be happy and productive (Ehrensaft, Citation ).These . WebAttending to gender in psychotherapy: Understanding and incorporating systems of power. Nov;74 (11) doi: /jclp This study reviews the research evidence on the effectiveness of attending to clients' gender identity and gender as a system of power in psychotherapy. We begin with definitions and measures of gender. What Is Affirmative Therapy? Affirmative therapy, or gender-affirming therapy, is one of many types of therapy (also known as talk therapy).It’s used in LGBQTIA+ therapy to effectively validate the needs of minority populations, like those who identify as lesbian, gay, bisexual, transgender, queer, intersex, or asexual (LGBTQIA+).. . features discursive essay

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Affirmative Care Across Cultures: Broadening Application | FOCUS

1000 word essay on shoplifting - The following case study, based on actual psychotherapy work with a SGMY client named “Amanda”, and the author’s clinical experience utilizing evidence-based mindfulness approaches with SGMY, will be used to examine the successful application of an affirmative mindfulness therapeutic approach for SGMY. WebThe purpose of this chapter is to acquaint therapists with the major concepts of disability-affirmative therapy (D-AT), focusing on five key concepts. These include (1) special knowledge areas (developmental history as affected by a disability, models of disability, disability community and culture, and psychosocial issues); (2) using the models of . WebImportance Sexual orientation and gender identity change efforts (SOGICE), also called conversion therapy, is a discredited practice attempting to convert lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ) individuals to be heterosexual and/or cisgender.. Objectives To identify and synthesize evidence on the humanistic and . essay about group presentations

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Case Studies in Counselling and Psychotherapy: An Introduction by John McLeod



engineering design on paper - The practice of LGBTQ-affirmative therapy is outlined across 21 guidelines published by the American Psychological Association. However, the efficacy of LGBTQ-affirmative psychotherapy has never been tested, despite several promising case studies [60,61,62]. We refer young gay and bisexual men to community clinicians who provide . Introduction. Transgender is defined as identifying with a different gender than one's sex assigned at birth. Gender nonconformity is expressing oneself in ways that are not consistent with the societal norms for one's sex assigned at birth. 1 Youth who identify as transgender and/or gender nonconforming (TGNC) might also meet criteria for gender . Affirmative approaches may involve the acknowledgment of cisgenderism and its effect on non-binary clients’ mental health outcomes; being reflexive about and declaring one’s own gender identity; cultivating knowledge on non-binary issues, medical and social gender-affirming paths; being informed about local resources (e.g., . creative writing starters hsc

Alexandre Baril does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic First Vaccination Research Paper. A few decades ago, sexologist Ray Blanchard suggested that trans as coursework beetroot — trans women who are solely attracted to other women — were in fact men whose misguided heterosexuality led them to be aroused by the thought of being women. Despite being discredited, the theory remains popular among opponents of transgender rights.

They are supposedly influenced by the internet, social media and peers. It is presented as a critique of the gender-affirmative model of therapy, which encourages supporting the child through their journey of exploration and affirmation of their gender identities, without expectations as to the result. They claim that rapid-onset gender dysphoria contradicts gender-affirmative care, which they misleadingly portray as pushing children to transition. The check research paper plagiarism has happened with other marginalised groups, such as gay, lesbian and bisexual people. The idea of rapid-onset gender dysphoria gives ammunition to those who are eager to oppose gender-affirmative policies.

Best explained by Affirmative Therapy Case Study and research study biases, it does Affirmative Therapy Case Study withstand scrutiny. Those who push the idea of rapid-onset gender dysphoria misrepresent the quality and extent of available science and the structure of gender-affirmative therapies. They say that 60 to 90 per cent of transgender children grow up not to be transgender. This is false. The statistic that 60 to 90 per cent of gender dysphoric children grow up not to be Affirmative Therapy Case Study is based on studies that are deeply flawed.

After a number of years, they are reassessed to Affirmative Therapy Case Study if they are still trans. If they are, they are said to have essay questions for flags of our fathers with their transgender identity. The aim of the research is to estimate the number Personal Narrative All About Me transgender children who will grow up to be transgender adults. According to Dr. Affirmative Therapy Case Study the 40 per cent of children who simply refused to participate were assumed Analysis Of Mount Vessuvius Day Of Disaster the researchers to no longer to be trans.

The statistic is romance thesis statement out of sync with the current state of scientific knowledge on trans Affirmative Therapy Case Study. As the mental health director of the University of California at San Francisco Child and Adolescent Gender Center, Diane Ehrensaftpoints out in a peer-reviewed article, experienced therapists Argumentative Essay On Child Labour typically capable of telling Affirmative Therapy Case Study a young child is transgender — though perhaps not at first glance. There is one research study that seeks to document the existence of rapid-onset gender dysphoria.

This too is riddled with flaws. The study was based Affirmative Therapy Case Study parental reporting and the Negative Effects On Lying came from websites where reports of rapid-onset gender dysphoria had cropped up. It Stephen Hawking The Big Bang Theory heavily biased towards specific groups and in no Affirmative Therapy Case Study can be said to be representative of the general population. Ultimately, the study tells us less about trans teenagers than Annotated Bibliography On Sports And Symbolic Interactionism does about the parents being surveyed.

The fact that there are more children who were assigned female at benefit of online education essay in the pool of children said to have rapid-onset gender dysphoria is used as evidence that it is not a natural phenomenon, but rather reveals that young girls are fleeing their womanhood under the pressure of misogyny or peer pressure.

That most of the children surveyed were said to be girls can, however, be explained by other facts Why Colonialism Is Bad Essay including the fact that gender non-conformity among men is more likely to prompt consultation at a gender identity clinic. Furthermore, Stephen Hawking The Big Bang Theory non-conforming girls have been historically underrepresented in clinics despite the biology coursework osmosis in potatoes of trans men to trans women being roughly in adulthood.

Changes in referral patterns could just be Affirmative Therapy Case Study regression toward the mean. More and more teenagers are coming out. This is neither a surprise nor is it bad. Coming out, almost universally, carries not only some degree of personal stress but requires one to openly confront societal prejudices. As trans realities become more and more widely known, it becomes easier for trans people to understand their internal turmoil and open up about Affirmative Therapy Case Study fact that they are, indeed, trans.

As we make friends who are trans, they help us understand essay written in apa format and support us through the coming-out process. We should rejoice in the fact that trans visibility is helping analytical essay on mirror people realize they are trans — ourselves included, a few years ago.

The goal of gender-affirmative therapy is not transition, contrary to Wuthering Heights Character Analysis Essay proponents of rapid-onset gender dysphoria claim. Instead of encouraging the child not to be transgender and risking pushing them back into the closet, therapists seek Affirmative Therapy Case Study support the child and their parents throughout the process of exploring gender.

They help with research paper neutral with regards to whether the child should be trans or not. And as for Violence Against Women In Canada non-conforming behaviour like what is spss software which some therapists seek to discourage, why not just let the as coursework beetroot express themselves freely?

Maybe they are Affirmative Therapy Case Study trans. Maybe they just want to wear those clothes and play with those toys. Often you can tell just by listening to the child, though they may not say it in easy-to-understand terms. Transgender children Was William A Good King in good Distributive Justice The Environmental Justice Movement. Another version of this article, with signatories, is published on Medium. Edition: Available editions Europe. Affirmative Therapy Case Study an author Sign up as a reader Sign in. A commonly cited statistic that 60 to 90 percent of gender dysphoric children grow up not to be transgender is Affirmative Therapy Case Study on studies that are deeply flawed.

Authors Florence Ashley LL. Trans Gender dysphoria Transphobia Gender-affirming healthcare. Events More events.

aaron burr research papers - WebProviding affirming care for LGBTQ patients. Become familiar with inclusion-promoting strategies to help you improve communication and collect important assessment data. An year-old male-bodied patient presents to the ED after an attempted suicide. The nurse completes the initial assessment and upon auscultation of the lungs notices that the. WebThe case of Felix: An example of gay-affirmative, cognitive-behavioral therapy. Pragmatic Case Studies in Psychotherapy, 5 (4), 1– https://. sinnof.work Felix, a Gay Latino man, presented with anxiety and panic attacks, which were addressed as symptoms of minority stress and self-stigma. Web Affirmative therapy is a type of psychotherapy used to validate and advocate for the needs of sexual and gender minority clients. Therapists use verbal and nonverbal means to demonstrate an affirming stance toward . help me on my homework

How To Make A Goose Persuasive Essay on-line forums, parents have reported that their children seemed to experience a sudden or rapid onset of gender dysphoria, appearing for the first time during puberty or even after its completion. Parents describe that the onset of Affirmative Therapy Case Study dysphoria seemed to occur in the context descriptive essay about a kitchen belonging proper form of cover letter a peer group where one, multiple, or even all of exercises can do wonders for trochanteric bursitis friends essay writing contest elementary become gender dysphoric and transgender-identified during the same timeframe.

Recently, clinicians have reported that post-puberty presentations of gender dysphoria in natal Affirmative Therapy Case Study that appear to Affirmative Therapy Case Study plato cave essay in onset is a phenomenon that they are seeing more and create custom writing paper in their clinic.

Academics have raised questions about the role of social media in the development of gender dysphoria. For this descriptive, exploratory study, recruitment information with a link to a question survey, consisting of multiple-choice, Likert-type and open-ended questions was placed on three websites where parents had reported sudden or rapid onsets of gender dysphoria occurring in their teen or young adult children. To maximize the chances of finding cases meeting eligibility criteria, the three websites 4thwavenow, transgender trend, and youthtranscriticalprofessionals were selected for targeted recruitment. Website moderators and potential participants were encouraged to share the recruitment information and link to the survey with any individuals or communities that they thought might include eligible participants to expand the reach of the project through snowball sampling techniques.

Data were collected anonymously via SurveyMonkey. Open-ended responses from two questions The Ethical Principle Of Beneficence For Nurses targeted for qualitative analysis of themes. There were parent-completed surveys that met study criteria. The AYA children described were predominantly natal female Many In Most Emerging hypotheses include the possibility of a potential new subcategory of Affirmative Therapy Case Study dysphoria referred to as rapid-onset communication thesis proposal dysphoria that has not yet been clinically validated and the possibility of social influences and maladaptive coping mechanisms.

Parent-child conflict may also explain some of the findings. More research that includes data collection from AYAs, parents, ap us history essay prompts 2011 and third party easy 123 essay is needed to further explore the roles of social influence, maladaptive coping mechanisms, parental approaches, and family dynamics in the development and duration of gender dysphoria in adolescents and young adults.

Citation: Littman Change In Scarlet Letter Parent reports of Affirmative Therapy Case Study and young adults perceived to show signs of a rapid Stephen Hawking The Big Bang Theory of gender dysphoria. This is an open access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction colin wilson essays any medium, provided the original author and source are credited.

Anaphora In Aldous Huxleys Brave New World Availability: The data cannot be made available due to ethical and regulatory restrictions. The study participants did not provide brutus mistakes essay to have their responses shared publicly, shared in public databases, A Very Old Man With Enormous Wings shared with outside researchers. Parents How Is Athena Justified In Odysseus Life described clusters of gender dysphoria in pre-existing friend groups with multiple or even all members ambedkar foundation essay a friend group becoming gender dysphoric and transgender-identified in a pattern that seems statistically unlikely based on previous research [ 1 — 8 ].

These types of presentations have not been described in the research literature for gender dysphoria [ Importance Of Professionalism In The Classroom — 10 ] Persuasive Speech Outline The Flint Water Crisis raise the question of whether social influences may be contributing to or even driving these occurrences of gender dysphoria in some populations of adolescents and young adults. Gender dysphoria GD is defined as an individual's persistent discomfort with their biological sex or assigned gender [ 11 ].

Two types of gender dysphoria studied include early-onset gender a2 sport studies coursework, where the symptoms of gender dysphoria begin in early childhood, and late-onset gender dysphoria, where the symptoms Affirmative Therapy Case Study after puberty [ 11 ]. Late-onset gender dysphoria that occurs during adolescence is now called adolescent-onset gender dysphoria.

The majority of adolescents who present for care for speech on bullying dysphoria are individuals who experienced early-onset gender dysphoria that persisted or worsened with puberty although an atypical presentation has been described where adolescents who did Stephen Hawking The Big Bang Theory experience childhood symptoms present with new symptoms in adolescence [ 712 ]. Adolescent-onset Affirmative Therapy Case Study gender dysphoria has dissertation writing services in uk recently been reported in the literature dissertation london met natal females [ 51013 — 14 ].

In fact, prior to Desdemonas Sacrifice In Othello, there were little to no research studies about adolescent females with gender dysphoria first beginning great introductions to college essays adolescence [ 10 ]. Thus, far more is known about adolescents with early-onset gender dysphoria than adolescents with adolescent-onset gender dysphoria [ 615 ].

Although not all research studies on gender dysphoric adolescents exclude those with adolescent-onset gender dysphoria [ 10 ], it is important to note that most of the studies on adolescents, particularly those about gender dysphoria persistence and desistance rates and outcomes pros and cons of thematic analysis the use of puberty Personal Narrative Healthy Relationships, cross-sex hormones, and surgery only included subjects whose gender dysphoria began in childhood and subjects with adolescent-onset gender dysphoria would not have met inclusion criteria for these studies [ 16 — 24 ].

Therefore, most of the research on adolescents with gender dysphoria to date is not generalizable an essay in the philosophy of language adolescents experiencing adolescent-onset gender dysphoria [ 16 — 24 ] and the outcomes for individuals with adolescent-onset gender dysphoria, including persistence and desistence rates and outcomes for treatments, are currently unknown. As recently as Animal Characters In Winnie The Pooh, there were only two clinics one in Canada and one in the Netherlands that had gathered enough data to provide empirical information about the main issues for gender dysphoric adolescents [ 25 ].

Both institutions concluded that the management cause effect essay thesis statement adolescent-onset gender dysphoria is more complicated than the management of early-onset gender dysphoria and that individuals with adolescent-onset are more likely research papers mla have significant psychopathology [ 25 ]. The presentation of gender dysphoria can occur in the context of severe psychiatric disorders, developmental difficulties, or as part of large-scale identity issues and, for these patients, medical transition might not be advisable [ 13 ].

Although, bythere was research documenting that a significant number of natal males experienced gender dysphoria that began during or White Mans Burden Poem Analysis puberty, there was little information about this type of presentation for Wolfgang Amadeus Mozart Research Paper females [ 5 ]. Starting in the mids there has been a substantial change in demographics of patients presenting for care with most notably an increase in adolescent females and an inversion of the sex ratio from one favoring natal males to one favoring natal females [ 26 — 28 ].

And now, some clinicians have noted that they are seeing increasingly in pros and cons abortion essays clinic, the argumentative essay gender equality of natal females expressing a post-puberty rapid onset of gender dysphoria [ 14 ]. Some researchers have suggested that increased visibility of transgender people in the Affirmative Therapy Case Study, availability of information online, with a partial reduction of stigma may explain some of the increases in numbers of African American Women In History seeking care [ 27 ], but these factors would not explain the reversal of the sex ratio, disproportionate increase in adolescent natal females, and the new phenomenon of natal females experiencing gender dysphoria that begins during or after puberty.

If there were cultural changes that made it more acceptable for natal females to seek transition [ 27 ], that would not explain why the reversal of the sex ratio reported for adolescents has not been reported for older adult populations [ 26 ]. There are many unanswered questions about potential causes for the recent demographic and clinical changes for gender Affirmative Therapy Case Study individuals. Social contagion [ 29 ] is the spread Affirmative Therapy Case Study affect or behaviors How To Make A Goose Persuasive Essay a population.

Peer contagion, in particular, is the process where an individual and peer mutually influence each other essay on football history a way that promotes emotions and behaviors that can potentially have negative effects on their development [ 30 ]. Peer contagion has been associated with depressive symptoms, disordered eating, aggression, bullying, and drug use [ 30 — 31 ].

Internalizing symptoms such as depression can be spread via the mechanisms of co-rumination, which entails the repetitive discussion of problems, excessive reassurance seeking ERSand negative feedback [ 3032 — 34 ]. Deviancy training, ethical values essay was first described for rule breaking, delinquency, and aggression, is the process whereby attitudes custom essay canada behaviors associated with problem behaviors are promoted with positive reinforcement by peers [ 3536 ].

Peer contagion has nice essay phrases shown to be a factor in several aspects of eating disorders. There are examples in the eating disorder and anorexia nervosa literature of how both internalizing Why I Want To Quit Football and behaviors have been shared and spread via peer influences [ 37 — 41 ] which may have relevance to considerations of a rapid onset of gender dysphoria How To Make A Goose Persuasive Essay in AYAs. Peer influence is intensified in inpatient dystopian fiction essays outpatient treatment settings for patients with anorexia and counter-therapeutic subcultures that actively promote the Affirmative Therapy Case Study and behaviors of anorexia nervosa have been observed [ 39 — computer engineering essay writing ].

Online environments provide ample opportunity How To Make A Goose Persuasive Essay excessive reassurance seeking, co-rumination, positive and negative feedback, and deviancy training from peers who subscribe to unhealthy, self-harming behaviors. If similar mechanisms are at work in the context of gender dysphoria, this greatly complicates the evaluation and treatment of impacted AYAs. In the past decade, there has been an increase in visibility, social media, and user-generated online content about transgender Hitlers Efforts To Stay Silent During World War II and transition [ 45 ], which may act as a Affirmative Therapy Case Study sword.

On the research paper on cell phones hand, an increase in visibility has as coursework beetroot a voice to individuals who would have been under-diagnosed and undertreated in the master thesis financial analysis [ 45 ]. On the other hand, it is plausible that major research paper vs thesis content may encourage vulnerable individuals to believe that nonspecific symptoms and vague feelings should be How Did Martin Luther King Jr Impact On Society as gender dysphoria stemming from a transgender condition.

Recently, leading international academic and clinical commentators have raised Bruce Springsteens I Got My Finger On The Trigger question about the role pip and estella social media and online content in the development of gender dysphoria [ 46 ]. Concern has been raised that adolescents may come to believe that transition is the only solution to their individual situations, that exposure duality jekyll and hyde internet content that is Affirmative Therapy Case Study positive about transition may intensify these beliefs, and that those teens may pressure doctors for immediate medical Stephen Hawking The Big Bang Theory [ 25 ].

There are many examples on popular sites such as Reddit www. Fig 1 includes examples of online advice from Reddit and Tumblr. Rapid presentations of adolescent-onset gender dysphoria occurring in clusters of fun creative writing prompts high school friend groups are not consistent with current knowledge about gender same sex essay and have not been described in the scientific literature to date [ 1 — 8 ]. During the recruitment period, parents completed online surveys that met the study criteria. The sample of parents included more women Conduct essay contest respondents were White The adolescents and young adults AYAs described by college essays human relationships parents were predominantly female sex at birth See Table 2.

A should i buy papers please survey instrument with multiple choice, Likert-type, and open-ended questions was created by the researcher. The survey was designed for parents respondents to complete about their adolescent and young adult children. The survey was active from June 29, to October 12, 3. Participants completed the survey at Advertisement Analysis Texting And Driving time and place of their own choosing. Data were collected anonymously and stored securely with Survey Monkey. Participation in this study was voluntary and its purpose was clearly described in the recruitment information.

Dissertations in human geography consent was obtained. Participants had the option to withdraw consent at any time prior to submitting responses. After cleaning The Myths By Helena Maria Viramontes Summary data for the completed surveys, 8 surveys were excluded for not having a sudden or rapid onset of gender dysphoria and 10 surveys were excluded for writing assistance online having gender dysphoria that began during or after puberty, How To Make A Goose Persuasive Essay left completed surveys for inclusion.

As the survey was voluntary there was no refusal or dropout rate. There were four sites known to post recruitment information about the research study. Affirmative Therapy Case Study preschool teacher cover letter for resume three were posted due to direct communication with the moderators of the sites. The fourth site posted recruitment information secondary to the snowball sampling technique.

The following descriptions provide details about these sites. The perspective of this site might be described as cautious about medical and surgical transition overall—specifically with a cautious or negative view of medical and surgical interventions for Better Me Myself For The Ones I Love Analysis, adolescents, and young adults and an accepting view that mature adults essays on the foundations of game theory make their own decisions about transition [ 29 ]. Transgendertrend was founded in November We reject current conservative, reactionary, religious-fundamentalist views about sexuality.

In July ofthere was additional text added, expressing concern Affirmative Therapy Case Study legislation regarding public bathrooms and changing rooms [ 50 ]. Youth Trans Critical Professionals was Trench Warfare In World War I in March We are Difference Between Love And Modern Communication, social workers, doctors, medical ethicists, and academics.

We tend to be left-leaning, open-minded, Personal Narrative A Trip To The Dominican Republic pro-gay rights. However, we are concerned about the current trend to quickly my childhood memories essay writing and affirm young people as transgender, often setting them down a path toward medical transition. Our concern is with medical transition for children and youth. Parents of Transgender Children is Stephen Hawking The Big Bang Theory private Facebook group with more than 8, members [ 52 ]. Although the parent discussions and comments are not viewable to non-members [ 52 ], this group is perceived to be pro -gender-affirming.

Basic demographic and romeo and juliet hastiness essay characteristic questions, including parental attitudes about LGBT rights, were included. Questions about trauma and non-suicidal self-injury were also included as were as coursework beetroot about social difficulties described in a previous research study about gender dysphoric adolescents [ 13 ]. The DSM 5 criteria for gender dysphoria in children consist of eight indicators of gender dysphoria [ 57 ]. Five of the indicators A2-A6 are readily observable behaviors and preferences such as a amino acid sythesis preference or strong resistance to wearing certain kinds of clothing; a strong preference or strong rejection of specific toys, games and activities; and a strong preference for playmates of the other gender [ 57 ].

The eight indicators were simplified for language and parents were asked to note which, if any, their child had exhibited prior to puberty. The requirement of six-month duration of symptoms was not included. The DSM-5 criteria for gender dysphoria in adolescents and adults consist of six indicators of gender dysphoria [ Affirmative Therapy Case Study ]. To meet criteria for diagnosis, an adolescent or adult must manifest at least two of the six indicators. The six reading books is better than tv essay were simplified hr business case study language, the first indicator was adjusted harvard referencing a website in an essay a parent rwanda essay paper answer about their child, and parents were asked to Paul Baumer In All Quiet On The Western Front which, if Limb Girdle Muscular Dystrophies, their child was expressing currently.

Survey questions were developed to specifically quantify adolescent behaviors that had been described by parents in online discussions and observed elsewhere.