Abstract
In recent years, a new phenomenon has been observed in U.S. culture, that of pre-pubescent children transitioning socially from one gender role to another, with the support of their families. As this phenomenon becomes more widespread, families, schools and other institutions will turn to mental health care professionals for guidance in navigating new territory. Such children have often been assessed for gender identity disorder; the traditional treatment plan for those so diagnosed included attempts to steer their gender behavior in more “gender-appropriate” directions. Allowing such children to self-actualize, viewing their behavior as indicative of innate identity, is a relatively new approach. This paper will focus on the social worker’s or therapist’s role in helping pre-pubescent children and their families, should the families decide identity actualization is the path they would prefer.
References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR (4th ed.). Washington, D.C.: American Psychiatric Publishing, Inc.
Anderson, H., & Goolishan, H. (1992). The client is the expert: A not-knowing approach to therapy. In S. McNamee & K. J. Gergen (Eds.), Therapy as social construction (pp. 7–24). Thousand Oaks, CA: Sage.
Atwood, T. (2007). The complete guide to Asperger’s syndrome. Philadelphia, PA: Jessica Kingsley Publishers.
Bartlett, N., Vasey, P., & Bukowski, W. (2000). Is gender identity disorder in children a mental disorder? Sex Roles, 43, 753–785.
Beh, H. G., & Diamond, M. (2000). An emerging ethical and medical dilemma: Should physicians perform sex reassignment surgery on infants with ambiguous genitalia? Michigan Journal of Gender and Law, 7, 1–65.
Bilodeau, B., & Renn, K. (2005). Analysis of LGBT identity development models and implications for practice. New Directions for Student Services, 111, 25–39.
Boenke, M. (Ed.). (1999). Trans forming families: Real stories about transgendered loved ones. Imperial Beach, CA: Walter Trook Publishing.
Brill, S., & Pepper, R. (2008). The transgender child: A handbook for families and professionals. San Francisco, CA: Cleis Press.
Chen-Hayes, S. (2001). Counseling and advocacy with transgendered and gender variant persons in schools and families. Journal of Humanistic Counseling, Education & Development, 40, 34–49.
Coates, S., & Person, E. S. (1985). Extreme boyhood femininity: Isolated behavior or pervasive disorder? Journal of the American Academy of Child Psychiatry, 24, 702–709.
Denny, D. (2004). Changing models of transsexualism. Journal of Gay & Lesbian Psythotherapy, 8, 25–40.
Dykstra, L. (2005). Trans-friendly preschool. Journal of Gay & Lesbian Issues in Education, 3, 7–13.
Griffiths, M. (2002). Invisibility: The major obstacle in understanding and diagnosing transsexualism. Clinical Child Psychology and Psychiatry, 7, 493–496.
Herdt, G. (Ed.). (1994). Third sex, third gender: Beyond sexual dimorphism in culture and history. New York: Zone Books.
Hill, D., Rozanski, C., Carfagnini, J., & Willoughby, B. (2005). Gender identity disorders in childhood and adolescence: A critical inquiry. Co-published simultaneously: Journal of Psychology & Human Sexuality, 17, 7–34.
Karasic, D., & Drescher, J. (Eds). (2005). Sexual and gender diagnoses of the diagnostic and statistical manual (DSM): A reevaluation. New York: Haworth Press.
Kaufman, G., & Raphael, L. (1996). Coming out of shame: Transforming gay and lesbian lives. New York, NY: Doubleday Books.
Langer, S., & Martin, J. (2004). How dresses can make you mentally ill: Examining gender identity disorder in children. Child and Adolescent Social Work Journal, 21, 5–23.
Lev, A. (2004). Transgender emergence: Therapeutic guidelines for working with gender-variant people and their families. New York, NY: The Haworth Clinical Practice Press.
Mallon, G., & DeCrescenzo, T. (2006). Transgender children and youth: A child welfare practice perspective. Child Welfare, 85, 215–241.
McGoldrick, M. (Ed.). (2005). The expanded family life cycle: Individual, family and social perspectives. New York, NY: Allyn and Bacon Classics Edition.
Meyer-Bahlbarg, H. F. L. (2002). Gender identity disorder in young boys: A parent- and peer-based treatment protocol. Clinical Child Psychology and Psychiatry, 7, 360–377.
Money, J., & Lehne, G. K. (1993). Gender-identity disorders. In R. T. Ammerman, C. G. Last, & M. Hersen (Eds.), Handbook of prescriptive treatments for children and adolescents (pp. 240–253). Boston, MA: Allyn and Bacon.
Nanda, S. (1990). Neither man nor woman: The Hijaras of India. Belmont, CA: Wadsworth.
Nanda, S. (2000). Gender diversity: Cross-cultural variations. Prospect Heights, IL: Waveland.
Newman, L. K. (2002). Sex, gender and culture: Issues in the definition, assessment and treatment of gender identity disorder. Clinical Child Psychology and Psychiatry, 7, 352–359.
Pilkington, N. W., & D’Augelli, A. R. (1995). Victimization of lesbian, gay, and bisexual youth in community settings. Journal of Community Psychology, 23, 34–56.
Remafedi, G. (1987). Male homosexuality. The adolescent’s perspective. Pediatrics, 79, 326–337.
Rosenberg, M. (2002). Children with gender identity issues and their parents in individual and group treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 619–621.
Rudacille, D. (2005). The riddle of gender. New York, NY: Pantheon Books.
Trans Youth Family Allies. (2006). Our mission. Retrieved June 20, 2007, from http://www.imatyfa.org/about/our-mission/.
Vanderburgh, R. (2007). Transition and beyond: Observations on gender identity. Portland, OR: Q Press.
Williams, W. L. (1992). The spirit and the flesh: Sexuality diversity in American Indian culture. Boston: Beacon Press.
Wilson, I., Griffin, C., & Wren, B. (2006). Validity of the diagnosis of gender identity disorder (child and adolescent criteria). Clinical Child Psychology and Psychiatry, 7, 335–351.
Wren, B. (2002). I can accept my child is transsexual, but if I ever see him in a dress I’ll hit him. Clinical Child Psychology and Psychiatry, 7, 377–397.
Zamboni, B. (2006). Therapeutic considerations in working with the family, friends and partners of transgendered individuals. The Family Journal, 14, 174–179.
Zucker, K. J. (1990). Gender identity disorders in children: Clinical descriptions and natural history. In R. Blanchard & B. W. Steiner (Eds.), Clinical management of gender identity disorders in children and adults (pp. 1–23). Washington, DC: American Psychiatric Press.
Zucker, K. J. (1992). Gender identity disorder. In S. R. Hooper, G. W. Hynd, & R. E. Mattison (Eds.), Child psychopathology: Diagnostic criteria and clinical assessment (pp. 305–442). Hillsdale, NJ: Erlbaum.
Zucker, K. J. (2000). Gender identity disorder. In A. J. Sameroff, M. Lewis, & S. M. Miller (Eds.), Handbook of developmental psychopathology (2nd ed., pp. 671–686). New York, NY: Kluwer Academic/Plenum.
Zucker, K. J., & Bradley, S. (1995). Gender-dysphoric children and adolescents: A comparative analysis of demographic characteristics and behavioral problems. Clinical Child Psychology and Psychiatry, 7, 398–411.
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Vanderburgh, R. Appropriate Therapeutic Care for Families with Pre-Pubescent Transgender/Gender-Dissonant Children. Child Adolesc Soc Work J 26, 135–154 (2009). https://doi.org/10.1007/s10560-008-0158-5
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DOI: https://doi.org/10.1007/s10560-008-0158-5