Gender (De)Transitioning Before Puberty? A Response to Steensma and Cohen-Kettenis (2011)

This is a preview of subscription content, log in to check access.


  1. 1.

    I used the pronoun “she” since the study reports that she identified as a girl at the time it was conducted.

  2. 2.

    It is beyond the scope of this Letter to the Editor to respond to the critique, levied by some feminists, that gender transitioning itself perpetuates normative gender roles. Nonetheless, it should be noted that even gender conforming transgender people are perceived as threatening to traditional gender roles (Broussard & Warner, 2018).


  1. Broussard, K. A., & Warner, R. H. (2018). Gender nonconformity is perceived differently for cisgender and transgender targets. Sex Roles.

    Article  Google Scholar 

  2. Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., … Zucker, K. (2011). Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7. International Journal of Transgenderism, 13(4), 165–232.

    Article  Google Scholar 

  3. de Vries, A. L. C., & Cohen-Kettenis, P. T. (2012). Clinical management of gender dysphoria in children and adolescents: The Dutch approach. Journal of Homosexuality, 59(3), 301–320.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Ehrensaft, D., Giammattei, S. V., Storck, K., Tishelman, A. C., & Keo-Meier, C. (2018). Prepubertal social gender transitions: What we know; what we can learn—A view from a gender affirmative lens. International Journal of Transgenderism, 19(2), 251–268.

    Article  Google Scholar 

  5. Steensma, T. D., Biemond, R., de Boer, F., & Cohen-Kettenis, P. T. (2010). Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study. Clinical Child Psychology and Psychiatry, 16(4), 499–516.

    Article  Google Scholar 

  6. Steensma, T. D., & Cohen-Kettenis, P. T. (2011). Gender transitioning before puberty? [Letter to the Editor]. Archives of Sexual Behavior, 40(4), 649–650.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Florence Ashley.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ashley, F. Gender (De)Transitioning Before Puberty? A Response to Steensma and Cohen-Kettenis (2011). Arch Sex Behav 48, 679–680 (2019).

Download citation