Abstract
This paper examines the diagnostic category of Gender Identity Disorder in Children (GIDC) and its evolution. It also critiques the continued use of GIDC on conceptual, psychometric, and ethical grounds. Gender atypicality is a social construction that varies over time according to culture and social class and therefore should not be pathologized.
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Achenbach, T. M., & Edelbrock, C. S. (1983). Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: University of Vermont Department of Psychiatry.
American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington D. C.: American Psychiatric Association.
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed. rev.). Washington D. C.: American Psychiatric Association.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington D. C.: American Psychiatric Association.
American Psychiatric Association (2000a). Diagnostic and statistical manual of mental disorders (4th ed. rev.). Washington D. C.: American Psychiatric Association.
American Psychiatric Association. (2000b). COPP position statement on therapies focused on attempts to change sexual orientation (reparative or conversion therapies) [On-line]. Available: www.psych.org/pract_of_psych/copptherapyaddendum83100.cfm
Bayer, R. (1981). Homosexuality and American psychiatry: The politics of diagnosis. New York: Basic Books.
Bell, A. P., Weinberg, M. S., & Hammersmith, S. K. (1981). Sexual preference: Its development in men and women. Bloomington, IN: Indiana University Press.
Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155-162.
Bem, S. L. (1977). On the utility of alterntive procedures for assessing psychological androgyny. Journal of Consulting and Clinical Psychology, 45, 196-205.
Bem, S. L. (1981). Bem Sex-Role Inventory: Professional manual. Palo Alto, CA: Consulting Psychologists Press.
Bradley, S. J., Blanchard, R., Coates, S., Green, R., Levine, S. B., Meyer-Bahlburg, H. F., Pauly, I. B., & Zucker, K. J. (1991). Interim report of the DSM-IV subcommittee on Gender Identity Disorders. Archives of Sexual Behavior, 20, 333-343.
Bradley, S. J., & Zucker, K. J. (1997). Gender Identity Disorder: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 872-880.
Brannon, L. (2002). Gender: Psychological perspectives. Boston: Allyn and Bacon.
Brown, D. G. (1957). The development of sex-role inversion and homosexuality. Journal of Pediatrics, 50, 613-619.
Brown, D. G. (1958). Inversion and homosexuality. American Journal of Orthopsychiatry, 28, 424-429.
Burke, P. (1996). Gender shock: Exploding the myths of male and female. New York: Anchor Books.
Chauncey, G. (1994). Gay New York: Gender, urban culture, and the makings of the gay male world, 1890–1940. New York: Basic Books.
Chesler, P. (1990). Twenty years since Women and madness: Toward a feminist institute of mental health and healing. Journal of Mind and Behavior, 11, 313-322.
Corbett, K. (1998). Cross-gendered identification and homosexual boyhood: Toward a more complex theory of gender. American Journal of Orthopsychiatry, 68, 352-360.
Crocker, J., & Major, B. (1989). Social stigma and self-esteem: The self-protective properties of stigma. Psychological Review, 96, 608-630.
Davenport, C. W. (1986). A follow-up study of 10 effeminate boys. Archives of Sexual Behavior, 15, 511-517.
Di Ceglie, D. (1998). Management and therapeutic aims in working with children and adolescents with gender identity disorders, and their families. In D. DiCeglie (Ed.), A stranger in my own body: Atypical gender identity development and mental health (pp. 185-197). London: Karnac Books.
Duberman, M. (1991). Cures: A gay man's odyssey. New York: Dutton.
Dunne, M. P., Bailey, J. M., Kirk, K. M., & Martin, N. G. (2000). The subtlety of sex-atypicality. Archives of Sexual Behavior, 29, 549-565.
Ferree, M. M., & Hess, B. B. (2000). Controversy and coalition: The new feminist movement across three decades of change (3 rd ed.). New York: Routledge.
Franks, V., & Rothblum, E. D. (Eds.) (1983). The stereotyping of women: Its effects on mental health. New York: Springer.
Friedan, B. (1963). The feminine mystique. New York: Dell.
Freud, A. (1965). Normality and pathology in childhood. New York: International University Press.
Green, R. (1987). The “Sissy boy syndrome” and the development of homosexuality. New Haven, CT: Yale University Press.
Green, R. (1995). Sexual and gender identity disorder in childhood. In G. O. Gabbard (Ed.), Treatments of psychiatric disorders (2 nd ed.) (pp. 1837-2079). Washington D.C.: American Psychiatric Press.
Grellert, E. A., Newcomb, M. D., & Bentler, P. M. (1982). Childhood play activities of male and female homosexuals and heterosexuals. Archives of Sexual Behavior, 11, 451-478.
Haldeman, D. C. (1994). The practice and ethics of sexual orientation conversion therapy. Journal of Consulting and Clinical Psychology, 62, 221-227.
Haldeman, D. C. (2000). Gender atypical youth: Clinical and social issues. School Psychology Review, 29, 192-200.
Hay, W., & Barlow, D. (1981). Treatment of stereotypic cross-gender motor behavior using covert modeling in a boy with gender identity confusion. Journal of Consulting and Clinical Psychology, 49, 388-394.
Hellman, R. E., Green, R., Gray, J. L., & Williams, K. (1981). Childhood sexual identity, childhood religiosity, and “homophobia” as influences in the development of transsexualism, homosexuality, and heterosexuality. Archives of General Psychiatry, 38, 910-915.
Herdt, G. (1994). Introduction: Third sexes and third genders. In G. Herdt (Ed.), Third sex, third gender (pp. 21-81). New York: Zone Books.
Hershberger, S. L., Pilkington, N. W., & D'Augelli, A. R. (1997). Predictors of suicide attempts among gay, lesbian, and bisexual youth. Journal of Adolescent Research, 12, 477-497.
Hoffman, D. & Fidell, L. (1979). Characteristics of androgynous, undifferentiated, masculine an feminine middle-class women. Sex Roles, 5, 765-781.
Hyde, J. S., Krajnik, M., & Skuldt-Niederberger, K. (1991). Androgyny across the span: A replication and longitudinal follow-up. Developmental Psychology, 27, 516-519.
Isay, R. A. (1989). Being homosexual: Gay men and their development. New York: Farrar, Straus, Giroux.
Kirk, S. A., & Kutchins, H. (1992). The selling of DSM: The rhetoric of science in psychiatry. New York: Aldine De Gruyter.
Klerman, G. L. (1987). Is the reliability of DSM-III a scientific or a political question? Social Work Research and Abstracts, 23(4), 3.
Kopay, D., & Young, P. D. (1977). The David Kopay story. New York: Arbor House.
Link, B. G., Struening, E. L., Rahav, M., Phelan, J. C., & Nuttbrock, L. (1997). On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior, 38, 177-190.
Lock, J., Carrion, V. G., & Kleis, B. N. (1997). Gender issues. In H. Steiner & I. Yalom (Eds.), Treating preschool children (pp. 137-158). San Francisco: Jossey-Bass.
Martin, J. I. (1997). Political aspects of mental health treatment. In T. R. Watkins & J. W. Callicut (Eds.), Mental health policy and practice today (pp. 32-48). Thousand Oaks, CA: Sage Publications.
Mass, L. (1990). Dialogues of the sexual revolution. New York: Haworth Press.
Millett, K. (1970). Sexual politics. Garden City, NY: Doubleday.
Moll, A. (1919). The sexual life of the child (E. Paul, Trans.). New York: Macmillan. (Original work published 1907)
Money, J. (1994). The concept of gender identity disorder in childhood and adolescence after 39 years. Journal of Sex and Marital Therapy, 20, 163-177.
Murphy, T. F. (1992). Redirecting sexual orientation: Techniques and justifications. The Journal of Sex Research, 29, 501-523.
National Association of Social Workers. (2000). “Reparative” and “conversion” therapies for lesbians and gay men [On-line]. Available: http://www.naswdc.org/nasw/ Diversity/lgbt/reparative.htm
O'Heron, C. A., & Orlofsky, J. L. (1990). Stereotypic and nonstereotypic sex role traits and behavior orientations, gender identity and psychological adjustments. Journal of Personality and Social Psychology, 58, 134-143.
Oldham, S., Farnill, D., & Ball, I. (1982). Sex-role identity of female homosexuals. Journal of Homosexuality, 8(1), 41-46.
Perez Foster, R. M. (1999). Las mujeres: Women speak to the word of the father. In R. C. Lesser & E. Schoenberg (Eds.), That obscure subject of desire: Freud's female homosexual revisited (pp. 130-140). Florence, KY: Taylor and Francis/Routledge.
Phillips, G. & Over, R. (1995). Differences between heterosexual, bisexual and lesbian women in recalled childhood experiences. Archives of Sexual Behavior, 24, 1-20.
Pleak, R. R. (1999). Ethical issues in diagnosing and treating gender-dysphoric children and adolescents. In M. Rottnek (Ed.), Sissies and tomboys: Gender non-conformity and homosexual childhood (pp. 34-51). New York: New York University Press.
Rekers, G. A., Bentler, P. M., Rosen, A. C., & Lovaas, O. I. (1977). Child gender disturbances: A clinical rationale for intervention. Psychotherapy: Theory, Research and Practice, 14(1), 2-11.
Rekers, G. A., & Kilgus, M. A. (1998). Diagnosis and treatment of gender identity disorders in children and adolescents. In L. Vandecreek & S. Knapp (Eds.), Innovations in clinical practice: A source book (Vol. 16) (pp. 127-141). Sarasota, FL: Professional Resource Press/Professional Resource Exchange, Inc.
Rekers, G. A., Kilgus, M. A., & Rosen, A. C. (1990). Long-term effects of treatment for gender identity disorder of childhood. Journal of Psychology and Human Sexuality, 3, 121-153.
Richardson, J. (1996). Setting limits on gender health. Harvard Review of Psychiatry, 4, 49-53.
Robitscher, J. (1980). The powers of psychiatry. Boston: Houghton Mifflin.
Roscoe, W. (1993). How to become a berdache: Toward a unified analysis of gender diversity. In G. Herdt (Ed.), Third sex, third gender: Beyond sexual dimorphism in culture and history (pp. 329-372). New York: Zone Books.
Russo, A. (2001). Taking back our lives. New York: Routledge.
Sadowski, H., & Gaffney, B. (1998). Gender identity disorder, depression, and suicidal risk. In D. DiCeglie (Ed.), A stranger in my own body: Atypical gender identity development and mental health (pp. 126-136). London: Karnac Books.
Saghir, M. T., & Robins, E. (1973). Male and female homosexuality: A comprehensive investigation. Baltimore, MD: Williams & Wilkins.
Savin-Williams, R. C. (1994). Verbal and physical abuse as stressors in the lives of lesbian, gay male, and bisexual youths: Associations with school problems, running away, substance abuse, prostitution, and suicide. Journal of Consulting and Clinical Psychology, 62, 261-269.
Sedgwick, E. K. (1990). How to bring your kids up gay. Social Text, 29, 18-27.
Spence, J. T., Helmreich, R., & Stapp, J. (1974). Ratings of self and peers on sex-role attributes and their relation to self-esteem and conceptions of masculinity and femininity. Journal of Personality and Social Psychology, 37, 29-39.
Szasz, T. S. (1974). The myth of mental illness: Foundations of a theory of personal conduct. New York: Harper & Row.
Szasz, T. S. (1991). Psychiatry and social control. Humanist, 51(1), 24-25, 34.
Thomas, A., & Sillen, S. (1974). Racism and psychiatry. Secaucus, NJ: Citadel.
Ussher, J. (1991). Women's madness: Misogyny or mental illness? Amherst, MA: University of Massachusetts Press.
Wakefield, J. C. (1992). Disorder as harmful dysfunction: A conceptual critique of DSM-III-R's definition of mental disorder. Psychological Review, 99, 232-247.
Weinraub, M., & Brown, L. M. (1983). The development of sex-role stereotypes in children: Crushing realities. In V. Franks & E. D. Rothblum (Eds.), The stereotyping of women: Its effects on mental health (pp. 30-58). New York: Springer.
Whitam, F. L. (1980). The prehomosexual male in three societies: The United States, Guatemala, Brazil. Archives of Sexual Behavior, 9, 87-99.
Wieringa, S. E. (1994). The Zuni man-woman. Archives of Sexual Behavior, 23, 348-351.
Wilson, K. K. (1997). Gender as illness: Issues of psychiatric classification. Paper presented at the 6th Annual ICTLEP Transgender Law and Employment Policy Conference, July 1997, Houston, Texas. Retrieved from http://www.transgender.org/tg/gidr/kwictl97.html
Wilson, K. K., & Hammond, B. E. (1996). Myth, stereotype, and cross-gender identity in the DSM-IV. Paper presented at the Association for Women in Psychology's 21st Annual Feminist Psychology Conference, Portland, Oregon.
Zucker, K. J., & Bradley, S. J. (1995). Gender identity disorder and psychosexual problems in children and adolescents. New York: Guilford Press.
Zucker, K. J., & Bradley, S. J. (1999). Gender identity disorders and transvestic fetishism. In S. D. Netherton, D. Holmes, & C.E. Walker (Eds.), Child and adolescent psychological disorders: A comprehensive textbook (pp. 367-396). New York: Oxford University Press.
Zucker, K. J., Bradley, S. J., & Sanikhani, M. (1997). Sex difference in the referral rates of children with gender identity disorder: some hypotheses. Journal of Abnormal Psychology, 25, 217-227.
Zucker, K. J., Finegan, J. K., Doering, R. W., & Bradley, S. J. (1984). Two subgroups of gender-problem children. Archives of Sexual Behavior, 13, 27-39.
Zuger, B. (1984). Early effeminate behavior in boys: Outcome and significance for homosexuality. Journal of Nervous and Mental Disease, 172, 90-97.
Zuger, B. (1988). Is early effeminate behavior in boys early homosexuality? Comprehensive Psychiatry, 29, 509-519.
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Langer, S.J., Martin, J.I. How Dresses Can Make You Mentally Ill: Examining Gender Identity Disorder in Children. Child and Adolescent Social Work Journal 21, 5–23 (2004). https://doi.org/10.1023/B:CASW.0000012346.80025.f7
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DOI: https://doi.org/10.1023/B:CASW.0000012346.80025.f7