Gender Disorders in Childhood

A Formulation
  • Susan J. Bradley
Part of the Perspectives in Sexuality book series (PISE)

Abstract

How does one become a transsexual? Although current data do not provide the definitive answer to this question, we can clearly gather some understanding from the study of gender disorders in children. Outcome studies are now confirming the link between early cross-sex behaviors and later gender identity disorders (Green, 1979; Money & Russo, 1979; Zuger, 1978; see Zucker, Chapter 4 in this volume for a review of follow-up studies). Follow-up data also appear to show a degree of variability in outcomes that would suggest more flexibility in these disorders than had originally been supposed. Reports, although few in number, documenting changes in gender identity (Barlow, Reynolds, & Agras, 1973; Davenport & Harrison, 1977; Kronberg, Tyano, Apter, & Wijsenbeek, 1981) and our own clinical experience in following children and adolescents with these disorders have led us to believe that the critical factors relevant in the development and maintenance of these disorders are psychological and social.

Keywords

Depression Posit Androgen Zucker Progestin 

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References

  1. Baker, H., & Stoller, R. J. Can a biological force contribute to gender identity? Am J Psychiatry, 124:1653–1658, 1968.PubMedGoogle Scholar
  2. Barlow, D. H., Reynolds, J., & Agras S. Gender identity change in a transsexual. Arch Gen Psychiatry, 28:569–576, 1973.PubMedCrossRefGoogle Scholar
  3. Bell, A. P., Weinberg, M. S., & Hammersmith, S. K. Sexual Preference: Its Development in Men and Women. Bloomington: Indiana University Press, 1981.Google Scholar
  4. Bradley, S. J. Female transsexualism: A child and adolescent perspective. Child Psychiatry Human Dev, 11:12–18, 1980.CrossRefGoogle Scholar
  5. Bradley, S. J., Doering, R. W., Zucker, K. J., Finegan, J. K., & Gonda, G. M. Assessment of the gender-disturbed child: A comparison to sibling and psychiatric controls. In J. Samson, (Ed.): Childhood and Sexuality. Montreal: Editions Etudes Vivantes, 1980.Google Scholar
  6. Cook, M. (Ed.). The Bases of Human Sexual Attraction. London: Academic Press, 1981.Google Scholar
  7. Davenport, C. W., & Harrison, S. I. Gender identity change in a female adolescent transsexual. Arch Sex Behav, 6:327–340, 1977.PubMedCrossRefGoogle Scholar
  8. Duyckaerts, F. The Sexual Bond. New York: Delacorte Press, 1964.Google Scholar
  9. Ehrhardt, A. A., & Baker, S. W. Fetal androgens, human central nervous system differentiation and behavior sex differences. In R. C. Friedman, R. M. Richart, and R. L. Vande Wiele, (Eds.): Sex Differences in Behavior. New York: Wiley, 1974.Google Scholar
  10. Fagot, B. I. Consequences of moderate cross-gender behavior in preschool children. Child Dev, 48:902–907, 1977.CrossRefGoogle Scholar
  11. Finegan, J. K., Zucker, K. J., Bradley, S. J., & Doering, R. W.: Patterns of intellectual functioning and spatial ability in boys with gender identity disorder. Can J Psychiatry 27:135–139, 1982.PubMedGoogle Scholar
  12. Green, R. Sexual Identity Conflict in Children and Adults. Baltimore: Penguin, 1974.Google Scholar
  13. Green, R. The significance of feminine behavior in boys. J Child Psychol Psychiatry, 16:341–344, 1975.PubMedCrossRefGoogle Scholar
  14. Green, R. Childhood cross-gender behavior and subsequent sexual preference. Am J Psychiatry, 136:106–108, 1979.PubMedGoogle Scholar
  15. Herrenkohl, L. R. The anxiety prone personality: Effects of prenatal stress on the infant: In R. J. Mathew, (Ed.): The Biology of Anxiety. New York: Brunner/Mazel, 1982.Google Scholar
  16. Imperato-McGinley, J., Peterson, R. E., Gautier, T., & Sturla, E. Androgens and the evolution of male-gender identity among male pseudohermaphrodites with 5a-reductase deficiency. New Eng J Med, 300:1233–1237, 1979.PubMedCrossRefGoogle Scholar
  17. Kronberg, J., Tyano, S., Apter, A., & Wijsenbeek, H. Treatment of transsexualism in adolescence. J Adol, 4:177–185, 1981.CrossRefGoogle Scholar
  18. Langevin, R. Sexual Strands. Hillsdale, N.J.: Erlbaum, 1983.Google Scholar
  19. Latimer, P. A case of homosexuality treated by in vivo desensitization and assertive training. Can Psychiatr Assoc J, 22:185–189, 1977.PubMedGoogle Scholar
  20. Lothstein, L. M. Psychodynamics and sociodynamics of gender-dysphoric states. Am J Psychotherapy, 33:214–238, 1979.Google Scholar
  21. Meyer, J. K. Body ego, selfness and gender sense: The development of gender identity. Psychiatr Clinics N Am, 3:21–36, 1980.Google Scholar
  22. Money, J., Hampson, J. G., & Hampson, J. L. An examination of basic sexual concepts: The evidence of human hermaphroditism. Bull Johns Hopkins Hosp, 97:301–319, 1955.PubMedGoogle Scholar
  23. Money, J., & Russo, A. J. Homosexual outcome of discordant gender identity/role in childhood: Longitudinal follow-up. J Pediatr Psychol, 4:29–41, 1979.CrossRefGoogle Scholar
  24. Person, E., & Ovesey, L. The transsexual syndrome in males. L Primary transsexualism. Am J Psychother, 28:4–28, 1974 (a).PubMedGoogle Scholar
  25. Person, E., & Ovesey, L. The transsexual syndrome in males. IL Secondary transsexualism. Am J Psychother, 28:174–193, 1974. (b)PubMedGoogle Scholar
  26. Person, E., & Ovesey, L. Transvestism: New perspectives. J Am Acad Psychoanal, 6:301–323, 1978.PubMedGoogle Scholar
  27. Pruett, K. D., & Dahl, K. Psychotherapy of gender identity conflict in young boys. J Am Acad Child Psychiatry, 21:65–70, 1982.PubMedCrossRefGoogle Scholar
  28. Rutter, M. Psychosexual development. In M. Rutter, (Ed.): Scientific Foundations of Developmental Psychiatry. London: Heinemann Medical, 1980.Google Scholar
  29. Stoller, R. J. Sex and Gender. New York: Science House, 1968.Google Scholar
  30. Stoller, R. J. Etiological factors in female transsexualism: A first approximation. Arch Sex Behav, 2:47–64, 1972.PubMedCrossRefGoogle Scholar
  31. Stoller, R. J. The Transsexual Experiment. London: Hogarth Press, 1975.Google Scholar
  32. Yalom, I. D., Green, R., & Fisk, N. Prenatal exposure to female hormones: Effect on psychosexual development in boys. Arch Gen Psychiatry, 28:554–561, 1973.PubMedCrossRefGoogle Scholar
  33. Zucker, K. J., Doering, R. W., Bradley, S. J., & Finegan, J. K. Sex-typed play in gender-disturbed children: A comparison to sibling and psychiatric controls. Arch Sex Behav, 11:309–321, 1982.PubMedCrossRefGoogle Scholar
  34. Zucker, K. J., Finegan, J. K., Doering, R. W., & Bradley, S. J. Two subgroups of gender-problem children. Arch Sex Behav, 13:27–39, 1984.PubMedCrossRefGoogle Scholar
  35. Zuger, B. The role of familial factors in persistent effeminate behaviour in boys. Am J Psych 126:1167–1170, 1970.Google Scholar
  36. Zuger, B. Effeminate behavior present in boys from childhood: Ten additional years of follow-up. Compr Psychiatry, 19:363–369, 1978.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • Susan J. Bradley
    • 1
  1. 1.Child and Family Studies Centre, Clarke Institute of PsychiatryChild and Adolescent Gender Identity ClinicTorontoCanada

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