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Treatment Paradigms for Prepubertal Children

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Pediatric Gender Identity

Abstract

The treatment of transgender and gender-diverse (TGD) prepubertal children has expanded both in scope and in the number of families seeking services over the past decade. This chapter reviews the extant standards of care and clinical guidelines for these children, synthesizing the WPATH, American Psychological Association, and Australian Standards of Care, while illustrating the ascendant approach for supporting these children: the gender affirmative model. The model is contrasted to earlier developed models of care, the “living in your own skin” model and the “watchful waiting” model. To illustrate the clinical approach of the gender affirmative model in contrast to the other two models, a hypothetical case of a young gender-exploring child is presented, with an analysis of how each of the three models might approach the child and family seeking care.

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Author information

Authors and Affiliations

  1. University of California, San Francisco, CA, USA

    Diane Ehrensaft

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  1. Diane Ehrensaft
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Editors and Affiliations

  1. Department of Pediatrics, Brown University, Providence, RI, USA

    Michelle Forcier

  2. Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA

    Gerrit Van Schalkwyk

  3. Division of Child & Adolescent Psychiatry, Massachusetts General Hospital, Boston, MA, USA

    Jack L. Turban

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Ehrensaft, D. (2020). Treatment Paradigms for Prepubertal Children. In: Forcier, M., Van Schalkwyk, G., Turban, J. (eds) Pediatric Gender Identity. Springer, Cham. https://doi.org/10.1007/978-3-030-38909-3_13

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  • DOI: https://doi.org/10.1007/978-3-030-38909-3_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-38908-6

  • Online ISBN: 978-3-030-38909-3

  • eBook Packages: MedicineMedicine (R0)

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