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Reflections on the Clinician's Role with Individuals Who Self-identify as Transgender
1Department of Psychiatry, Case Western Reserve University, 23425 Commerce Park, #104, Beachwood, OH, 44122, USA. sbl2@case.edu.
Archives of Sexual Behavior
|September 16, 2021
Summary
Modern treatment for transgender individuals lacks long-term studies, causing ethical concerns. This essay guides clinicians in evaluating transgender patients, considering biological, social, and psychological factors for a comprehensive approach.
Area of Science:
- Medical Ethics
- Adolescent Medicine
- Gender Studies
Background:
- Current transgender treatment lacks robust, long-term evidence.
- Rising numbers of adolescents identifying as transgender or experiencing gender dysphoria.
- Ethical tensions persist due to the absence of comprehensive follow-up studies.
Purpose of the Study:
- To guide clinicians in the initial assessment of transgender patients of all ages.
- To explore the multifaceted nature of gender identity within an individual's overall identity.
- To address the debate surrounding transgender culture and the normalization of all gender identities.
Main Methods:
- Discussion of contributing factors to passionate stances in the transgender debate.
- Examination of the controversy surrounding the inherent normality of all gender identities.
- Enumeration of biological, social, and psychological forces influencing identity formation.
- Presentation of a model for comprehensive evaluation in adolescent transgender patients.
Main Results:
- Highlights the ethical imperative to investigate factors influencing identity creation.
- Proposes a developmental perspective for understanding transgender identity.
- Offers a framework for comprehensive patient evaluation.
Conclusions:
- Emphasizes the need for a nuanced approach to transgender care.
- Advocates for investigating the etiology of gender identity.
- Stresses the importance of a developmental and comprehensive evaluation process for transgender individuals.
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