New laws that prohibit conversion therapy pose no material risk to evidence-based and clinically appropriate practice

2021 ◽  
pp. 103985622110570
Author(s):  
Ryan Christopher J ◽  
Callaghan Sascha
Keyword(s):  
Gender Identity ◽  
Gender Dysphoria ◽  
Evidence Based ◽  
Personal Beliefs ◽  
Conversion Therapy ◽  
Appropriate Care ◽  
Starting Point ◽  
Sexuality And Gender ◽  
And Gender

Objective To examine the extent to which the Sexuality and Gender Identity Conversion Practices Act 2020 (ACT) and Change or Suppression (Conversion) Practices Prohibition Act 2021 (Vic) might pose a risk to evidence-based and clinically appropriate practice. Method Using a recent publication by Parkinson and Morris as a starting point, the provisions of the new legislation are carefully examined. Results The ACT and Victorian laws do not imperil psychiatrists undertaking evidence-based and clinically appropriate practice. Conclusions While it may be wise for psychiatrists to abandon this area of practice if they hold strong personal beliefs that the failure to identify with one’s natal gender is morally wrong, nothing in the new laws should deter psychiatrists from providing people with gender dysphoria with evidence-based and clinically appropriate care.

scholarly journals ‘You're not sure that you are gay yet’: The perpetuation of the ‘phase’ in the lives of young disabled LGBT + people

Sexualities ◽  
2019 ◽  
Vol 23 (4) ◽  
pp. 516-529 ◽  
Author(s):  
Alex Toft ◽  
Anita Franklin ◽  
Emma Langley
Keyword(s):  
Young People ◽  
Gender Identity ◽  
Detailed Analysis ◽  
Social Structures ◽  
Authentic Identity ◽  
Sexuality And Gender ◽  
Nuanced Understanding ◽  
Lgbt People ◽  
And Gender ◽  
Identity Shifts

Contemporary discourse on sexuality presents a picture of fluidity and malleability, with research continuing to frame sexuality as negotiable, within certain parameters and social structures. Such investigation is fraught with difficulties, due in part to the fact that as one explores how identity shifts, language terms such as ‘phase’ emerge conjuring images of a definitive path towards an end-goal, as young people battle through a period of confusion and emerge at their true or authentic identity. Seeing sexuality and gender identity as a phase can delegitimise and prevent access to support, which is not offered due to the misconception that it is not relevant and that one can grow out of being LGBT+. This article explores the lives of disabled LGBT + young people from their perspective, using their experiences and stories to explore their identities and examine how this links to the misconception of their sexuality and gender as a phase. Taking inspiration from the work of scholars exploring sexual and gender identity, and sexual storytelling; the article is framed by intersectionality which allows for a detailed analysis of how identities interact and inform, when used as an analytic tool. The article calls for a more nuanced understanding of sexuality and gender in the lives of disabled LGBT + young people, which will help to reduce inequality and exclusion.

An adolescent requesting to pause puberty

2021 ◽  
pp. 203-212
Author(s):  
Cordelia Y. Ross ◽  
Alex S. Keuroghlian
Keyword(s):  
Gender Identity ◽  
Hormone Therapy ◽  
Gender Dysphoria ◽  
Social Stigma ◽  
Developmental History ◽  
Psychiatric Assessment ◽  
Gender Expression ◽  
Gender Affirmation ◽  
History Of ◽  
And Gender

Gender dysphoria occurs when a patient has distress associated with incongruence between a person’s experienced gender and the gender traditionally associated with their sex assigned at birth. This must occur for at least six months. The psychiatric assessment of a patient with gender dysphoria should include exploration of the child’s developmental history of gender-expansive identification and expression; sources of distress relating to familial, community, and social stigma; and ways to help families adopt an accepting and nurturing response. Gender affirmation can include psychological, social, legal, and biological interventions. The goal of psychotherapy is to help a person explore, discover, and affirm their gender identity. Social affirmation may include changing names, pronouns, and gender expression. Legal gender affirmation may take place through a name or gender marker change on official documents. Biological affirmation may include pubertal suppression for younger adolescents, gender-affirming hormone therapy, and/or gender-affirming surgery.

scholarly journals Freedom to think: the need for thorough assessment and treatment of gender dysphoric children

2020 ◽  
pp. 1-5
Author(s):  
Marcus Evans
Keyword(s):  
Gender Identity ◽  
Gender Dysphoria ◽  
Current Approach ◽  
Conversion Therapy ◽  
Developmental Problems ◽  
Appropriate Treatment ◽  
Assessment And Treatment ◽  
The Relationship

Summary Referrals (particularly natal female) to gender identity clinics have increased significantly in recent years. Understanding the reasons for this increase, and how to respond, is hampered by a politically charged debate regarding gender identity. This article starts with a discussion of the so-called ‘affirmative approach’ to gender dysphoria and considers the implications of the Memorandum of Understanding on conversion therapy. I then say something about the relationship between gender dysphoria and the developmental problems that are characteristic of adolescence. Finally, I outline what changes to the current approach are needed to do our best to ensure these patients receive the appropriate treatment.

Logics of Gender Justice and Their Meaning for the Study of Sexuality and Gender Identity: A Dialogue

2019 ◽  
Vol 26 (4) ◽  
pp. 519-526
Author(s):  
Phillip M Ayoub
Keyword(s):  
Gender Identity ◽  
Political Science ◽  
Gender Justice ◽  
Open Questions ◽  
Sexuality And Gender ◽  
Theoretical Assumptions ◽  
And Gender ◽  
Definition Of ◽  
Role Of Religion

Abstract This piece dialogues with Htun and Weldon's exceptional new book, The Logics of Gender Justice, as it relates to LGBTI rights. Beyond engaging the authors' questions of when and why governments promote women's rights, I also engage their argument that equality is not one issue but many linked issues, including issues of sexuality and gender identity. My own reflections on their work thus address the contributions the book makes to the study of political science, as well as open questions about how their logic of gender justice might apply across other issue areas less explored in the book. Htun and Weldon's own definition of gender justice also rightly includes space for LGBTQI people, which I see as an invitation to think through the typology in relation to these communities. The piece begins by reflecting on the book's theoretical and methodical innovations around the complexities of gender politics, before moving on to the multi-faceted role of religion in gender justice, and then theoretical assumptions around visibility of the marginalized.

Sexuality and Gender Identity: From a Discursive to a Relational Analysis

1998 ◽  
Vol 46 (3) ◽  
pp. 483-504 ◽  
Author(s):  
Ian Burkitt
Keyword(s):  
Gender Identity ◽  
Power Relations ◽  
Judith Butler ◽  
Sex And Gender ◽  
Social Formation ◽  
Relational Analysis ◽  
The Social ◽  
Sexuality And Gender ◽  
And Gender ◽  
Discursive Constructions

This paper concentrates on the recent controversy over the division between sex and gender and the troubling of the binary distinctions between gender identities and sexualities, such as man and woman, heterosexual and homosexual. While supporting the troubling of such categories, I argue against the approach of Judith Butler which claims that these dualities are primarily discursive constructions that can be regarded as fictions. Instead, I trace the emergence of such categories to changing forms of power relations in a more sociological reading of Foucault's conceptualization of power, and argue that the social formation of identity has to be understood as emergent within socio-historical relations. I then consider what implications this has for a politics based in notions of identity centred on questions of sexuality and gender.

scholarly journals Experiences with sexual orientation and gender identity conversion therapy practices among sexual minority men in Canada, 2019–2020

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252539
Author(s):  
Travis Salway ◽  
Stephen Juwono ◽  
Ben Klassen ◽  
Olivier Ferlatte ◽  
Aidan Ablona ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Gender Identity ◽  
Ethnic Minorities ◽  
Demographic Data ◽  
Conversion Therapy ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
Minority Men ◽  
And Gender ◽  
Racial Ethnic

Background “Conversion therapy” practices (CTP) are organized and sustained efforts to avoid the adoption of non-heterosexual sexual orientations and/or of gender identities not assigned at birth. Few data are available to inform the contemporary prevalence of CTP. The aim of this study is to quantify the prevalence of CTP among Canadian sexual and gender minority men, including details regarding the setting, age of initiation, and duration of CTP exposure. Methods Sexual and gender minority men, including transmen and non-binary individuals, aged ≥ 15, living in Canada were recruited via social media and networking applications and websites, November 2019—February 2020. Participants provided demographic data and detailed information about their experiences with CTP. Results 21% of respondents (N = 9,214) indicated that they or any person with authority (e.g., parent, caregiver) ever tried to change their sexual orientation or gender identity, and 10% had experienced CTP. CTP experience was highest among non-binary (20%) and transgender respondents (19%), those aged 15–19 years (13%), immigrants (15%), and racial/ethnic minorities (11–22%, with variability by identity). Among the n = 910 participants who experienced CTP, most experienced CTP in religious/faith-based settings (67%) or licensed healthcare provider offices (20%). 72% of those who experienced CTP first attended before the age of 20 years, 24% attended for one year or longer, and 31% attended more than five sessions. Interpretation CTP remains prevalent in Canada and is most prevalent among younger cohorts, transgender people, immigrants, and racial/ethnic minorities. Legislation, policy, and education are needed that target both religious and healthcare settings.

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