scholarly journals Individuals seeking gender reassignment: marked increase in demand for services

2018 ◽  
Vol 42 (5) ◽  
pp. 206-210 ◽  
Author(s):  
Josephine Fielding ◽  
Christopher Bass

Aims and methodTo describe the pattern of referrals and characteristics of people aged over 18 seeking gender reassignment in Oxfordshire over a 6-year period (2011–2016).ResultsA total of 153 individuals attended for assessment (of 162 referred); 97 (63.4%) were natal males and 56 (36.6%) were natal females. Mean age at referral was markedly different between the two groups, with females being younger. The number of referral significantly increased over the time period, by an average of 18% per year (95% CI 1.08–1.30). Eighty-seven patients sought transition from male to female, and 46 from female to male, while a smaller group (n = 13) had non-binary presentations. Twelve patients (7.8%) had autism spectrum disorder.Clinical implicationsThere are various possible reasons for the increased demand for services for people with gender dysphoria, which we discuss here. When planning services in the UK, both the increase in overall referral rates and the apparent earlier age at referral should be taken into account.Declaration of interestNone.

2019 ◽  
Vol 7 (4) ◽  
pp. 383-395 ◽  
Author(s):  
Jonathan H. Leef ◽  
Jessica Brian ◽  
Doug P. VanderLaan ◽  
Hayley Wood ◽  
Katreena Scott ◽  
...  

Author(s):  
Tiago Pinto Queirós ◽  
Inês Braz ◽  
Carla Ferreira ◽  
Filipa Coelho ◽  
Francisco Santos ◽  
...  

Author(s):  
Yael Dai ◽  
Inge-Marie Eigsti

This chapter reviews strengths and weaknesses in executive function (EF) domains, including inhibition, working memory, flexibility, fluency, and planning, in adolescents (age 13–19) with autism spectrum disorder (ASD). Given the dramatic developmental changes in the brain regions that support EF during the period of adolescence, it is critical to evaluate which EF abilities show a distinct profile during this period. As this chapter will demonstrate, youth with ASD show deficits across all domains of EF, particularly in complex tasks that include arbitrary instructions. We describe the fundamental measures for assessing skills in each domain and discuss limitations and future directions for research, as well as clinical implications of these findings for working with youth with ASD.


2019 ◽  
Vol 42 (1) ◽  
pp. 3-11
Author(s):  
Bridget M. Wright ◽  
Joann P. Benigno ◽  
Jamie B. Boster ◽  
John W. McCarthy ◽  
Bridget K. Coologhan

Thirty-one children with and without autism spectrum disorder were asked to draw the meaning of 10 basic concepts. Following each drawing, children explained their drawing to the experimenter. Transcripts of the drawing task were coded for children’s use of personal pronouns and internal state terms. Children’s use of on- and off-task comments while explaining each drawing was examined. Both groups of children had a longer mean length of utterance when prompted to explain their drawings than while they were drawing. Analyses revealed no significant differences between children with and without autism in their use of internal state terms, pronouns, or their use of on- and off-task language during the drawing task. Clinical implications for the use of drawings as expressive language supports for children with autism are discussed.


LGBT Health ◽  
2019 ◽  
Vol 6 (3) ◽  
pp. 95-100 ◽  
Author(s):  
Elizabeth Hisle-Gorman ◽  
Corinne A. Landis ◽  
Apryl Susi ◽  
Natasha A. Schvey ◽  
Gregory H. Gorman ◽  
...  

2019 ◽  
Vol 50 (2) ◽  
pp. 625-633 ◽  
Author(s):  
Basmah H. Alfageh ◽  
Kenneth K. C. Man ◽  
Frank M. C. Besag ◽  
Tariq M. Alhawassi ◽  
Ian C. K. Wong ◽  
...  

Abstract Autism spectrum disorder (ASD) is a lifelong disorder. In the UK, risperidone is the only psychotropic medication approved for the management of the behavioural symptoms that may accompany autism. This is a population-based study aimed to provide an evaluation of the changing trend in the incidence and prevalence of ASD and to analyse the pattern of psychotropic medication prescribing in the UK. 20,194 patients with ASD were identified. The prevalence increased 3.3-fold from 0.109 per 100 persons in 2009 to 0.355 per 100 persons in 2016. Approximately one-third of the identified cohort was prescribed at least one psychotropic medication. Although the medications approved to manage the symptoms of ASD are limited, the prescribing of such medications is increasing.


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