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First published online January 7, 2011

Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study

Abstract

The aim of this qualitative study was to obtain a better understanding of the developmental trajectories of persistence and desistence of childhood gender dysphoria and the psychosexual outcome of gender dysphoric children. Twenty five adolescents (M age 15.88, range 14–18), diagnosed with a Gender Identity Disorder (DSM-IV or DSM-IV-TR) in childhood, participated in this study. Data were collected by means of biographical interviews. Adolescents with persisting gender dysphoria (persisters) and those in whom the gender dysphoria remitted (desisters) indicated that they considered the period between 10 and 13 years of age to be crucial. They reported that in this period they became increasingly aware of the persistence or desistence of their childhood gender dysphoria. Both persisters and desisters stated that the changes in their social environment, the anticipated and actual feminization or masculinization of their bodies, and the first experiences of falling in love and sexual attraction had influenced their gender related interests and behaviour, feelings of gender discomfort and gender identification. Although, both persisters and desisters reported a desire to be the other gender during childhood years, the underlying motives of their desire seemed to be different.

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Published In

Article first published online: January 7, 2011
Issue published: October 2011

Keywords

  1. childhood gender dysphoria
  2. Gender Identity Disorder
  3. gender variant
  4. psychosexual development
  5. sexual orientation
  6. transgender
  7. transsexual

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© SAGE Publications 2010.
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PubMed: 21216800

Authors

Affiliations

Thomas D. Steensma
Department of Medical Psychology, VU University Medical Centre, Amsterdam, the Netherlands
Roeline Biemond
Department of Medical Psychology, VU University Medical Centre, Amsterdam, the Netherlands
Fijgje de Boer
Department of Medical Psychology, VU University Medical Centre, Amsterdam, the Netherlands
Peggy T. Cohen-Kettenis
Department of Medical Psychology, VU University Medical Centre, Amsterdam, the Netherlands

Notes

T.D. Steensma, VU University Medical Centre, Department of Medical Psychology, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands. Email: [email protected]
Thomas D. Steensma, M.Sc. is a Ph.D. candidate at the Department of Medical Psychology at the VU University Medical Centre in Amsterdam, The Netherlands.
Roeline Biemond, M.Sc. is a clinical psychologist at the VU University Medical Centre, Amsterdam, The Netherlands.
Fijgje de Boer, Ph.D. is a social psychologist and teaches courses in qualitative research and in sexuality and health at the Department of Medical Humanities, VU University Medical Centre, Amsterdam, The Netherlands.
Peggy T. Cohen-Kettenis, Ph.D. is a clinical psychologist and psychotherapist and the head of the Department of Medical Psychology at the VU University Medical Centre, Amsterdam, The Netherlands.

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