What are the criteria for gender dysphoria

Gender-specific dysphoria in adolescents (Norwegian title: Kjønnsdysfori Blant Ungdom)

detailed description

For some children and adolescents, their assigned gender at birth does not match their gender expression or how they identify themselves later in life. If the disproportion between ascribed gender at birth and gender identity and expression and what the body looks like is associated with suffering or discomfort of any kind, this is referred to as gender dysphoria in research literature and DSM-V (DSM-V, 2014; Kreukels et al., 2012; Wren, 2014). After first attempts with so-called reparative therapy in changing the gender identity of clients in accordance with Due to their assigned gender at birth, gender reassignment became the treatment of choice of gender dysphoria (Wierckx et al., 2014; Wren, 2014). Since the advent of sophisticated physical treatment, such as hormone therapy and surgical techniques, able to remove certain properties of the sexual body, an increasing number of clinics worldwide have begun offering puberty suppression for pubescent adolescents with gender dysphoria in order to allow this more time before Gender identity decisions are made. This is referred to as the Dutch model, and the clinical goal is to reduce the pressure the adolescents experience when the body develops in a way that creates a lot of distress. Many countries have established specialty clinics that focus on developing treatment programs, and there has been a steep increase in referrals in recent years (Kaltiala-Heino, Sumia, Työläjärvi & amp; Lindberg, 2015). In Norway, 450 clients were referred to the Norwegian National Unit for Gender Dysphoria and Transsexuality (Nasjonal treatmentstjeneste for transseksualisme, NBTS) Half of them were under 18 years of age, and the number has multiplied in recent years (Nasjonal treatmentstjeneste for transseksualisme, årsrapport 2016). However, clinically treatment was initiated without clarifying what gender dysphoria is and how it is experienced by those who suffer from it and how it should be theoretically understood The common concern in the research literature and among clinicians was so important Medical interventions were used Understanding gender-specific dysphoria among adolescents and young adults and its psychological effects could be better understood (Kaltiala-Heino et al., 2015; Wren, 2014). In addition, activists and clients have claimed that their perspectives have been monitored by researchers and clinicians (Wren, 2014). In addition, more attention has been paid to gender dysphoria both nationally and nationally.The aim of this project is to conduct an interview study in collaboration with chief physician of the NBTS, Ira Haraldsen and a reference group with former clients, in order to produce knowledge about how clients are in Ages between 13 and 18 years of age are treated at NBTS to experience gender dysphoria, how they understand the condition and make sense of their experiences and how it affects their lives. Much of the research on Gender Dysphoria has been quantitative, based on the self-reporting of clients themselves or reports from health professionals (Drescher & Byne, 2012). This means that the research has focused on predictors of good outcomes and has provided important knowledge about the treatment of gender dysphoria. Not much research has been done on its psychological nature, however. What are the psychosocial consequences of this for gender development? Identity and identity in general and how this is experienced by the young people themselves. There is also a lack of theoretical inclusion and psychological approach to gender dysphoria in the clinical and developmental literature. Studies on the outcome of puberty suppression and gender reassignment have shown this although many adolescents improve mentally after transition to another sex and gender dysphoria improves, many still suffer from severe psychiatric illnesses and psychosocial adjustment (Kaltiala-Heino et al., 2015). Studies have shown this as well. Adolescents undergoing this treatment need psychological monitoring, but research on how this should be done is lacking (de Vries et al., 2014).

NBTS was an international leader in the international implementation of the Dutch model Interview participants who were referred to NBTS, consisting of clients who are in different phases of treatment. The methodological approach will be qualitative and phenomenological to shed light on how gender dysphoria is subjectively experienced and focus on the variety of presentations rather than looking for general principles. Another important goal is to make a contribution to theory development that is based on clinical aspects psychological theories as well as biological and medical knowledge and concepts from gender studies. In this context, one goal is to create hypotheses and stimulate further studies. The collaboration between NBTS and the reference group is an opportunity to fill a gap in EU international research between clients and activists on the one hand and researchers and clinicians on the other, contributing to a better understanding of the suffering of adolescents from gender dysphoria and how clinicians can help you. This is in line with the standards of nursing, the recommendations published by the World for Treatment of Gender Dysphoria Professional Association for Transgender Health. According to this report, the perspectives of people with gender dysphoria are essential to ensure good health care, given the discrimination many experience. In addition, in 2015 the Norwegian Directorate of Health published a report on health services for people with gender dysphoria called Rett til rett kjønn - helse til alle kjønn, based on the work of an expert group consisting of clinicians, activists and clients. The report concludes that more research needs to be done on how gender dysphoria is experienced and the consequences it has for young people.In addition, the expert group concludes that there is an increased need for knowledge and awareness about gender dysphoria and how young people should live with helped among health professionals who work in both specialist and primary health care settings. .