Part of a series on |
Transgender topics |
---|
![]() |
Detransition is the cessation or reversal of a transgender identification or gender transition, whether by social, legal, or medical means. Some individuals detransition on a temporary basis.[1]
Estimates of the rate at which detransitioning occurs vary, although it is rare.[2][3][4][5] Reasons for detransitioning also vary, and may include health-related concerns, finding that transition did not alleviate gender dysphoria, an unaffirming social environment, financial concerns, the realization that the individual's gender dysphoria was a manifestation of another condition, or political, religious, or philosophical disagreements with the transgender rights movement.[6][7]
Academic research into detransition is underdeveloped. Professional interest in the phenomenon has been met with contention, and some scholars have argued there is censorship around the topic.[8] In politics and popular culture, detransitioning is a contentious topic. Some who detransition report feeling a loss of support by their LGBT friends and family.[9] Various sides in the debate over detransitioning have reported harassment from other individuals.[10] Some people regret detransitioning and choose to retransition.[11] Some organizations with ties to conversion therapy have used detransition narratives to push anti-transgender agendas and legislation.[12]
Background and terminology
Transition is the process of a transgender person changing their gender presentation and/or sex characteristics to accord with their internal sense of gender identity.[13] Transition commonly involves social changes (such as clothing, personal name, and pronouns), legal changes (such as changes in legal name and legal gender), and medical/physical changes (such as hormone replacement therapy and gender-affirming surgery).
Detransition (sometimes called retransition) is the process of halting or reverting a transgender identification or gender transition.[14] Like transition, detransition is not a single event. Methods of detransitioning can vary greatly among individuals, and can involve changes to one's gender expression, social identity, identity documents, and/or anatomy.[15] Desistance is a general term for any cessation,[16] and it is commonly applied specifically to the cessation of transgender identity or gender dysphoria.[17] Those who undertake detransition are known as detransitioners.[18] Detransition is sometimes associated with transition regret, but regret and detransition do not always coincide.[19]
The term detransition is controversial within the transgender community. According to Turban et al., this is because, as with the word transition, it carries an "incorrect implication that gender identity is contingent upon gender affirmation processes". The term has also been conflated with transition regret, and thereby become associated with a politically motivated push to restrict the access of transgender people to transition-related healthcare.[20]
Occurrence
Formal studies of detransition have been few in number,[21] of disputed quality,[22] and politically controversial.[23] Frequency estimates for detransition and desistance vary greatly, with notable differences in terminology and methodology.[24] Detransition is more common in the earlier stages of transition, particularly before surgeries.[25]
The number of detransitioners is unknown, with estimates generally ranging from less than 1% to as many as 8%.[26] Studies which give low estimates have been criticised for their "serious limitations", such as short follow-up, high or unclear rates of loss to follow up, reliance on individuals returning to secondary care clinics reporting transition regret or seeking reversal procedures, (a study of 100 detransitioners found that only 24% of respondents informed their clinicians that they had detransitioned[27]), errors, non-replicability, as well as other issues.[28][27] Research suggesting higher rates of detransition also has flaws, however, meaning that detransition rates can be under-reported or over-reported.[28]
Studies have reported higher rates of desistance among prepubertal children. A 2016 review of 10 prospective follow-up studies from childhood to adolescence found desistance rates ranging from 61% to 98%, with evidence suggesting that they might be less than 85% more generally.[29][30] These studies have been criticized on the grounds that they include cases as 'desistance' where the child met the criteria for gender identity disorder as defined in the DSM-III or DSM-IV, although some would likely not have met the updated criteria for gender dysphoria in the DSM-5 (2013).[31] Initial diagnostic criteria for gender dysphoria were only introduced in the DSM-III (1980), so earlier research on desistance rates might report inflated numbers of desistance due to the inclusion of gender-nonconforming children without gender dysphoria.[32] Additionally, two studies of childhood desistance were based on data from a Canadian clinic which closed in 2015 after allegations that they engaged in conversion therapy by discouraging social transition; such clinical practices may also lead to inflated rates of reported desistance.[33][34] Most childhood desisters go on to identify as cisgender and gay, bisexual, or lesbian.[32][30]
A 2019 poster presentation examined the records of 3398 patients who attended a UK gender identity clinic between August 2016 and August 2017. Davies and colleagues searched for assessment reports with keywords related to regret or detransition. They identified 16 individuals (0.47%) who expressed regret or had detransitioned. Of those 16, 3 (0.09%) had detransitioned permanently.[1] 10 (0.29%) had detransitioned temporarily, to later retransition.[1] A 2019 clinical assessment found that 9.4% of patients with adolescent-emerging gender dysphoria either ceased wishing to pursue medical interventions or no longer felt that their gender identity was incongruent with their assigned sex at birth within an eighteen-month period.[35] A 2021 study examining the case notes of 175 adults discharged from a UK gender identity clinic between September 2017 and August 2018 found that 12 (6.9%) met the researchers' criteria for detransitioning—that is, they returned to living as their assigned gender. Six individuals were found to have experiences that "overlap" with detransitioners, but were not counted as such for this study due to displaying "gender identity confusion" during treatment.[36] Another study from a UK primary care practice found that 12.2% of those who had started hormonal treatments either detransitioned or documented regret, while a total of 20% stopped the treatments for a wider range of reasons.[37] An April 2022 study found that 284 individuals out of a total of 952 (29.8%) had stopped hormone therapy treatments.[38]
Those who undergo gender-affirming surgery have very low rates of detransition or transition regret. A 2005 Dutch study included 162 adults who received sex reassignment surgery, 126 of whom participated in follow-up assessments one to four years after surgery. Two individuals expressed regret at follow-up, only one of whom said that they would not transition again if given the opportunity. The remaining 124 out of 126 (98%) expressed no regrets about transitioning.[39] A 2021 meta-analysis of 27 studies concluded that "there is an extremely low prevalence of regret in transgender patients after [gender-affirmation surgery]".[40] In a January 2023 study of 1989 individuals who had undergone sex reassignment surgery, 6 individuals (0.3%) requested a reversal surgery or detransitioned.[41]
Studies of transition regret or detransition in different populations have found different (average or median) elapsed times before these occurred: a 2018 study found 10 years and 10 months on average to regret (but not necessarily detransition) from start of hormonal therapy,[42] and a 2014 study of those who had surgery found a median lag of 8 years before requesting a reversal of legal gender status.[24] A 2021 UK study found evidence that supports detransitioning occurring on average 4–8 years after transitioning.[36]
Informed consent and affirmation of self-diagnosis (both newer but increasingly employed models for transgender healthcare) have been criticized for failing to meet the needs of those who eventually detransition.[43]
Criticisms have been made regarding the "persistence-desistance" dichotomy as ignoring reasons why a person's gender identity may desist outside of simply being cisgender in the first place. For example, an assertion of a cisgender identity may be treated with validity and as an invalidation of a previously stated transgender identity; however, an assertion of a transgender identity may only be treated with the same validity if it is held throughout one's life. An individual may repress or realize their identity at any point in their life for a variety of reasons; some individuals' gender identities are fluid and/or may change throughout their lifetime, and some individuals whose identities are non-binary are effectively excluded due to a study's assumption of a gender binary.[31][44]
Reasons
The National Center for Transgender Equality conducted a survey which collected responses from individuals who identified as transgender at the time of the survey.[45] The results published in the 2015 U.S. Transgender Survey found that 8% of respondents reported having ever detransitioned; 62% of that group reported transitioning again and were living as a gender other than the one assigned to them at birth at the time of the survey.[46] About 36% reported having detransitioned due to pressure from parent, 33% because it was too difficult, 31% due to discrimination, 29% due to difficulty getting a job, 26% pressure from family members, 18% pressure from a spouse, and 17% due to pressure from an employer.[6]
In a 2021 study of 237 detransitioners (92% of whom were assigned female at birth), recruited via online detransitioner communities and who no longer identify as transgender, the most prevalent reasons to detransition were the realization that gender dysphoria was related to other issues (70%), health concerns (for 62%), and that transitioning didn’t help their gender dysphoria (50%).[7]
In a 2021 study of 2,242 individuals recruited via community outreach organizations who detransitioned and who continue to identify as transgender or gender diverse, the vast majority said detransition was in part due to external factors, such as pressure from family, sexual assault, and nonaffirming school environments; another highly cited factor was "it was just too hard for me."[47] Motives for detransitioning commonly include financial barriers to transition, social rejection in transition, depression or suicidality due to transition, and discomfort with sexual characteristics developed during transition. Additional motives include concern for lack of data on long-term effects of hormone replacement therapy, concern for loss of fertility, complications from surgery, and changes in gender identity.[48] Some people detransition on a temporary basis, in order to accomplish a particular aim, such as having biologically related children, or until barriers to transition have been resolved or removed.[49] Transgender elders may also detransition out of concern for whether they can receive adequate or respectful care in later life.[50]
A qualitative study comparing child desisters to persisters (those with persisting gender dysphoria) found that while persisters related their dysphoria primarily to a mismatch between their bodies and their identity, desisters' dysphoria was more likely to be, at least retroactively, related to a desire to fulfill the other gender role.[51]
An October 2021 study of 100 detransitioners found that detransitioning was related to them becoming more comfortable identifying as their natal sex (60%), having concerns about potential medical complications from transitioning (49%), coming to the view that their gender dysphoria was caused by something specific such as trauma, abuse, or a mental health condition (38%), experiencing discrimination (23%), homophobia or difficulty accepting themselves as lesbian, gay, or bisexual (23%) and feeling pressured to transition by social sources that included friends, partners, and society (20%).[52]
Forced detransition
Forced detransition of minors
In 2021, legislatures in 22 states in the United States introduced bills that would criminalize the provision of gender-affirming care to transgender minors, forcibly detransitioning those who can't flee the state. By the end of February 2022, the number had risen to 29. Supporters of these bills often cite concerns about detransition and desistance and claim they wish to protect children. However, scientific evidence suggests these bills will cause harm to transgender children as gender-affirming care is often necessary and access to it has consistently shown a positive relationship with mental well-being.[53][54]
The majority of medical associations agree that gender-affirming healthcare is necessary. The American Medical Association, American Academy of Pediatrics, and American Psychological Association have spoken out against the bills and defended the right of minors to transition.[53][55][56][57] In a letter to the National Governors Association, the American Medical Association warned that anti-trans healthcare bans will lead to greater rates of depression and suicide for transgender youth and described bills banning gender-affirming care as "a dangerous intrusion into the practice of medicine".[56][58] Pediatricians testifying against the bills have said they are based on myths and misconceptions about transgender healthcare.[57]
In 2021, the Arkansas legislature passed House Bill 1570, prohibiting transgender youth from receiving gender-affirming health care of any kind. The ACLU challenged the bill, leading a federal judge to issue a temporary injunction, protecting transgender youth in the state from being detransitioned against their will.[59]
In April 2022, Alabama Senate Bill 184 was approved. The bill prevents doctors from prescribing puberty blockers or hormone therapy for transgender youth under a threat of up to 10 years in prison, forcibly detransitioning youth in the state, and mandates that school staff out students to their parents.[60]
On August 5, 2022, the Florida Board of Medicine voted to consider guidelines proposed by the state's surgeon general, starting the process of denying transgender youth in Florida gender-affirming care.[61] On October 28, 2022, Florida's Board of Medicine passed a motion to ban all gender-affirming healthcare for minors, including puberty blockers, hormones, and surgeries.[62][63] The motion mandates all transgender youth to detransition until they turn 18. At one point during the hearing, in response to one protester yelling that trans children would be harmed as a result, board member Dr. Zachariah P. Zachariah answered "That's okay", before forcing a vote ahead.[55] Some who'd been at the meeting were reported as saying that the board had put all the speakers in favor of the ban, many of whom where from outside of the state or outside of the country, first in line to speak, before cutting off public comment once they ran out and pro-trans Floridians began to take the podium.[64] The Florida Department of Health released official state guidance that transgender children should not be allowed to wear clothes or use names or pronouns aligning with their gender identity.[65]
In Spring 2021, the Center for Christian Virtue proposed Ohio House Bill 454, known as the "Save Adolescents From Experimentation (SAFE) Act" in Ohio. The bill was introduced by state representative Gary Click in 2022 without consulting any transgender people beforehand and would forcibly detransition all transgender minors in the state. The bill would also require counselors, teachers, and all other staff at public and private schools to out transgender youth to their parents. Click stated he believes children are being "groomed" into thinking that they are trans.[66]
In August 2022, Marjorie Taylor Greene of Georgia introduced the "Protect Children’s Innocence Act" that would make providing gender-affirming care to transgender minors a felony punishable by up to 25 years in prison and prohibit the use of federal funds for gender-affirming care, including in Affordable Care Act plans. The bill would also prohibit higher education institutions from providing instruction on gender-affirming care and bar doctor's who've provided gender-affirming care to minors from receiving visas or being admitted to the United States.[67][68]
In 2023, dozens of bills in over 10 U.S. States have been proposed which would ban minors from receiving gender-affirming care.[69]
Forced detransition of adults
On June 2, 2022, Florida Governor Ron DeSantis announced a plan to end Medicaid coverage for transgender adults, making them the first U.S state to target hormones and transition coverage for adults and removing care for approximately 9000 adults.[70]
In Missouri in 2022, state legislators weighed extending a youth healthcare ban to adults under 25.[69]
As of January 13, 2023, the states of Oklahoma, South Carolina and Virginia have attempted to pass bills that would force adults to detransition. Efforts to restrict adults access to healthcare relies heavily on claims from self-described "gender-critical" organizations such as Genspect that young people should not be recognized as adults until they turn 25.[69]
In Oklahoma, the "Millstone act" would prohibit adults up to 25 from receiving gender-affirming care and prohibit Medicaid coverage for "gender transition procedures" for those under 26.[69]
On 12 March 2023 a Saudi trans woman by the name of Eden Knight committed suicide after being forcefully detransitioned. Living in US state of Georgia, her parents contacting a company[71] who began the process of socially and medically detransitioning Eden. After this she was returned to Saudi Arabia, after secretly undergoing feminizing hormone replacement therapy and being caught she committed suicide.[72][73][74]
Cultural and political impact
There are no legal, medical, and psychological guidelines on the topic of detransition.[75] The Standards of Care by the World Professional Association for Transgender Health (WPATH) do not mention detransition,[76] though 37 WPATH surgeons have expressed a desire for detransition guidelines to be included,[77] and former WPATH president and longtime chair of WPATH's Standards of Care revision team, Eli Coleman, has listed detransition among the topics that he would like to see included in the eighth edition.[78]
Some researchers perceive there to be an atmosphere of censorship around studying the phenomenon.[8] Various sides involved in the dispute over detransitioning say they have been harassed and have described each other as threats to transgender rights.[10][79] A study in 2021 involving detransitioners found that many of them felt they lost support from the LGBT+ community and friends.[9]
Controversy surrounding detransition within trans activism primarily arises from how the subject is framed as a subject of moral panic in mainstream media and right-wing politics.[80] Detransition has attracted interest from both social conservatives on the political right and radical feminists on the political left. Activists on the right have been accused of using detransitioners' stories to further their work against trans rights.[81] On the left, some radical feminists see detransitioners' experiences as further proof of patriarchal enforcement of gender roles and medicalized erasure of gays and lesbians.[82] Other feminists have expressed disagreement with this opinion, referring to those who hold these beliefs as trans-exclusionary radical feminists (TERF).[83] This attention has elicited in detransitioners mixed feelings of both exploitation and support.[82][84]
In August 2017, the Mazzoni Center's Philadelphia Trans Health Conference, which is an annual meeting of transgender people, advocates, and healthcare providers, canceled two panel discussions on detransition and alternate methods of working with gender dysphoria.[85] The conference organizers said, "When a topic becomes controversial, such as this one has turned on social media, there is a duty to make sure that the debate does not get out of control at the conference itself. After several days of considerations and reviewing feedback, the planning committee voted that the workshops, while valid, cannot be presented at the conference as planned."[86]
In September 2017, Bath Spa University revoked permission for James Caspian, a Jungian psychotherapist who works with transgender people and is a trustee of the Beaumont Trust, to research regret of gender-reassignment procedures and pursuit of detransition.[87] Caspian alleged the reason for the university's refusal was that it was "a potentially politically incorrect piece of research, [which] carries a risk to the university. Attacks on social media may not be confined to the researcher, but may involve the university. The posting of unpleasant material on blogs or social media may be detrimental to the reputation of the university."[88] The university stated that Caspian's proposal "was not refused because of the subject matter, but rather because of his proposed methodological approach. The university was not satisfied this approach would guarantee the anonymity of his participants or the confidentiality of the data."[89] In May 2017, he took the matter to the High Court, which concluded his application for a judicial review was "totally without merit".[89] The outcome was also considered by the Office of the Independent Adjudicator for Higher Education, who determined the university's conclusion was reasonable.[89] Caspian appealed to the High Court for judicial review again in 2019; the judge ruled against him, saying, "I entirely accept that there are important issues of freedom of expression. I just do not accept that, on the facts of this particular case, there is an arguable case made out," and adding that the application was too late.[90] Caspian claimed that he was "refused permission for a Judicial Review on points of procedure" and that the judge "was clearly sympathetic to the case but felt that his hands were tied by legal procedure;"[89] in February 2021, he appealed to the European Court of Human Rights.[91]
Many ex-gay and Christian Right affiliated organizations also offer services to transgender people, either through themselves or partner organizations. A key characteristic of these organizations are the construction of "transgenderism" as a sin against God or the natural order. In the 1970's, Exodus International platformed Perry Desmond, an "ex-transsexual" who evangelized throughout the US and supported Anita Bryant's Save Our Children campaign. Another prominent characteristic is ex-transgender testimonials, which depict "the transgender lifestyle" as destructive as opposed to contemplation of God and encourage other transgender people to join them. These organizations portray "gender ideology" and "transgender ideology" as a social contagion threatening to the natural order.[92]
Ky Schevers, an "ex-detransitioner" whose detransition was prominently profiled by Katie Herzog[10] and The Outline,[93] spoke about her experiences in a community of radical feminist detransitioned women, drawing parallels to the ex-gay movement and conversion therapy.[84] Parallels drawn include suppressing rather than addressing or removing the underlying dysphoria, stating that not only their gender dysphoria but everyone's dysphoria was a result of internalized sexism and trauma, and language from the twelve-step program being used to describe the desire to transition.[84]
Schevers noted that during the Bell v Tavistock ruling, her lawyer had connections to the right-wing and anti-LGBT-rights organization the Alliance Defending Freedom, which she described as pushing most of the anti-trans bills in the United States. Schevers later created Health Liberation Now! alongside Lee Leveille, who'd also previously been involved in detransition communities that were transphobic, to "give voice to folks who have complicated experiences with transition or detransition, retransition and shifting senses of self that goes beyond a lot of the TERFy areas that people are inevitably getting funnelled into". The group has reported on conversion therapy practices and maintains resources to help identify relationships between clinical conversion therapists and astroturfed campaigns led by anti-trans groups.[94]
See also
- Category:People who detransitioned
- Healthcare and the LGBT community
- LGBT rights by country or territory
- LGBT social movements
References
- ^ a b c Davies, Skye; McIntyre, Stephen; Rypma, Craig (April 2019). Detransition rates in a national UK Gender Identity Clinic (PDF). 3rd Biennial EPATH Conference: Inside Matters, On Law, Ethics and Religion. p. 118. Archived (PDF) from the original on 2021-05-21. Retrieved 2021-05-27.
- ^ "Gender Identity 5 Years After Social Transition". publications.aap.org. Retrieved 2023-02-18.
- ^ MacKinnon, K. R.; Ashley, F.; Kia, H.; Lam, J. S. H.; Krakowsky, Y.; Ross, L. E. (1 December 2021). "Preventing transition "regret": An institutional ethnography of gender-affirming medical care assessment practices in Canada". Social Science & Medicine. 291: 114477. doi:10.1016/j.socscimed.2021.114477. ISSN 0277-9536. PMID 34666278. S2CID 239035474.
- ^ Wiepjes, C. M.; Nota, N. M.; de Blok CJM; Klaver, M.; de Vries ALC; Wensing-Kruger, S. A.; De Jongh, R. T.; Bouman, M. B.; Steensma, T. D.; Cohen-Kettenis, P.; Gooren LJG; Kreukels BPC; Den Heijer, M. (2018). "The Amsterdam Cohort of Gender Dysphoria Study (1972-2015): Trends in Prevalence, Treatment, and Regrets". The Journal of Sexual Medicine. 15 (4): 582–590. doi:10.1016/j.jsxm.2018.01.016. PMID 29463477.
- ^ Bustos, V. P.; Bustos, S. S.; Mascaro, A.; Del Corral, G.; Forte, A. J.; Ciudad, P.; Kim, E. A.; Langstein, H. N.; Manrique, O. J. (2021). "Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence". Plastic and Reconstructive Surgery. Global Open. 9 (3): e3477. doi:10.1097/GOX.0000000000003477. PMC 8099405. PMID 33968550.
- ^ a b Boslaugh, Sarah (2018-08-03). Transgender Health Issues. ABC-CLIO. pp. 43–44. ISBN 978-1-4408-5888-8. Archived from the original on 2022-06-20. Retrieved 2021-06-15.
- ^ a b Vandenbussche, Elie (2021-04-30). "Detransition-Related Needs and Support: A Cross-Sectional Online Survey". Journal of Homosexuality. 69 (9): 1602–1620. doi:10.1080/00918369.2021.1919479. ISSN 1540-3602. PMID 33929297. S2CID 233459164.
"The most common reported reason for detransitioning was realized that my gender dysphoria was related to other issues (70%). The second one was health concerns (62%), followed by transition did not help my dysphoria (50%), found alternatives to deal with my dysphoria (45%), unhappy with the social changes (44%), and change in political views (43%). At the very bottom of the list are: lack of support from social surroundings (13%), financial concerns (12%) and discrimination (10%) (see Figure 1)."
- ^ a b Shute 2017; BBC 2017; Borreli 2017; Stein 2009; Veissière 2018
- ^ a b Vandenbussche, Elie (2021-04-30). "Detransition-Related Needs and Support: A Cross-Sectional Online Survey". Journal of Homosexuality. 69 (9): 1602–1620. doi:10.1080/00918369.2021.1919479. ISSN 0091-8369. PMID 33929297. S2CID 233459164.
- ^ a b c "This has ignited a contentious debate both in and outside the trans community, with various sides accusing each other of bigotry, harassment, censorship, and damaging the fight for trans rights. It's such a fraught issue that many people I interviewed requested anonymity. (All the names of detransitioners have been changed.) Others refused to speak on the record, afraid of the potential fallout." Herzog 2017a
- ^ Alfonseca, Kiara (23 November 2022). "Former 'detransitioner' fights anti-transgender movement she once backed". ABC News.
- ^ Falk, Misha (4 August 2022). "Health Liberation Now! is challenging the way anti-trans groups weaponize detransition narratives". xtramagazine.com. Xtra Magazine.
- ^ Fenway Health 2010; Human Rights Campaign n.d.
- ^
- "'Detransition' refers to reidentification with the gender identity given at birth and a conscious decision to take action to revert to that designation." Stewart 2018, p. xxiii. See also Marchiano 2017; Graham 2017; Tobia 2018; Herzog 2017a; Clark-Flory 2015; Danker et al. 2018; Turban et al. 2018b.
- ^ Clark-Flory 2015; Herzog 2017a; Graham 2017; Tobia 2018
- ^ Merriam-Webster n.d.; Collins n.d.
- ^ Marchiano 2017; Steensma et al. 2013; Wallien and Cohen-Kettenis 2008
- ^ Herzog 2017a; Graham 2017; Singal 2018
- ^
- "Not everyone who detransitions regrets transitioning in the first place, and, like transitioning, the process of deciding to detransition is a very individual and personal choice." Yarbrough 2018, p. 130. See also Graham 2017; Herzog 2017a.
- ^ Turban, Jack L.; Loo, Stephanie S.; Almazan, Anthony N.; Keuroghlian, Alex S. (2021-06-01). "Factors Leading to "Detransition" Among Transgender and Gender Diverse People in the United States: A Mixed-Methods Analysis". LGBT Health. 8 (4): 273–280. doi:10.1089/lgbt.2020.0437. ISSN 2325-8292. PMC 8213007. PMID 33794108.
- ^
- "There is a paucity of literature." Danker et al. 2018
- "We urgently need systematic data on this point in order to inform best practice clinical care." Zucker 2019
- ^ "The research on outcomes post-transition is mixed at best." Marchiano 2017
- ^ "[R]esearch in this field is extremely controversial." Danker et al. 2018
- ^ a b Detransition estimates:
- "Detransitioning after surgical interventions ... is exceedingly rare. Research has often put the percentage of regret between 1 and 2% ... Detransitioning is actually far more common in the stages before surgery, when people are still exploring their options. 'There are people who take hormones and then decide to go off hormones,' says Randi Ettner, a therapist who has served on the board of the World Professional Association for Transgender Health. 'That is not uncommon.'" Clark-Flory 2015
- "There were 15 (5 [female-to-male] and 10 [male-to-female]) regret applications corresponding to a 2.2% regret rate for both sexes. There was a significant decline of regrets over the time period." (Dhejne et al. define "regret" as "application for reversal of the legal gender status among those who were sex reassigned" which "gives the person the right to treatment to reverse the body as much as possible."), "the median time lag until applying for a reversal was 8 years." Dhejne et al. 2014
- ^ "Detransitioning after surgical interventions ... is exceedingly rare....Detransitioning is actually far more common in the stages before surgery, when people are still exploring their options." Clark-Flory 2015
- ^ Hall, Mitchell & Sachdeva 2021, "Rates of detransitioning are unknown, with estimates ranging from less than 1% to 8%.".
- ^ a b Irwig, Michael S (28 September 2022). "Detransition Among Transgender and Gender-Diverse People—An Increasing and Increasingly Complex Phenomenon". The Journal of Clinical Endocrinology & Metabolism. 107 (10): e4261–e4262. doi:10.1210/clinem/dgac356. ISSN 0021-972X. PMC 9516050. PMID 35678284.
- ^ a b Gribble, Bewley & Dahlen 2023, p. 5.
- ^ Kaltiala-Heino, Riittakerttu; Bergman, Hannah; Työläjärvi, Marja; Frisén, Louise (2018-03-02). "Gender dysphoria in adolescence: current perspectives". Adolescent Health, Medicine and Therapeutics. 9: 31–41. doi:10.2147/AHMT.S135432. ISSN 1179-318X. PMC 5841333. PMID 29535563.
Evidence from the 10 available prospective follow-up studies from childhood to adolescence (reviewed in the study by Ristori and Steensma 28) indicates that for ~80% of children who meet the criteria for GDC, the GD recedes with puberty. Instead, many of these adolescents will identify as non-heterosexual.
{{cite journal}}
: CS1 maint: unflagged free DOI (link) - ^ a b Ristori, Jiska; Steensma, Thomas D. (2016). "Gender dysphoria in childhood". International Review of Psychiatry. 28 (1): 13–20. doi:10.3109/09540261.2015.1115754. ISSN 1369-1627. PMID 26754056. S2CID 5461482. Archived from the original on 2022-01-15. Retrieved 2021-05-24.
As is shown in Table 1 there is much variation in the reported persistence rates between the studies, ranging from 2% to 39%. ", " Based on this information, it seems reasonable to conclude that the persistence of GD may well be higher than 15%. However, desistence of GD still seems to be the case in the majority of children with GD.
- ^ a b Temple Newhook, Julia; Pyne, Jake; Winters, Kelley; Feder, Stephen; Holmes, Cindy; Tosh, Jemma; Sinnott, Mari-Lynne; Jamieson, Ally; Pickett, Sarah (2018-04-03). "A critical commentary on follow-up studies and "desistance" theories about transgender and gender-nonconforming children". International Journal of Transgenderism. 19 (2): 212–224. doi:10.1080/15532739.2018.1456390. ISSN 1553-2739. S2CID 150338824. Archived from the original on 2021-12-15. Retrieved 2021-03-26.
Due to such shifting diagnostic categories and inclusion criteria over time, these studies included children who, by current DSM-5 standards, would not likely have been categorized as transgender (i.e., they would not meet the criteria for gender dysphoria) and therefore, it is not surprising that they would not iden- tify as transgender at follow-up. Current criteria require identification with a gender other than what was assigned at birth, which was not a necessity in prior versions of the diagnosis.
- ^ a b Butler, Catherine; Hutchinson, Anna (2020). "Debate: The pressing need for research and services for gender desisters/Detransitioners" (PDF). Child and Adolescent Mental Health. 25 (1): 45–47. doi:10.1111/camh.12361. PMID 32285632. S2CID 210484832.
- ^ Ashley, Florence (2021-09-02). "The clinical irrelevance of "desistance" research for transgender and gender creative youth". Psychology of Sexual Orientation and Gender Diversity. 9 (4): 387–397. doi:10.1037/sgd0000504. ISSN 2329-0390. S2CID 239099559. Archived from the original on 3 March 2022. Retrieved 3 March 2022.
Desistance research may also underreport persistence because of the impact of clinical models of care on follow-up assessments. The Canadian clinic where the Drummond et al. (2008) and Singh (2012) studies were conducted was closed in 2015 following allegations that they engaged in conversion practices.
- ^ Newhook, Julia Temple; Pyne, Jake; Winters, Kelley; Feder, Stephen; Holmes, Cindy; Tosh, Jemma; Sinnott, Mari-Lynne; Jamieson, Ally; Pickett, Sarah (2018-04-03). "A critical commentary on follow-up studies and "desistance" theories about transgender and gender-nonconforming children". International Journal of Transgenderism. 19 (2): 212–224. doi:10.1080/15532739.2018.1456390. ISSN 1553-2739. S2CID 150338824. Archived from the original on 2022-06-09. Retrieved 2022-04-16.
- ^ Churcher Clarke & Spiliadis 2019
- ^ a b Hall, Mitchell & Sachdeva 2021
- ^ Levine, Stephen B.; Abbruzzese, E.; Mason, Julia W. (3 October 2022). "Reconsidering Informed Consent for Trans-Identified Children, Adolescents, and Young Adults". Journal of Sex & Marital Therapy. 48 (7): 706–727. doi:10.1080/0092623X.2022.2046221. ISSN 0092-623X. PMID 35300570. S2CID 247521800.
- ^ Roberts, Christina M.; Klein, David A.; Adirim, Terry A.; Schvey, Natasha A.; Hisle-Gorman, Elizabeth (18 August 2022). "Continuation of Gender-affirming Hormones Among Transgender Adolescents and Adults". The Journal of Clinical Endocrinology and Metabolism. 107 (9): e3937–e3943. doi:10.1210/clinem/dgac251. ISSN 1945-7197. PMID 35452119. S2CID 248323577.
- ^ Smith, Yolanda L. S.; Goozen, Stephanie H. M. Van; Kuiper, Abraham J.; Cohen-Kettenis, Peggy T. (January 2005). "Sex reassignment: outcomes and predictors of treatment for adolescent and adult transsexuals". Psychological Medicine. 35 (1): 89–99. doi:10.1017/S0033291704002776. ISSN 1469-8978. PMID 15842032. S2CID 6032916. Archived from the original on 2021-11-16. Retrieved 2021-11-16.
- ^ Bustos, Valeria P.; Bustos, Samyd S.; Mascaro, Andres; Del Corral, Gabriel; Forte, Antonio J.; Ciudad, Pedro; Kim, Esther A.; Langstein, Howard N.; Manrique, Oscar J. (2021-03-19). "Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence". Plastic and Reconstructive Surgery - Global Open. 9 (3): e3477. doi:10.1097/GOX.0000000000003477. ISSN 2169-7574. PMC 8099405. PMID 33968550.
- ^ Jedrzejewski, Breanna Y.; Marsiglio, Mary; Guerriero, Jess; Penkin, Amy; OHSU Transgender Health Program "Regret and Request for Reversal" workgroup; Berli, Jens (24 January 2023). "Regret after Gender Affirming Surgery – A Multidisciplinary Approach to a Multifaceted Patient Experience". Plastic and Reconstructive Surgery. doi:10.1097/PRS.0000000000010243. PMID 36727823. S2CID 256501398.
- ^ Wiepjes, Chantal M.; Nota, Nienke M.; de Blok, Christel J. M.; Klaver, Maartje; de Vries, Annelou L. C.; Wensing-Kruger, S. Annelijn; de Jongh, Renate T.; Bouman, Mark-Bram; Steensma, Thomas D.; Cohen-Kettenis, Peggy; Gooren, Louis J. G. (April 2018). "The Amsterdam Cohort of Gender Dysphoria Study (1972-2015): Trends in Prevalence, Treatment, and Regrets". The Journal of Sexual Medicine. 15 (4): 582–590. doi:10.1016/j.jsxm.2018.01.016. ISSN 1743-6109. PMID 29463477. Archived from the original on 2021-06-20. Retrieved 2021-06-16.
In addition, in our population the average time to regret was 130 months, so it might be too early to examine regret rates in people who started with HT in the past 10 years.
- ^ Graham 2017; Marchiano 2017; Yoo 2018
- ^ Steensma, Thomas (2018). "A critical commentary on "A critical commentary on follow-up studies and "desistence" theories about transgender and gender non-conforming children"". International Journal of Transgenderism. 19 (2): 225–230. doi:10.1080/15532739.2018.1468292. S2CID 150062632. Archived from the original on 2022-01-27. Retrieved 2022-02-08 – via Taylor & Francis Online.
- ^ "The Report of the 2015 US Transgender Survey" (PDF). December 17, 2016.
- ^ Boslaugh 2018, p. 43; James et al. 2016, pp. 111, 292–294
- ^ Turban, Jack L.; Loo, Stephanie S.; Almazan, Anthony N.; Keuroghlian, Alex S. (May 2021). "Factors Leading to "Detransition" Among Transgender and Gender Diverse People in the United States: A Mixed-Methods Analysis". LGBT Health. 8 (4): 273–280. doi:10.1089/lgbt.2020.0437. ISSN 2325-8306. PMC 8213007. PMID 33794108.
"Because the USTS only surveyed currently TGD-identified people, our study does not offer insights into reasons for detransition in previously TGD-identified people who currently identify as cisgender." "The vast majority of participants reported detransition due at least in part to external factors, such as pressure from family, nonaffirming school environments, and sexual assault." "iIt was just too hard for me" is shown in table 2.
- ^ * "Six persons clearly ventilated their feelings of regret about the decision; three of them accused their clinician of incompetence. Four others respectively gave as primary reasons: social isolation, disappointing surgical results and a sudden vanishing of the urge to live as a woman." Kuiper and Cohen-Kettenis 1998. See also Bowen 2007; Clark-Flory 2015; Danker et al. 2018; Herzog 2017a; McFadden 2017; Sarner 2017; Turban et al. 2018a.
- ^ Americo 2018; Kanner 2018
- ^ Witten 2015
- ^ Steensma, Thomas D.; Biemond, Roeline; De Boer, Fijgje; Cohen-Kettenis, Peggy T. (2011). "Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study". Clinical Child Psychology and Psychiatry. 16 (4): 499–516. doi:10.1177/1359104510378303. PMID 21216800. S2CID 1789558.
- ^ Littman, Lisa (October 2021). "Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners". Archives of Sexual Behavior. 50 (8): 3353–3369. doi:10.1007/s10508-021-02163-w. PMC 8604821. PMID 34665380.
Reasons for detransitioning were varied and included: experiencing discrimination (23.0%); becoming more comfortable identifying as their natal sex (60.0%); having concerns about potential medical complications from transitioning (49.0%); and coming to the view that their gender dysphoria was caused by something specific such as trauma, abuse, or a mental health condition (38.0%). Homophobia or difficulty accepting themselves as lesbian, gay, or bisexual was expressed by 23.0% as a reason for transition and subsequent detransition... And finally, 20.0% of participants felt pressured to transition by social sources that included friends, partners, and society.
- ^ a b Criminalizing Gender Affirmative Care with Minors: Suggested Discussion Points With Resources to Oppose Transgender Exclusion Bills (Report). American Psychological Association.
- ^ Dodds, Io; Woodward, Alex (2022-04-14). "The GOP 'grooming' smear is sparking a new wave of anti-LGBT+ violence". Independent. Retrieved 2022-09-16.
- ^ a b Yurcaba, Jo. "Florida medical board votes to ban gender-affirming care for transgender minors". NBC News.
- ^ a b AMA to states: Stop interfering in health care of transgender children (Report). American Medical Association. April 26, 2021.
- ^ a b Korioth, Trisha (March 9, 2021). Pediatricians say state bills would harm transgender youths (Report). American Academy of Pediatrics News.
- ^ Milton, Josh (2022-05-10). "Trans teen facing 'detransition' under healthcare ban makes urgent plea to lawmakers". The Pink News. Retrieved 2022-09-16.
- ^ Walker, Harron (2022-06-01). "How Chase Strangio Became the Face of the Legal Battle for Trans Rights". The Advocate. Retrieved 2022-09-16.
- ^ Smith, Serena (2022-04-08). "Alabama will now force trans youth to detransition". Dazed. Retrieved 2022-09-16.
- ^ Wiggins, Christopher (2022-08-05). "Florida Medical Board Votes to Ban Kids' Gender-Affirming Care". The Advocate. Retrieved 2022-09-16.
- ^ Lehman, Mark (2022-10-28). "Florida Board of Medicine considers restricting gender-affirming treatment for teens". WKMG. Retrieved 2022-10-28.
- ^ "Florida Board of Medicine Advances Ban on Transition-Related Care for Minors". Them. 2022-10-28. Retrieved 2022-10-28.
- ^ Baska, Maggie (29 October 2022). "Florida medical board committee takes next step to ban gender-affirming healthcare for trans kids". The Pink News.
- ^ "Oklahoma Bill Would Ban Gender-Affirming Care for People Under 26, Could Force Some to Detransition". Vanity Fair. 2023-01-05. Retrieved 2023-01-13.
- ^ Trau, Morgan (2022-07-13). "Ohio Rep. behind bill limiting transgender care had never spoken to community". Ohio Capital Journal. Retrieved 2022-09-16.
- ^ Migdon, Brooke; Brooks, Emily (2022-08-19). "Marjorie Taylor Greene introduces bill to make gender-affirming care for transgender youth a felony". The Hill. Retrieved 2023-01-13.
- ^ Slisco, Aila (2022-08-18). "Marjorie Taylor Greene seeks to criminalize gender-affirming care for kids". Newsweek. Retrieved 2022-09-16.
- ^ a b c d Migdon, Brooke (2023-01-13). "Transgender youth health care bans have a new target: adults". The Hill. Retrieved 2023-01-13.
- ^ Muñoz-Schaefer, Ursula (June 3, 2022). "Florida is trying to take away gender-affirming medical coverage for 9,000 trans adults". Xtra. Retrieved 2022-09-16.
- ^ Giardina, Henry. "Forced Detransition Drove a Young Trans Woman to Suicide". INTO.
- ^ Crimmins, Tricia (March 14, 2023). "Eden Knight, Trans Twitter presence, says she was forced to detransition in viral suicide note". The Daily Dot.
- ^ "A young trans woman has committed suicide after a forced detransition". Dazed. March 14, 2023.
- ^ "Saudi Arabian trans woman feared dead after family 'forced her to detransition'". The Independent. March 14, 2023.
- ^ Graham 2017
- ^ "There are currently no professional guidelines or resources for providers who encounter patients who experience regret and/or seek detransition." Danker et al. 2018
- ^ "88% of respondents feel that WPATH SOC 8 should include a chapter on detransition" Danker et al. 2018
- ^ "Miscellaneous suggestions ... detransition." Coleman 2017
- ^ ""[T]he trans community does our best to pretend that retransitioning never happens ... trans people who have retransitioned are often treated as outcasts, as aberrations or as an embarrassment to our community's goals. They are assumed to be failures, traitors to the cause of trans liberation." Tobia 2018
- ^ Slothouber, Van (2020). "(De)trans visibility: Moral panic in mainstream media reports on de/Retransition". European Journal of English Studies. 24: 89–99. doi:10.1080/13825577.2020.1730052. S2CID 219079388.
- ^ Ford 2018; Herzog 2017a; Bowen 2007; Tobia 2018
- ^ a b Herzog 2017a; Bowen 2007
- ^ Parker, Charlie. "JK Rowling compares trans treatment to gay conversion therapy". The Times. ISSN 0140-0460. Archived from the original on 2021-08-26. Retrieved 2021-08-26.
- ^ a b c Urquhart, Evan (2021-02-01). "An "Ex-Detransitioner" Disavows the Anti-Trans Movement She Helped Spark". Slate Magazine. Archived from the original on 2021-09-01. Retrieved 2021-08-26.
- ^ Rodriguez 2017; Herzog 2017b
- ^ Mazzoni Center 2017
- ^ Caspian
- ^ BBC 2017; Weale 2017; Hurst 2017
- ^ a b c d Petherick, Sam (February 20, 2019). "Ex-Bath Spa student James Caspian fails in court fight against university". Somerset Live. Archived from the original on July 29, 2020. Retrieved May 1, 2020.
- ^ Johnson, Jamie (February 19, 2019). "Proposal to research 'trans regret' rejected by university for fear of backlash, claims psychotherapist". The Telegraph. The Daily Telegraph. Archived from the original on 2022-01-12. Retrieved February 19, 2021.
- ^ Swerling, Gabriella (February 5, 2021). "Psychotherapist blocked from studying 'trans regret' takes case to the European Court". The Telegraph. The Daily Telegraph. Archived from the original on 2022-01-12. Retrieved February 19, 2021.
- ^ Robinson, Christine M.; Spivey, Sue E. (2019-06-19). "Ungodly Genders: Deconstructing Ex-Gay Movement Discourses of "Transgenderism" in the US". Social Sciences. 8 (6): 191. doi:10.3390/socsci8060191. ISSN 2076-0760.
- ^ Monroe, Rachel (4 December 2016). "Detransitioning: a story about discovery". The Outline. Archived from the original on 29 July 2020. Retrieved 18 March 2019.
- ^ Falk, Misha (August 4, 2022). "Health Liberation Now! is challenging the way anti-trans groups weaponize detransition narratives". Xtra. Archived from the original on 2022-08-04. Retrieved 2022-09-13.
Sources
Books
- Anderson, Ryan T. (2018). When Harry Became Sally: Responding to the Transgender Moment. Encounter Books. pp. 32–46. ISBN 9781594039621. OCLC 975124456. Archived from the original on 2020-08-01. Retrieved 2020-06-06.
- Belovitch, Brian (2018-09-25). Trans Figured: My Journey from Boy to Girl to Woman to Man. ISBN 9781978648593. OCLC 1088892758. Archived from the original on 2020-08-01. Retrieved 2020-06-06.
- Boslaugh, Sarah (2018). "Transitioning". Transgender Health Issues. ABC-CLIO. ISBN 9781440858888. OCLC 1031429228. Archived from the original on 2020-08-01. Retrieved 2019-03-18.
- Dzurick, Alex (16 February 2018). "Social Media, iPhones, iPads, and Identity: Media Impact on the Coming-Out Process for LGBT Youths". In Stewart, Chuck (ed.). Lesbian, Gay, Bisexual, and Transgender Americans at Risk: Problems and Solutions. Vol. 2. ABC-CLIO. ISBN 978-1-4408-3236-9. OCLC 1002302935. Archived from the original on 1 August 2020. Retrieved 31 January 2019.
- James, Sandy E.; Herman, Jody L.; Rankin, Susan; Keisling, Mara; Mottet, Lisa; Anafi, Ma'ayan (2016). "De-Transitioning" (PDF). The Report of the 2015 U.S. Transgender Survey (Report). Washington, DC: National Center for Transgender Equality. Archived (PDF) from the original on 2018-01-21. Retrieved 2019-03-18.
- Robinson, Max (2021). Detransition: Beyond Before and After. Spinifex Press. pp. 1–100. ISBN 9781925950403.
- Stewart, Chuck (16 February 2018). "Introduction". In Stewart, Chuck (ed.). Lesbian, Gay, Bisexual, and Transgender Americans at Risk: Problems and Solutions. Vol. 2. ABC-CLIO. ISBN 978-1-4408-3236-9. OCLC 1002302935. Archived from the original on 1 August 2020. Retrieved 31 January 2019.
- Yarbrough, Eric (8 March 2018). "Transitions and Detransitions". Transgender Mental Health. Washington D.C.: American Psychiatric Pub. ISBN 978-1-61537-113-6. OCLC 1035850780. Archived from the original on 1 August 2020. Retrieved 17 March 2019.
- Yoo, Alexander (16 February 2018). "Transition Regret and Detransition". In Stewart, Chuck (ed.). Lesbian, Gay, Bisexual, and Transgender Americans at Risk: Problems and Solutions. Vol. 2. ABC-CLIO. pp. 181–191. ISBN 978-1-4408-3236-9. OCLC 1002302935. Archived from the original on 1 August 2020. Retrieved 15 March 2019.
Journal articles
- Bosinski, H.A.G. (2003-04-03). "Diagnostische und arztrechtliche Probleme bei transsexuellen Geschlechtsidentitätsstörungen". Der Urologe (in German). 42 (5): 709–721. doi:10.1007/s00120-003-0337-0. ISSN 0340-2592. PMID 12858867. S2CID 11431107.
- Churcher Clarke, Anna; Spiliadis, Anastassis (6 February 2019). "'Taking the lid off the box': The value of extended clinical assessment for adolescents presenting with gender identity difficulties". Clinical Child Psychology and Psychiatry. 24 (2): 338–352. doi:10.1177/1359104518825288. ISSN 1359-1045. PMID 30722669. S2CID 73415946.
- Danker, Sara; Narayan, Sasha K.; Bluebond-Langner, Rachel; Schechter, Loren S.; Berli, Jens U. (August 2018). "A Survey Study of Surgeons' Experience with Regret and/or Reversal of Gender-Confirmation Surgeries". Plastic and Reconstructive Surgery – Global Open. 6: 189. doi:10.1097/01.GOX.0000547077.23299.00. ISSN 2169-7574.
- Dhejne, Cecilia; Öberg, Katarina; Arver, Stefan; Landén, Mikael (November 2014). "An Analysis of All Applications for Sex Reassignment Surgery in Sweden, 1960–2010: Prevalence, Incidence, and Regrets". Archives of Sexual Behavior. 43 (8): 1535–45. doi:10.1007/s10508-014-0300-8. PMID 24872188. S2CID 24755434.
- Gribble, Karleen D.; Bewley, Susan; Dahlen, Hannah G. (3 February 2023). "Breastfeeding grief after chest masculinisation mastectomy and detransition: A case report with lessons about unanticipated harm". Frontiers in Global Women's Health. 4: 1073053. doi:10.3389/fgwh.2023.1073053. ISSN 2673-5059. PMC 9936190. PMID 36817034.
- Hall, R.; Mitchell, L.; Sachdeva, J. (November 2021). "Access to care and frequency of detransition among a cohort discharged by a UK national adult gender identity clinic: retrospective case-note review". BJPsych Open. 7 (6): e184. doi:10.1192/bjo.2021.1022. ISSN 2056-4724. PMC 8503911. PMID 34593070.
- Kuiper, A.J.; Cohen-Kettenis, P.T. (July–September 1998). "Gender Role Reversal among Postoperative Transsexuals". International Journal of Transgenderism. 2 (3). Archived from the original on 5 July 2007.
- Marchiano, Lisa (6 Oct 2017). "Outbreak: On Transgender Teens and Psychic Epidemics". Psychological Perspectives. 60 (3): 345–366. doi:10.1080/00332925.2017.1350804.
- Steensma, Thomas D; McGuire, Jenifer K; Kreukels, Baudewijntje PC; Beekman, Anneke J; Cohen-Kettenis, Peggy T (June 2013). "Factors associated with desistence and persistence of childhood gender dysphoria: a quantitative follow-up study". Journal of the American Academy of Child and Adolescent Psychiatry. 52 (6): 582–590. doi:10.1016/j.jaac.2013.03.016. PMID 23702447. S2CID 205497921.
- Pieper, Lindsay Parks (March 2015). "Mike Penner 'or' Christine Daniels: the US media and the fractured representation of a transgender sportswriter". Sport in Society. 18 (2, Gender, Media, Sport): 186–201. doi:10.1080/17430437.2013.854472. ISBN 978-1-138-93639-3. S2CID 144594618.
- Stein, Martin T. (28 January 2009). "Does Gender Dysphoria in Young Children Persist?". jwatch.org. NEJM Journal Watch. Retrieved 16 February 2019.
- Turban, Jack L.; Keuroghlian, Alex S. (July 2018). "Dynamic Gender Presentations: Understanding Transition and "De-Transition" Among Transgender Youth". Journal of the American Academy of Child & Adolescent Psychiatry. 57 (7): 451–453. doi:10.1016/j.jaac.2018.03.016. PMID 29960687. S2CID 49645550.
- Turban, Jack L.; Carswell, Jeremi; Keuroghlian, Alex (October 2018). "Understanding Pediatric Patients Who Discontinue Gender-Affirming Hormonal Interventions". JAMA Pediatrics. 172 (10): 903–904. doi:10.1001/jamapediatrics.2018.1817. PMID 30178056. S2CID 52147320.
- Wallien, Madeleine S.C.; Cohen-Kettenis, Peggy T. (December 2008). "Psychosexual outcome of gender-dysphoric children". Journal of the American Academy of Child and Adolescent Psychiatry. 47 (12): 1413–1423. doi:10.1097/CHI.0b013e31818956b9. PMID 18981931. S2CID 38185390.
- Witten, Tarynn (November 2015). "When My Past Returns: Loss of Self and Personhood - Dementia and the Trans-Person". Lesbian, Gay, Bisexual and Trans* Individuals Living with Dementia. Unpublished. doi:10.13140/rg.2.1.1867.4641.
- Zucker, Kenneth J. (2019). "Adolescents with Gender Dysphoria: Reflections on Some Contemporary Clinical and Research Issues". Archives of Sexual Behavior. 48 (7): 1983–1992. doi:10.1007/s10508-019-01518-8. PMID 31321594. S2CID 197663705.
News
- Americo, Lara (13 May 2018). "I'm a Trans Woman Who Detransitioned to Become a Mom". Them. Archived from the original on 16 August 2018. Retrieved 17 March 2019.
- "Bath Spa University 'blocks transgender research'". BBC. 25 September 2017. Archived from the original on 5 November 2017. Retrieved 1 November 2017.
- Borreli, Lizette (3 October 2017). "Transgender surgery: regret rates highest in male-to-female reassignment operations". Newsweek. Archived from the original on 24 March 2019. Retrieved 5 March 2019.
- Bowen, Innes (1 August 2007). "Are sex change operations justified?". BBC. Archived from the original on 22 December 2017. Retrieved 22 December 2017.
- Brooks, Jon (23 May 2018). "The Controversial Research on 'Desistance' in Transgender Youth". KQED. Archived from the original on 4 February 2019. Retrieved 16 February 2019.
- Cantor, James (11 January 2016). "Do trans- kids stay trans- when they grow up?". Sexology Today!. Archived from the original on 11 March 2019. Retrieved 17 March 2019.
- Clark-Flory, Tracy (15 June 2015). "Detransitioning: Going From Male To Female To Male Again". Vocativ. Archived from the original on 31 August 2017. Retrieved 1 September 2017.
- Dumas, Daisy (31 July 2015). "The in-betweeners". The Sydney Morning Herald. Archived from the original on 9 February 2019. Retrieved 18 March 2019.
- Ford, Zack (25 January 2018). "Conservative book 'When Harry Became Sally' attacks trans people while conveniently leaving them out". ThinkProgress. Archived from the original on 19 January 2019. Retrieved 14 March 2019.
- Friess, Joanne (24 February 2009). "For some, shadow of regret cast over gender switch". USA Today. Archived from the original on 19 December 2018. Retrieved 16 March 2019.
- Herman, Joanne (17 November 2011). "More on Transgender Regret". The Huffington Post. Archived from the original on 14 September 2022. Retrieved 16 March 2019.
- Herzog, Katie (28 June 2017a). "The Detransitioners: They Were Transgender, Until They Weren't". The Stranger. Archived from the original on 31 October 2017. Retrieved 13 November 2017.
- Herzog, Katie (30 August 2017b). "Philly Trans Health Conference Cancels Sessions on Detransitioning". The Stranger. Archived from the original on 30 January 2019. Retrieved 30 January 2019.
- Hurst, Greg (23 September 2017). "Bath Spa university bars research into transgender surgery regrets". The Sunday Times. Archived from the original on 4 February 2019. Retrieved 3 February 2019.
- Kanner, Robyn (22 June 2018). "I Detransitioned. But Not Because I Wasn't Trans". The Atlantic. Archived from the original on 17 March 2019. Retrieved 17 March 2019.
- McFadden, Joan (16 September 2017). "Transition caused more problems than it solved". The Guardian. Archived from the original on 7 November 2017. Retrieved 1 November 2017.
- Pollock, Nicolas (18 June 2018). "'I Wanted to Take My Body Off': Detransitioned". The Atlantic (Documentary notes). Archived from the original on 30 January 2019. Retrieved 30 January 2019.
- Rodriguez, Jeremy (7 September 2017). "Trans Health Conference returns with new initiatives, future goals". Philadelphia Gay News. Archived from the original on 3 February 2019. Retrieved 2 February 2019.
- Sarner, Moya (4 February 2017). "Experience: I regret transitioning". The Guardian. Archived from the original on 7 November 2017. Retrieved 1 November 2017.
- Schipp, Debbie (8 September 2017). "Patrick's pain: 'I didn't know who the person staring back at me was'". news.com.au. Archived from the original on 2 November 2017. Retrieved 1 November 2017.
- Seleh, Pardes (19 September 2017). "Ex-Trans Woman: 'Transition Caused More Problems Than It Solved'". Independent Journal Review. Archived from the original on 2022-04-18. Retrieved 18 April 2022.
- Shute, Joe (2 October 2017). "The new taboo: More people regret sex change and want to 'detransition', surgeon says". National Post. Archived from the original on 25 January 2022. Retrieved 5 March 2019.
- Singal, Jesse (7 February 2016). "How the Fight Over Transgender Kids Got a Leading Sex Researcher Fired". The Cut. Archived from the original on 19 September 2017. Retrieved 16 February 2019.
- Singal, Jesse (July–August 2018). "When Children Say They're Trans". The Atlantic. Archived from the original on 29 January 2019. Retrieved 30 January 2019.
- Tobia, Jacob (3 April 2018). "Inside One Person's Journey From Man to Woman and Back Again". Paper. Archived from the original on 22 March 2019. Retrieved 12 March 2019.
- Weale, Sally (26 September 2017). "University 'turned down politically incorrect transgender research'". The Guardian. Archived from the original on 7 November 2017. Retrieved 1 November 2017.
- Young, Sarah (7 September 2017). "12-Year-Old Boy Who Transitioned to Female Changes His Mind Two Years Later". The Independent. Archived from the original on 23 March 2019. Retrieved 19 March 2019.
Online sources
- "Catalogue of Walt Heyer's works". WorldCat. Archived from the original on 4 October 2020. Retrieved 13 March 2019.
- Coleman, Eli (28 February 2017). "The WPATH Standards of Care: What it really says and looking forward to Version 8" (PDF). Archived (PDF) from the original on 1 February 2019. Retrieved 1 February 2019.
- "Definition of 'desist'". Collins English Dictionary. n.d. Archived from the original on 8 March 2021. Retrieved 16 March 2019.
- "Definition of desist". Merriam-Webster. n.d. Archived from the original on 29 July 2020. Retrieved 16 March 2019.
- "Glossary of Gender and Transgender Terms" (PDF). Fenway Health. 2010. Archived (PDF) from the original on 29 October 2018. Retrieved 7 April 2019.
- "Glossary of Terms". Human Rights Campaign. n.d. Archived from the original on 30 May 2021. Retrieved 7 April 2019.
- Graham, Julie (14 October 2017). Detransition, Retransition: What Providers Need to Know (PDF) (Presentation slides). Fenway Health. Archived (PDF) from the original on 7 February 2018. Retrieved 29 January 2019.
- Graham, Julie (9 January 2018). Detransition and Retransition: What Do We need to Know? (Presentation). National LGBT Health Education Center. Archived from the original on 29 July 2020. Retrieved 29 January 2019 – via Vimeo.
- Graham, Julie; Callahan, Carrie; Lepovic, Elan; Nowak, Joel (2017). "Exploring Core Competencies for Mental Health Providers for Detransitioning Clients". WPATH. Archived from the original on 2020-10-03. Retrieved 2019-04-06.
- Murphy, Meghan (19 June 2018). "Why must trans activists smear those who put forth inconvenient narratives about 'gender identity'?". Feminist Current. Archived from the original on 23 March 2019. Retrieved 6 April 2019.
- "Response to the cancellation of workshops". Mazzoni Center. 29 August 2017. Archived from the original on 7 November 2017. Retrieved 1 November 2017.
- Veissière, Samuel (2 December 2018). "The Debate on Trans Teens: Compassion Is Needed on All Sides". Psychology Today. Archived from the original on 14 September 2022. Retrieved 2 February 2019.
- Standards of Care for the Health of Transsexual, Transgender, and GenderNonconforming People. WPATH. 2012. Archived (PDF) from the original on 14 August 2015. Retrieved 29 January 2019.
- Caspian, James. "Psychotherapy & Counselling". James Caspian: Psychotherapy, Counselling and Hypnotherapy. Archived from the original on 2020-02-17. Retrieved 2020-05-13.
Further reading
- Callahan, Carey Maria Catt (2018). "Unheard Voices of Detransitioners". In Brunskell-Evans, Heather; Moore, Michele (eds.). Transgender Children and Young People: Born in Your Own Body. Cambridge Scholars Publishing. ISBN 9781527510364. OCLC 1020030833. Archived from the original on 2021-07-09. Retrieved 2020-10-16.
- Dubreuil, Émilie (13 May 2019). "Je pensais que j'étais transgenre". Radio-Canada (in French). Archived from the original on 8 September 2019. Retrieved 10 August 2019.
- Goldberg, Michelle (4 August 2014). "What Is a Woman? The dispute between radical feminism and transgenderism". The New Yorker. Vol. 90, no. 22. pp. 24+. Archived from the original on 13 November 2019. Retrieved 18 March 2019.
- Johnston, Kirsty (29 April 2017). "From girl to boy and back again, Zahra Cooper shares her journey: 'Everyone is different'". The New Zealand Herald. Archived from the original on 24 March 2019. Retrieved 18 March 2019.
- Landén, M.; Wålinder, J.; Hambert, G.; Lundström, B. (1998). "Factors predictive of regret in sex reassignment". Acta Psychiatrica Scandinavica. 97 (4): 284–9. doi:10.1111/j.1600-0447.1998.tb10001.x. PMID 9570489. S2CID 19652697.
- McCann, Charlie (October–November 2017). "When girls won't be girls". 1843. Archived from the original on 28 February 2019. Retrieved 13 March 2019.
- McGoogan, Cara (20 November 2018). "I transitioned from female to male, then realised I had made a mistake". The Telegraph. Archived from the original on 2022-01-12. Retrieved 23 March 2019.
- Monroe, Rachel (4 December 2016). "Detransitioning: a story about discovery". The Outline. Archived from the original on 29 July 2020. Retrieved 18 March 2019.
- "Pique Resilience Project". Pique Resilience Project. 2019. Archived from the original on 2019-03-22. Retrieved 2019-03-22.
- Ristori, Jiska; Steensma, Thomas D. (February 2016). Bouman, Walter Pierre; de Vries, Annelou LC; T'Sjoen, Guy (eds.). "Gender dysphoria in childhood". International Review of Psychiatry. 28 (1): 13–20. doi:10.3109/09540261.2015.1115754. ISBN 9781315446783. PMID 26754056. S2CID 5461482. Archived from the original on 2020-08-01. Retrieved 2019-04-25.
- White, Jess (8 January 2019). "Whiteboard". In Sikk, Helis; Meyer, Leisa (eds.). The Legacies of Matthew Shepard: Twenty Years Later. Routledge. ISBN 9780429620522. Archived from the original on 1 August 2020. Retrieved 18 March 2019.