I suppose what I want to get across from this is that IME (and it is just my experience). If you are different, and in pain. The attention, care. Tests, checks. Concern. Serious conversations. I liked them. They made me feel accepted important cared for. Instead of different and in pain.
Dominico Di Ceglie paper, 'Castaway's Corner' published Clin Child Psychol Psychiatry 2002 7: 487 describes the setting up of Tavistock GIDS service for children and Mermaids parent support group and is worth reading.
Di Ceglie wrote the service specifications of GIDS which they still follow. He also remains a member of the board there.
Within the principles that he asserted is the belief that children have a 'gender identity'.
The 'first case' which piqued his interest was a distressed teenage girl. Whether she had undiagnosed ASD / ADHD, had been subjected to abuse or was a lesbian no-one will know. Note how he took her case despite having no relevant experience or knowledge because he thought it would be good training opportunity and it piqued his curiosity.
journals.sagepub.com/doi/abs/10.1177/1359104502007003013?journalCode=ccpa
One of Di Ceglie's next patients (a young boy) would likely have being more appropriately supported by an experienced Child Protection Social Worker or play therapist
(extract)
"I used to see this 7-year-old boy after school as my last case. He made few demands of me as his therapist. This seemed to be the perfect patient to have at the end of a hard day. As soon as he walked in the room he would start to play with the dolls’ house, placing all the dolls, which I had provided, in the little rooms apparently totally ignoring me and tidying up everything near the end of the session. The problem started when I asked him what he was playing. He came up with very elaborate fantasies on how all the children in the house were going to be killed by various means, including the use of poisonous gas released by a cylinder. I was shocked to find out that so much was going on in his mind in spite of the mild appearances of his behaviour. Within a Kleinian perspective (Klein, 1975), if the dolls’ house represented the body of the mother or his relationship with the mother there was very little of a benevolent nature going on there. So much for the ‘blissful’ relationship!" (continues)
"During the life of the service, staff and users have contributed creatively to its development. For instance, a mother of a child with gender identity disorders involved in a dispute over contact with her ex-partner, asked me during a court break if she could meet other parents facing similar issues. This was the start of a new development – the running of a group for parents of children with gender problems. This group became an important feature of our service and then led to the formation of a self-help organization called ‘Mermaids’. Mermaids had been the focus of discussion in one of the parents’ groups in an attempt to understand the fascination that some children have for these mythical creatures. ‘Mermaids’ is a complementary organization to our service, which offers the kind of help and support that we, as professionals, cannot. Their social activities and networks provide, in my view, a space within society in which children and teenagers with unusual gender development can feel accepted. Their social isolation is reduced and they can start to feel part of a community"
GIDS statement "Our Gender Identity Development Service
4 November 2018
(extract)
The GIDS was founded in 1989 and is one of the longest standing services for gender diverse children and young people in the world. Domenico Di Ceglie, who founded the service, wrote a set of therapeutic aims which we still abide by today. This includes the unconditional acceptance and respect for young people’s gender identity. We do not therefore take a view regarding the outcome of an individual’s gender identity development: rather, our focus is to provide a space for exploration of gender, to ameliorate any negative impacts on general development and to work with young people to think through all the options open to them. These principles remain central to the delivery of the service." (continues)
tavistockandportman.nhs.uk/about-us/news/stories/our-gender-identity-development-service/