In Support of Research Into Rapid-Onset Gender Dysphoria
Anna Hutchinson, Melissa Midgen, Anastassis Spiliadis
Letter to the Editor
First Online: 17 July 2019
As clinicians used to working in the field of child and adolescent gender identity development, dealing directly with the very significant distress caused by gender dysphoria, and considering deeply its multifactorial and heterogeneous etiology, we note the current debate arising from Littman’s (2018) description of a phenomenon she described as Rapid-Onset Gender Dysphoria. Littman’s paper on the subject was methodologically critiqued in this journal recently (Restar, 2019). While some of us have informally tended toward describing the phenomenon we witness as “adolescent-onset” gender dysphoria, that is, without any notable symptom history prior to or during the early stages of puberty (certainly nothing of clinical significance), Littman’s description resonates with our clinical experiences from within the consulting room.
In our experience, it is commonplace for clinicians to engage in conversations regarding this phenomenon (Churcher Clarke & Spiliadis, 2019). Furthermore, from...
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