Thanks for those links @Hibari. I'll try and have a look at them all, but I'll start with the ones which have a free link to the full text (and see if I can get the full text of the others later).
Disregarding the ones about DSDs (not what this discussion is about), the first one with a link to a free link to the full text is this one.
2018 Evidence needed to understand gender identity: Commentary on Turban & Ehrensaft (2018) - Sheri A. Berenbaum
Full text here (free access):
acamh.onlinelibrary.wiley.com/doi/full/10.1111/jcpp.12997
I'll start with a quick comment about Turban and Ehrensaft, referred to in the title.
Diane Ehrensaft is best known (on here, anyway) as a psychologist who thinks that babies can know they're transgender and will show this in a nonverbal way. Baby girls who pull barrettes out of their hair and baby boys who make a dress out of their onesie by undoing the fastenings are transgender. See video here:
Jack Turban has written some fairly dubious stuff on this topic. Some earlier threads which mention his work here:
www.mumsnet.com/Talk/womens_rights/a3999874-Most-disingenuous-claim-by-a-TRA-doctor-I-ve-seen-yet
www.mumsnet.com/Talk/womens_rights/3978928-marcus-evans-psychiatry-sits-on-a-knife-edge
This paper is a 'commentary' about another paper, which itself is a review of the available literature. It turned out to be more interesting than I had anticipated.
The author is unconvinced that gender identity is immutable (my bold in this paragraph):
Rather than being immutable, gender identity is plastic – in both directions. Some individuals develop transgender identity in adolescence or adulthood; some, but not all, have a history of transgender identity. The majority of children with gender dysphoria desist in adolescence, although much remains to be learned about factors that differentiate children who will persist versus desist (Ristori & Steensma, 2016). Interestingly, social transition contributes to persistence, and it is unclear whether it does so by allowing children to be who they really are, or instead pushes them to assume a binary identity when they would have been happy with a nuanced cisgender identity that does not involve medical interventions.
Under 'Affirmation benefits and costs' (I've quoted most of this section, because it's just what many of us have been saying here for years):
Little is known about the long‐term costs of affirmation or the ‘medicalization’ of gender identity. Interventions to alter the body to accord with a transgender identity have significant long‐term consequences, but decisions about those interventions are made when children are in distress and when their cognitive capacities may not be fully developed. It is important to study, for example, effects of hormonal interventions on the developing brain (particularly during the sensitive period of adolescence), fertility concerns (will people regret sacrificing their fertility?), and health risks (e.g. hormonal effects on bone).
A caution about the affirmation approach arises from the tendency on the part of some people (both children and clinicians) to use gender expression or adherence to gender stereotypes as a marker of gender identity. This contrasts with the evidence that most children who are gender‐atypical in their appearance and behaviours are not transgender. Although there are clear professional guidelines for determining whether a child has gender dysphoria appropriate for affirmation, the host of writings on the topic make clear that those guidelines are not always followed, and there can be a rush to judgement for children whose behaviour is gender‐atypical.
Oddly, increased tolerance for transgender identities might be associated with reduced tolerance for non‐normative gendered presentation and activities. It does not and should not require gender change to act in gender‐atypical ways, nor does acting in gender‐atypical ways signify a need for gender transition. The assumed (but scientifically unsupported) equivalence of gender‐atypical expression and transgender identity has adverse consequences: it reduces the freedom of children to behave in ways that transcend gender roles, perpetuates the gender binary and reinforces gender stereotypes.
(My bold in last paragraph.)
An interesting paper. Thanks for posting the link.