Mourning the body as bedrock: Developmental considerations in treating transsexual patients analytically

Journal title PSICOTERAPIA E SCIENZE UMANE
Author/s Avgi Saketopoulou
Publishing Year 2015 Issue 2015/1 Language Italian
Pages 30 P. 7-36 File size 346 KB
DOI 10.3280/PU2015-001001
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The concept of massive gender trauma, a clinical syndrome arising at the intersection of the misgendering of transgender patients and the anguished experience of the natal body, is introduced. Psychoanalysts have become increasingly aware of the complex interactions between psyche, soma, and culture, and of the psychic risks inherent in misgendering. However, patients’ body dysphoria is often left unaddressed even by analysts who work within gendered experience. Through a detailed account of work with a five-year-old trans girl (female-identified, male-bodied), the developmental implications of the natal body’s not becoming sufficiently mentalized are tracked and explored. Attention to unconscious fantasy and its transformations shows the importance of helping transgender patients whose bodies are a source of suffering to be able to psychically represent their pain as a critical step in the process of a psychologically healthy sexual transition.

Keywords: Gender, misgendering, body dysphoria, unconscious fantasy, transgender

  1. Riley E.A., Sitharthan G., Clemson L. & Diamond M. (2011a). The needs of gender-variant children and their parents according to mental health professionals. International Journal of Transgenderism, 13, 2: 54-63. DOI: 10.1080/15532739.2011.622121
  2. Riley E.A., Sitharthan G., Clemson L. & Diamond M. (2011b). The needs of gender-variant children and their parents: A parent survey. International Journal of Sexual Health, 23, 3: 181-195. DOI: 10.1080/19317611.2011.593932
  3. Roberts L.A., Rosario M., Corliss H.L., Koenen K.C. & Austin B. (2012). Childhood gender nonconformity: A risk for childhood abuse and posttraumatic stress in youth. Pediatrics, 129, 3: 410-418. DOI: 10.1542/peds.2011-1804
  4. Saketopoulou A. (2011a). Minding the gap: Intersections between gender, race, and class in clinical work with gender variant children. Psychoanalytic Dialogues, 21, 2: 192-209. DOI: 10.1080/10481885.2011.562845
  5. Saketopoulou A. (2011b). Queer children, new objects: The place of futurity in Loewald’s thinking. DIVISION/Review (Division 39, American Psychological Association), January: www.apadivisions.org/division-39/publications/review/2011/01/gay-children.aspx.
  6. Salamon G. (2010). Assuming a Body: Transgender and Rhetorics of Materiality. New York: Columbia University Press.
  7. Serano J. (2007). Whipping Girl: A Transsexual Woman on Sexism and the Scapegoating of Femininity. Emeryville, CA: Seal Press.
  8. Serano J. (2013). Excluded: Making Feminist and Queer Movements Inclusive. Emeryville, CA: Seal Press.
  9. Smith Y.L., van Goozen S.H., Kuiper A.J. & Cohen-Kettenis P.T. (2005). Sex reassignment: Outcomes and predictors of treatment for adolescent and adult transsexuals. Psychological Medicine, 35, 1: 85-99. DOI: 10.1017/S0033291704002776
  10. Socarides C.W. (1970). A psychoanalytic study of the desire for sexual transformation (“transsexualism”): The plaster-of-paris man. International Journal of Psychoanalysis, 51: 341-349.
  11. Spack N.P., Edwards-Leeper L., Feldman H.A., Leibowitz S., Mandel F., Diamond D.A. & Vance S.R. (2012). Children and adolescents with gender identity disorder referred to a pediatric medical center. Pediatrics, 129, 3: 418-425. DOI: 10.1542/peds.2011-0907
  12. Steensma T.D., Biemond R., de Boer F. & Cohen-Kettenis P.T. (2011). Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study. Clinical Child Psychology
  13. & Psychiatry, 16, 4: 499-516. DOI: 10.1177/1359104510378303
  14. Steensma T.D. & Cohen-Kettenis P.T. (2011). Gender transitioning before puberty? Archives of Sexual Behavior, 40, 4: 649-650. DOI: 10.1007/s10508-011-9752-2
  15. Stein R. (1995). Analysis of a case of transsexualism. Psychoanalytic Dialogues, 5: 257-289. Steiner J. (1992). The equilibrium between the paranoid-schizoid and the depressive positions. In: Anderson R., editor, Clinical Lectures on Klein and Bion. London: Routledge, 1992, pp. 46-58.
  16. Stoller R.J. (1985). Presentations of Gender. New Haven, CT: Yale University Press.
  17. Stoller R.J. (1997). Splitting: A Case of Female Masculinity. New Haven, CT: Yale University Press.
  18. Suchet M. (2011). Crossing over. Psychoanalytic Dialogues, 21, 2: 172-191. DOI: 10.1080/10481885.2011.562842
  19. Wallien M.S. & Cohen-Kettenis P.T. (2008). Psychosexual outcome of gender-dysphoric children. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 12: 1413-1423. DOI: 10.1097/CHI.0b013e31818956b9
  20. Winnicott D.W. (1951). Transitional objects and transitional phenomena: A study of the first not-me possession. International Journal of Psychoanalysis, 1953, 34, 2: 89-97. Anche in: Collected Papers. Through Pediatrics to Psychoanalysis. New York: Basic Books, 1958, pp. 229-242 (trad. it.: Oggetti transizionali e fenomeni transizionali. In: Dalla pediatria alla psicoanalisi. Scritti scelti. Firenze: Martinelli, 1975, cap. XVIII, pp. 275-290. Anche in: Playing and Reality. London: Tavistock, 1971; trad. it.: Gioco e realtà. Roma: Armando, 1974, cap. 1, pp. 23-60).
  21. Winnicott D.W. (1954). Metapsychological and clinical aspects of regression within the psycho-analytical set-up. International Journal of Psychoanalysis, 1955, 36: 16-26. Anche in: Collected Papers. Through Pediatrics to Psychoanalysis. New York: Basic Books, 1958, pp. 278-295 (trad. it.: Gli aspetti metapsicologici e clinici della regressione nell’ambito della situazione analitica. In: Dalla pediatria alla psicoanalisi. Scritti scelti. Firenze: Martinelli, 1975, cap. XXII, pp. 332-350). Anche in: Caldwell L. & Joyce A., editors, Reading Winnicott. London: Routledge, 2011, chapter 6 (trad. it.: Aspetti metapsicologici e clinici della regressione all’interno del setting psicoanalitico. In: Leggere Winnicott. Prefazione di Helen Taylor Robinson. Milano: FrancoAngeli, 2014).
  22. Winnicott D.W. (1960). Ego distortion in terms of true or false Self. In: The Maturational Process and the Facilitating Environment (1957-63). New York: International Universities Press, 1965, pp. 140-152 (trad. it.: Distorsioni dell’Io in termini di vero e falso Sé. In: Sviluppo affettivo e ambiente. Roma: Armando, 1970, pp. 177-193. Anche col titolo “Vero e falso Sé” in: Casonato M., a cura di, Psicologia Dinamica. 2: Dai pionieri della psicoanalisi alla scuola inglese. Torino: Bollati Boringhieri, 1992, pp. 323-334).
  23. Wren B. (2000). Early physical intervention for young people with atypical gender identity development. Clinical Child Psychology & Psychiatry, 5, 2: 220-231. DOI: 10.1177/1359104500005002007
  24. Zucker K.J., Drummond K.D., Bradley S.J. & Peterson-Badali M. (2009). Troubled meditations on psychosexual differentiation: Reply to Hegarty. Developmental Psychology, 45, 4: 904-908. DOI: 10.1037/a0016125
  25. Zucker K.J., Owen A., Bradley S.J. & Ameeriar L. (2002). Gender-dysphoric children and adolescents: A comparative analysis of demographic characteristics and behavioral problems. Clinical Child Psychology & Psychiatry, 7, 3: 398-411. DOI: 10.1177/1359104502007003007
  26. Zucker K.J., Wood H., Singh D. & Bradley S.J. (2013). A developmental, biopsychosocial model for the treatment of children with gender identity disorder. In: Drescher & Byne, 2013a, pp. 75-101.
  28. Edwards-Lepper L. & Spack N. (2013). Psychological evaluation and medical treatment of transgender youth in an interdisciplinary “Gender Management Service” (GeMS) in a major
  29. the William Alanson White Institute, New York, May 1, 2013.
  30. Abell S. & Dauphin B. (2009). The perpetuation of patriarchy: The hidden factor of gender bias in the diagnosis and treatment of children. Clinical Child Psychology & Psychiatry, 14, 1: 117-133. DOI: 10.1177/1359104508096773
  31. Ehrensaft D. (2011b). Gender Born, Gender Made. New York: The Experiment.
  32. Ehrensaft D. (2012). When talking about children’s gender, words matter. The Huffington Post, March 1, 2012: www.huffingtonpost.com/diane-ehrensaft-phd/gender-nonconformingkids_b_1311204.html.
  33. Quinodoz D. (1998). A fe/male transsexual patient in psychoanalysis. International Journal of Psychoanalysis, 79: 95-111.
  34. Davenport C.W. (1986). A follow-up study of 10 feminine boys. Archives of Sexual Behavior, 15, 6: 511-517. DOI: 10.1007/BF01542316
  35. Deutsch M.B. (2011). Use of the informed consent mode in the provision of cross-sex hormone therapy: A survey of the practices of selected clinics. International Journal of Transgenderism, 13: 140-146.
  36. de Vries A.L.C. & Cohen-Kettenis P.T. (2013). Clinical management of gender dysphoria in children and adolescents: The Dutch approach. In: Drescher & Byne, 2013a, pp. 7-26.
  37. de Vries A.L.C., McGuire J.K., Steensma T.D., Wagenaar E.C.F., Doreleijers T.A.H. & Cohen-Kettenis P.T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134, 4: 696-704. DOI: 10.1542/peds.2013-2958
  38. di Ceglie D. (2006). Between Scylla and Charybdis: Exploring atypical gender identity development in children and adolescents. In: Ambrosio, 2006, pp. 55-73.
  39. di Ceglie D. (2012). Response to Alessandra Lemma, APP Lecture “Research off the couch: Re-visiting the transsexual conundrum”. Psychoanalytic Psychotherapy, 26, 4: 290-293. DOI: 10.1080/02668734.2012.743226
  40. Dimen M. & Goldner V., editors (2002). Gender in Psychoanalytic Space: Between Clinic and Culture. New York: Other Press (trad. it.: La decostruzione del genere. Teoria femminista, cultura postmoderna e clinica psicoanalitica. Milano: Il Saggiatore, 2006).
  41. Dimen M. & Goldner V. (2005). Gender and sexuality. In: Gabbard G.O., Cooper A.M., & Person E.S., editors, The American Psychiatric Association Publishing Textbook of Psychoanalysis. Washington, D.C.: American Psychiatric Publishing, 2005, pp. 93-114 (trad. it.: Genere e sessualità. In: Psicoanalisi. Teoria, clinica, ricerca. Milano: Raffaello Cortina, 2005, pp. 149-186).
  42. Drescher J. & Byne W., editors (2013a). Treating Transgender Children and Adolescents: An Interdisciplinary Discussion. New York: Routledge.
  43. Drescher J. & Byne W. (2013b). Introduction: The treatment of gender dysphoric / gender variant children and adolescents. In: Drescher & Byne, 2013a, pp. 1-6.
  44. Drummond K.D., Bradley S.J., Peterson-Badali M. & Zucker K.J. (2008). A follow-up study with gender identity disorder. Developmental Psychology, 44, 1: 34-45. DOI: 10.1037/0012-1649.44.1.34
  45. Edwards-Lepper L. & Spack N. (2013). Psychological evaluation and medical treatment of transgender youth in an interdisciplinary “Gender Management Service” (GeMS) in a major pediatric center. In: Drescher & Byne, 2013a, pp. 27-42. Ehrensaft D. (2009). One pill makes you boy, one pill makes you girl. International Journal of Applied Psychoanalytic Studies, 6, 1: 12-24. DOI: 10.1002/aps.185
  46. Ehrensaft D. (2011a). Boys will be girls, girls will be boys: Children affect parents as parents affect children in gender nonconformity. Psychoanalytic Psychology, 28, 4: 528-548. DOI: 10.1037/a0023828
  47. Corbett K. (2011b). Gender regulation. Psychoanalytic Quarterly, 80, 2: 441-459. DOI: 10.1002/j.2167-4086.2011.tb00092.x
  48. Corbett K. (2011a). Boyhoods: Rethinking Masculinities. New Haven, CT: Yale University Press.
  49. Corbett K. (2009). Boyhood femininity, gender identity disorder, masculine presuppositions, and the anxiety of regulation. Psychoanalytic Dialogues, 19, 4: 353-370. DOI: 10.1080/10481880903088484
  50. Corbett K. (2008). Gender now. Psychoanalytic Dialogues, 18, 6: 838-856. DOI: 10.1080/10481880802473381
  51. Cohen-Kettenis P.T., Schagen S.E., Steensma T.D., de Vries A.L.C. & Delemarre-van de Waal H.A. (2011). Puberty suppression in a gender-dysphoric adolescent: A 22-year follow-up. Archives of Sexual Behavior, 40, 4: 843-847.
  52. Cohen-Kettenis P.T., Owen A., Kaijser V.G., Bradley S.J. & Zucker K.J. (2003). Demographic characteristics, social competence, and behavior problems in children with gender identity disorder: A crossnational, cross-clinic comparative analysis. Journal of Abnormal Child Psychology, 31, 1: 41-53. DOI: 10.1023/A:1021769215342.
  53. In: di Ceglie D., editor, A Stranger in My Own Body: Atypical Gender Identity Development and Mental Health. London: Karnac Books, 1998, pp. 39-62.
  54. Coates S. & Moore M.S. (1998). The complexity of early trauma: Representation and transformation.
  55. Coates S. (2006). Developmental research on childhood gender identity disorder. In: Fonagy, Krause & Leuzinger-Bohleber, 2009, pp. 103-131.
  56. Coates S. (1990). Ontogenesis of boyhood gender identity disorder. Journal of the American Academy of Psychoanalysis & Dynamic Psychiatry, 18: 414-438.
  57. Chodorow N.J. (1995). Multiplicities and uncertainties of gender: Commentary on Ruth Stein’s “Analysis of a case of transsexualism”. Psychoanalytic Dialogues, 5, 2: 291-299. DOI: 10.1080/10481889509539066
  58. Chiland C. (2006). Some thoughts on transsexualism, transvestism, transgender and identification. In: Ambrosio, 2006, pp. 41-54.
  59. Chiland C. (2000). The psychoanalyst and the transsexual patient. International Journal of Psychoanalysis, 81, 1: 21-35. DOI: 10.1516/0020757001599483
  60. Cheng A.A. (2001). The Melancholy of Race: Psychoanalysis, Assimilation, and Hidden Grief. Oxford, UK: Oxford University Press.
  61. Chasseguet-Smirgel J. (1985). Creativity and Perversion. New York: Free Association Books (trad. it.: Creatività e perversione. Milano: Raffaello Cortina, 1987).
  62. Butler J. (1993). Bodies That Matter: On the Discursive Limits of “Sex.” New York: Routledge.
  63. Brill S. & Pepper S. (2008). The Transgender Child: A Handbook for Families and Professionals. San Francisco, CA: Cleis Press.
  64. Borg M.B. (2011). Heist-ing the analyst’s penis (at gunpoint): Community enactment in the treatment of an FtM transgendered analysand. International Journal of Transgenderism, 13, 2: 77-90. DOI: 10.1080/15532739.2011.623652
  65. Bockting W.O., Miner M.H., Swinburne Romine R.E., Hamilton A. & Coleman E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103, 5: 943-951. DOI: 10.2105/AJPH.2013.301241
  66. Bion W.R. (1967). Second Thoughts: Selected Papers on Psychoanalysis. London: Heineman (trad. it.: Analisi degli schizofrenici e metodo psicoanalitico. Roma: Armando, 1970).
  67. Benjamin H. (1977). The Transsexual Phenomenon. New York: Warner Books.
  68. Balleur-van Rijn A., Steensma T.D. Kreukels, B.P. & Cohen-Kettenis P.T. (2013). Selfperception in a clinical sample of gender variant children. Clinical Child Psychology & Psychiatry, 18, 3: 464-474. DOI: 10.1177/1359104512460621
  69. Argentieri S. (2006). Travestitismo, transessualismo, transgender: identificazione e imitazione. Psicoanalisi, 10, 2: 55-92 (trad. inglese: Transvestism, transsexualism, transgender: Identification and imitation. In: Ambrosio, 2006, pp. 1-40).
  70. Ambrosio G., editor (2006). Transvestism, Transsexualism in the Psychoanalytic Dimension (Atti della Conferenza Europea dell’International Psychoanalytic Association [IPA] Committee on Women and Psychoanalysis [COWAP] “Travestitismo, transessualismo, transgender nella dimensione psicoanalitica”, Catania, 17-18 giugno 2006). London: Karnac, 2009.
  71. Abell S. & Dauphin B. (2009). The perpetuation of patriarchy: The hidden factor of gender bias in the diagnosis and treatment of children. Clinical Child Psychology & Psychiatry, 14, 1: 117-133. DOI: 10.1177/1359104508096773
  72. Goldner V. (2011). Trans: Gender in free fall. Psychoanalytic Dialogues, 21, 2: 159-158. DOI: 10.1080/10481885.2011.562836
  73. Gomez-Gil E., Vidal-Hagemeijer A. & Salamero M. (2008). MMPI-2 characteristics of transsexuals requesting sex reassignment: Comparison of patients in pre-hormonal and presurgical phases. Journal of Personality Assessment, 90, 4: 368-374. DOI: 10.1080/00223890802108022
  74. Green R. (1987). The “Sissy Boy Syndrome” and the Development of Homosexuality. New Haven, CT: Yale University Press.
  75. Guralnik O. & Simeon D. (2010). Depersonalization: Standing in the spaces between recognition and interpellation. Psychoanalytic Dialogues, 20, 4: 400-416. DOI: 10.1080/10481885.2010.502501
  76. Halberstam J. (2005). In a Queer Time and Place: Transgender Bodies, Subcultural Lives. New York: New York University Press.
  77. Hansbury G. (2005). Mourning the loss of the idealized self: A transsexual passage. Psychoanalytic Social Work, 12, 1: 19-36. DOI: 10.1300/J032v12n01_03
  78. Hansbury G. (2011). King Kong and Goldilocks: Imagining transmasculinities through the trans-trans dyad. Psychoanalytic Dialogues, 21, 2: 210-220. DOI: 10.1080/10481885.2011.562846
  79. Hansbury G. (2013). “The masculine vaginal: Working with queer men’s embodiment on the transgender edge”. Paper presented at Annual Colloquium, Manhattan Institute for Psychoanalysis (MIP), New York, October 25, 2013.
  80. Harris A. (2005). Gender in linear and nonlinear history. Journal of the American Psychoanalytic Association, 53, 4: 1079-1095.
  81. Harris A. (2009). Gender as Soft Assembly. New York: Routledge.
  82. Hembree W.C., Cohen-Kettenis P.T., Delemarre-van de Waal H.A, Gooren L.J., Meyer W.J., Spack N.P., Tangpricha V. & Montori V.M. (2009). Endocrine treatment of transsexual persons: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology & Metabolism, 94, 9: 3132-3154. DOI: 10.1210/jc.2009-0345
  83. Hill D.B. & Menvielle E. (2009). “You have to give them a place where they feel protected and safe and loved”: The views of parents who have gender-variant children and adolescents. Journal of LGBT Youth, 6, 2/3: 243-271. DOI: 10.1080/19361650903013527
  84. Krystal H. (1978). Trauma and affect. Psychoanalytic Study of the Child, 33: 81-116.
  85. Krystal H. (1985). Trauma and the stimulus barrier. Psychoanalytic Inquiry, 5, 1: 131-161. DOI: 10.1080/07351698509533579
  86. Ambrosio G., editor (2006). Transvestism, Transsexualism in the Psychoanalytic Dimension (Atti della Conferenza Europea dell’International Psychoanalytic Association [IPA] Committee on Women and Psychoanalysis [COWAP] “Travestitismo, transessualismo, transgender nella dimensione psicoanalitica”, Catania, 17-18 giugno 2006). London: Karnac, 2009.
  87. Argentieri S. (2006). Travestitismo, transessualismo, transgender: identificazione e imitazione. Psicoanalisi, 10, 2: 55-92 (trad. inglese: Transvestism, transsexualism, transgender: Identification and imitation. In: Ambrosio, 2006, pp. 1-40).
  88. Balleur-van Rijn A., Steensma T.D. Kreukels, B.P. & Cohen-Kettenis P.T. (2013). Selfperception in a clinical sample of gender variant children. Clinical Child Psychology & Psychiatry, 18, 3: 464-474. DOI: 10.1177/1359104512460621
  89. Benjamin H. (1977). The Transsexual Phenomenon. New York: Warner Books.
  90. Bion W.R. (1967). Second Thoughts: Selected Papers on Psychoanalysis. London: Heineman (trad. it.: Analisi degli schizofrenici e metodo psicoanalitico. Roma: Armando, 1970).
  91. Bockting W.O., Miner M.H., Swinburne Romine R.E., Hamilton A. & Coleman E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103, 5: 943-951. DOI: 10.2105/AJPH.2013.301241
  92. Borg M.B. (2011). Heist-ing the analyst’s penis (at gunpoint): Community enactment in the treatment of an FtM transgendered analysand. International Journal of Transgenderism, 13, 2: 77-90. DOI: 10.1080/15532739.2011.623652
  93. Brill S. & Pepper S. (2008). The Transgender Child: A Handbook for Families and Professionals. San Francisco, CA: Cleis Press.
  94. Butler J. (1993). Bodies That Matter: On the Discursive Limits of “Sex.” New York: Routledge.
  95. Chasseguet-Smirgel J. (1985). Creativity and Perversion. New York: Free Association Books (trad. it.: Creatività e perversione. Milano: Raffaello Cortina, 1987).
  96. Cheng A.A. (2001). The Melancholy of Race: Psychoanalysis, Assimilation, and Hidden Grief. Oxford, UK: Oxford University Press.
  97. Chiland C. (2000). The psychoanalyst and the transsexual patient. International Journal of Psychoanalysis,
  98. 81, 1: 21-35. DOI: 10.1516/0020757001599483
  99. Chiland C. (2006). Some thoughts on transsexualism, transvestism, transgender and identification. In: Ambrosio, 2006, pp. 41-54.
  100. Chodorow N.J. (1995). Multiplicities and uncertainties of gender: Commentary on Ruth Stein’s “Analysis of a case of transsexualism”. Psychoanalytic Dialogues, 5, 2: 291-299. DOI: 10.1080/10481889509539066
  101. Coates S. (1990). Ontogenesis of boyhood gender identity disorder. Journal of the American Academy of Psychoanalysis & Dynamic Psychiatry, 18: 414-438.
  102. Coates S. (2006). Developmental research on childhood gender identity disorder. In: Fonagy, Krause & Leuzinger-Bohleber, 2009, pp. 103-131.
  103. Coates S. & Moore M.S. (1998). The complexity of early trauma: Representation and transformation. In: di Ceglie D., editor, A Stranger in My Own Body: Atypical Gender Identity Development and Mental Health. London: Karnac Books, 1998, pp. 39-62.
  104. Ehrensaft D. (2013a). From gender identity disorder to gender identity creativity: True gender self child therapy. In: Drescher & Byne, 2013a, pp. 43-62.
  105. Ehrensaft D. (2013b). “Look, Mom, I’m a boy – don’t tell anyone I was a girl”. Journal of LGBT Youth, 10, 1/2: 9-28. DOI: 10.1080/19361653.2012.717474
  106. Kubie L.S. (1954). The drive to become both sexes. Psychoanalytic Quarterly, 1974, 43: 349-426 (ristampa: 2011, 80, 2: 369-439. DOI: 10.1002/j.2167-4086.2011.tb00091.x)
  107. Langer S.J. (2012). “Our body project: From mourning to making the transgender body”. Paper presented at the Third Annual Trans Symposium, Institute for Contemporary Psychoanalysis (ICP), New York, February 26, 2012.
  108. Lemma A. (2012). Research off the couch: Re-visiting the transsexual conundrum. Psychoanalytic Psychotherapy, 26, 4: 263-281. DOI: 10.1080/02668734.2012.732104
  109. Lemma A. (2013). The body one has and the body one is: Understanding the transsexual’s need
  110. to be seen. International Journal of Psychoanalysis, 94, 2: 277-292. DOI: 10.1111/j.17458315.2012.00663.x
  111. Lev A.I. (2004). Transgender Emergence: Therapeutic Guidelines for Working with Gender-Variant People and Their Families. Binghampton, NY: Haworth Press.
  112. Limentani A. (1979). The significance of transsexualism in relation to some basic psychoanalytic concepts. International Review of Psychoanalysis, 6: 139-153.
  113. Marcus B.F. & McNamara S. (2013). “Strange and otherwise unaccountable actions”: Category, conundrum, and trans identities. Journal of the American Psychoanalytic Association, 61, 1: 45-66. DOI: 10.1177/0003065112468489
  114. Meadow T. (2014). “Being a gender: A new conceptual framework”. Lecture given at Princeton University, April 2, 2014.
  115. Menvielle E. (2013). A comprehensive program for children with gender variant behaviors and gender identity disorders. In: Drescher & Byne, 2013a, pp. 63-74.
  116. Meyer W.J. (2012). Gender identity disorder: An emerging problem for pediatricians. Pediatrics, 129, 3: 571-573. DOI: 10.1542/peds.2011-3696
  117. Oppenheimer A. (1991). The wish for a sex change: A challenge to psychoanalysis? International Journal of Psychoanalysis, 72: 221-231.
  118. Oppenheimer A. (1992). The wish for a sex change. International Journal of Psychoanalysis, 73: 582.
  119. Ousterhout D.K. (2009). Facial Feminization Surgery: A Guide for the Transgendered Woman. Omaha, NE: Addicus Books.
  120. Person E. & Ovesey L. (1978). Trasvestism: New perspectives. Journal of the American Academy of Psychoanalysis, 6: 301-323.
  121. Pfäfflin F. (2006). Research, research politics, and clinical experience with transsexual patients. In: Fonagy, Krause & Leuzinger-Bohleber, 2009, pp. 139-156.
  122. Pula J. (2011). “When a candidate or analysand identifies as transgender: Impacts for the individual and the institution”. Paper presented to the American Psychoanalytic Association,
  123. New York, January 15, 2011. Pula J. (2013). “Polymorphously perverse candidates, how we fit and conflict with modern psychoanalytic training: Early personal reflections of a transgender doctor”. Paper presented at the William Alanson White Institute, New York, May 1, 2013.
  124. Quinodoz D. (1998). A fe/male transsexual patient in psychoanalysis. International Journal of Psychoanalysis, 79: 95-111.
  125. Quinodoz D. (2002). Termination of a fe/male transsexual patient’s analysis: An example of general validity. International Journal of Psychoanalysis, 83, 4: 783-798. DOI: 10.1516/7ULG-83LG-PC08-DNTX
  126. Ramachandran V.S. & McGeoch P.D. (2008). Phantom penises in transsexuals: Evidence of an innate gender-specific body image in the brain. Journal of Consciousness Studies, 15, 1: 5-16.
  127. Ettner R., Monstrey S. & Eyler A.E., editors (2013). Principles of Transgender Medicine and Surgery. Binghampton, NY: Haworth Press.
  128. Fonagy P., Krause R. & Leuzinger-Bohleber M., editors (2009). Identity, Gender, and Sexuality: 150 Years after Freud. London: Karnac Books.
  129. Freud S. (1937). Analisi terminabile e interminabile. Opere, 11: 497-535. Torino: Boringhieri, 1979. Ediz. orig. tedesca: Die endliche und die unendliche Analyse. Gesammelte Werke, XVI: 59-99. Ediz. inglese: Analysis terminable and interminabile. Standard Edition, XXIII: 216-253.
  130. Gelé K., McNamara S., Phillips S.H., Shelley R.D., Grossman G., Vaughan S.C. & Roughton R. (2012). Emerging views on gender and sexuality: Celebrating twenty years of new perspectives on lesbian, gay, bisexual, and transgender people. Journal of the American Psychoanalytic Association, 60, 5: 949-967. DOI: 10.1177/0003065112459956
  131. Cohen-Kettenis P.T., Owen A., Kaijser V.G., Bradley S.J. & Zucker K.J. (2003). Demographic characteristics, social competence, and behavior problems in children with gender identity disorder: A crossnational, cross-clinic comparative analysis. Journal of Abnormal Child
  132. Psychology, 31, 1: 41-53. DOI: 10.1023/A:1021769215342.Cohen-KettenisP.T.,SchagenS.E.,SteensmaT.D.,deVriesA.L.C.&Delemarre-vandeWaalH.A.(2011).Pubertysuppressioninagender-dysphoricadolescent:A22-yearfollow-up
  133. Archives of Sexual Behavior, 40, 4: 843-847.
  134. Corbett K. (1996). Homosexual boyhood: Notes on girlyboys. Gender & Psychoanalysis, 1: 429-461.
  135. Corbett K. (2008). Gender now. Psychoanalytic Dialogues, 18, 6: 838-856. DOI: 10.1080/10481880802473381
  136. Corbett K. (2009). Boyhood femininity, gender identity disorder, masculine presuppositions, and the anxiety of regulation. Psychoanalytic Dialogues, 19, 4: 353-370. DOI: 10.1080/10481880903088484
  137. Corbett K. (2011a). Boyhoods: Rethinking Masculinities. New Haven, CT: Yale University Press.
  138. Corbett K. (2011b). Gender regulation. Psychoanalytic Quarterly, 80, 2: 441-459. DOI: 10.1002/j.2167-4086.2011.tb00092.x
  139. Davenport C.W. (1986). A follow-up study of 10 feminine boys. Archives of Sexual Behavior, 15, 6: 511-517. DOI: 10.1007/BF01542316
  140. Deutsch M.B. (2011). Use of the informed consent mode in the provision of cross-sex hormone therapy: A survey of the practices of selected clinics. International Journal of Transgenderism, 13: 140-146.
  141. de Vries A.L.C. & Cohen-Kettenis P.T. (2013). Clinical management of gender dysphoria in children and adolescents: The Dutch approach. In: Drescher & Byne, 2013a, pp. 7-26.
  142. de Vries A.L.C., McGuire J.K., Steensma T.D., Wagenaar E.C.F., Doreleijers T.A.H. & Cohen-Kettenis P.T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134, 4: 696-704. DOI: 10.1542/peds.2013-2958
  143. di Ceglie D. (2006). Between Scylla and Charybdis: Exploring atypical gender identity development in children and adolescents. In: Ambrosio, 2006, pp. 55-73.
  144. di Ceglie D. (2012). Response to Alessandra Lemma, APP Lecture “Research off the couch: Re-visiting the transsexual conundrum”. Psychoanalytic Psychotherapy, 26, 4: 290-293. DOI: 10.1080/02668734.2012.743226
  145. Harris A. (2005). Gender in linear and nonlinear history. Journal of the American Psychoanalytic Association, 53, 4: 1079-1095 Harris A. (2009). Gender as Soft Assembly. New York: Routledge.
  146. Dimen M. & Goldner V., editors (2002). Gender in Psychoanalytic Space: Between Clinic and Culture. New York: Other Press (trad. it.: La decostruzione del genere. Teoria femminista, cultura postmoderna e clinica psicoanalitica. Milano: Il Saggiatore, 2006).
  147. Dimen M. & Goldner V. (2005). Gender and sexuality. In: Gabbard G.O., Cooper A.M., & Person E.S., editors, The American Psychiatric Association Publishing Textbook of Psychoanalysis. Washington, D.C.: American Psychiatric Publishing, 2005, pp. 93-114 (trad. it.:
  148. Genere e sessualità. In: Psicoanalisi. Teoria, clinica, ricerca. Milano: Raffaello Cortina, 2005, pp. 149-186).
  149. Drescher J. & Byne W., editors (2013a). Treating Transgender Children and Adolescents: An Interdisciplinary Discussion. New York: Routledge.
  150. Drescher J. & Byne W. (2013b). Introduction: The treatment of gender dysphoric / gender variant children and adolescents. In: Drescher & Byne, 2013a, pp. 1-6.
  151. Drummond K.D., Bradley S.J., Peterson-Badali M. & Zucker K.J. (2008). A follow-up study with gender identity disorder. Developmental Psychology, 44, 1: 34-45. DOI: 10.1037/0012-1649.44.1.34
  152. Ehrensaft D. (2013b). “Look, Mom, I’m a boy – don’t tell anyone I was a girl”. Journal of LGBT Youth, 10, 1/2: 9-28. DOI: 10.1080/19361653.2012.717474
  153. Ettner R., Monstrey S. & Eyler A.E., editors (2013). Principles of Transgender Medicine and Surgery. Binghampton, NY: Haworth Press.
  154. Fonagy P., Krause R. & Leuzinger-Bohleber M., editors (2009). Identity, Gender, and Sexuality: 150 Years after Freud. London: Karnac Books.
  155. Freud S. (1937). Analisi terminabile e interminabile. Opere, 11: 497-535. Torino: Boringhieri, 1979. Ediz. orig. tedesca: Die endliche und die unendliche Analyse. Gesammelte Werke, XVI: 59-99. Ediz. inglese: Analysis terminable and interminabile. Standard Edition, XXIII: 216-253.
  156. Gelé K., McNamara S., Phillips S.H., Shelley R.D., Grossman G., Vaughan S.C. & Roughton R. (2012). Emerging views on gender and sexuality: Celebrating twenty years of new perspectives on lesbian, gay, bisexual, and transgender people. Journal of the American Psychoanalytic Association, 60, 5: 949-967. DOI: 10.1177/0003065112459956
  157. Goldner V. (2011). Trans: Gender in free fall. Psychoanalytic Dialogues, 21, 2: 159-158. DOI: 10.1080/10481885.2011.562836
  158. Gomez-Gil E., Vidal-Hagemeijer A. & Salamero M. (2008). MMPI-2 characteristics of transsexuals requesting sex reassignment: Comparison of patients in pre-hormonal and presurgical phases. Journal of Personality Assessment, 90, 4: 368-374. DOI: 10.1080/00223890802108022
  159. Green R. (1987). The “Sissy Boy Syndrome” and the Development of Homosexuality. New Haven, CT: Yale University Press.
  160. Guralnik O. & Simeon D. (2010). Depersonalization: Standing in the spaces between recognition and interpellation. Psychoanalytic Dialogues, 20, 4: 400-416. DOI: 10.1080/10481885.2010.502501
  161. Halberstam J. (2005). In a Queer Time and Place: Transgender Bodies, Subcultural Lives. New York: New York University Press.
  162. Hansbury G. (2005). Mourning the loss of the idealized self: A transsexual passage. Psychoanalytic Social Work, 12, 1: 19-36. DOI: 10.1300/J032v12n01_03
  163. Hansbury G. (2011). King Kong and Goldilocks: Imagining transmasculinities through the trans-trans dyad. Psychoanalytic Dialogues, 21, 2: 210-220. DOI: 10.1080/10481885.2011.562846
  164. Hansbury G. (2013). “The masculine vaginal: Working with queer men’s embodiment on the transgender edge”. Paper presented at Annual Colloquium, Manhattan Institute for Psychoanalysis (MIP), New York, October 25, 2013.
  165. pediatric center. In: Drescher & Byne, 2013a, pp. 27-42. Ehrensaft D. (2009). One pill makes you boy, one pill makes you girl. International Journal of Applied Psychoanalytic Studies, 6, 1: 12-24. DOI: 10.1002/aps.185
  166. Ehrensaft D. (2011a). Boys will be girls, girls will be boys: Children affect parents as parents affect children in gender nonconformity. Psychoanalytic Psychology, 28, 4: 528-548. DOI: 10.1037/a0023828
  167. Ehrensaft D. (2011b). Gender Born, Gender Made. New York: The Experiment.
  168. Ehrensaft D. (2012). When talking about children’s gender, words matter. The Huffington Post, March 1, 2012: www.huffingtonpost.com/diane-ehrensaft-phd/gender-nonconformingkids_b_1311204.html.
  169. Ehrensaft D. (2013a). From gender identity disorder to gender identity creativity: True gender self child therapy. In: Drescher & Byne, 2013a, pp. 43-62.
  170. Lemma A. (2013). The body one has and the body one is: Understanding the transsexual’s need to be seen. International Journal of Psychoanalysis, 94, 2: 277-292. DOI: 10.1111/j.1745-8315.2012.00663.x
  171. Lev A.I. (2004). Transgender Emergence: Therapeutic Guidelines for Working with Gender-Variant People and Their Families. Binghampton, NY: Haworth Press.
  172. Limentani A. (1979). The significance of transsexualism in relation to some basic psychoanalytic concepts. International Review of Psychoanalysis, 6: 139-153.
  173. Marcus B.F. & McNamara S. (2013). “Strange and otherwise unaccountable actions”: Category, conundrum, and trans identities. Journal of the American Psychoanalytic Association, 61, 1: 45-66. DOI: 10.1177/0003065112468489
  174. Meadow T. (2014). “Being a gender: A new conceptual framework”. Lecture given at Princeton University, April 2, 2014.
  175. Menvielle E. (2013). A comprehensive program for children with gender variant behaviors and gender identity disorders. In: Drescher & Byne, 2013a, pp. 63-74.
  176. Meyer W.J. (2012). Gender identity disorder: An emerging problem for pediatricians. Pediatrics, 129, 3: 571-573. DOI: 10.1542/peds.2011-3696
  177. Oppenheimer A. (1991). The wish for a sex change: A challenge to psychoanalysis? International Journal of Psychoanalysis, 72: 221-231.
  178. Oppenheimer A. (1992). The wish for a sex change. International Journal of Psychoanalysis, 73: 582.
  179. Ousterhout D.K. (2009). Facial Feminization Surgery: A Guide for the Transgendered Woman. Omaha, NE: Addicus Books.
  180. Person E. & Ovesey L. (1978). Trasvestism: New perspectives. Journal of the American Academy of Psychoanalysis, 6: 301-323.
  181. Pfäfflin F. (2006). Research, research politics, and clinical experience with transsexual patients. In: Fonagy, Krause & Leuzinger-Bohleber, 2009, pp. 139-156.
  182. Pula J. (2011). “When a candidate or analysand identifies as transgender: Impacts for the individual and the institution”. Paper presented to the American Psychoanalytic Association,
  183. Hembree W.C., Cohen-Kettenis P.T., Delemarre-van de Waal H.A, Gooren L.J., Meyer W.J., Spack N.P., Tangpricha V. & Montori V.M. (2009). Endocrine treatment of transsexual persons: An Endocrine Society clinical practice guideline. Journal of Clinical Endocrinology & Metabolism, 94, 9: 3132-3154. DOI: 10.1210/jc.2009-0345
  184. Hill D.B. & Menvielle E. (2009). “You have to give them a place where they feel protected and safe and loved”: The views of parents who have gender-variant children and adolescents. Journal of LGBT Youth, 6, 2/3: 243-271. DOI: 10.1080/19361650903013527
  185. Krystal H. (1978). Trauma and affect. Psychoanalytic Study of the Child, 33: 81-116.
  186. Krystal H. (1985). Trauma and the stimulus barrier. Psychoanalytic Inquiry, 5, 1: 131-161. DOI: 10.1080/07351698509533579
  187. Kubie L.S. (1954). The drive to become both sexes. Psychoanalytic Quarterly, 1974, 43: 349-426 (ristampa: 2011, 80, 2: 369-439. DOI: 10.1002/j.2167-4086.2011.tb00091.x)
  188. Wallien M.S. & Cohen-Kettenis P.T. (2008). Psychosexual outcome of gender-dysphoric children. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 12: 1413-1423. DOI: 10.1097/CHI.0b013e31818956b9
  189. Winnicott D.W. (1951). Transitional objects and transitional phenomena: A study of the first not-me possession. International Journal of Psychoanalysis, 1953, 34, 2: 89-97. Anche in: Collected Papers. Through Pediatrics to Psychoanalysis. New York: Basic Books, 1958,
  190. pp. 229-242 (trad. it.: Oggetti transizionali e fenomeni transizionali. In: Dalla pediatria alla psicoanalisi. Scritti scelti. Firenze: Martinelli, 1975, cap. XVIII, pp. 275-290. Anche in: Playing and Reality. London: Tavistock, 1971; trad. it.: Gioco e realtà. Roma: Armando, 1974, cap. 1, pp. 23-60).
  191. Winnicott D.W. (1954). Metapsychological and clinical aspects of regression within the psycho-analytical set-up. International Journal of Psychoanalysis, 1955, 36: 16-26. Anche in: Collected Papers. Through Pediatrics to Psychoanalysis. New York: Basic Books, 1958,
  192. pp. 278-295 (trad. it.: Gli aspetti metapsicologici e clinici della regressione nell’ambito della situazione analitica. In: Dalla pediatria alla psicoanalisi. Scritti scelti. Firenze: Martinelli, 1975, cap. XXII, pp. 332-350). Anche in: Caldwell L. & Joyce A., editors, Reading Winnicott. London: Routledge, 2011, chapter 6 (trad. it.: Aspetti metapsicologici e clinici della regressione all’interno del setting psicoanalitico. In: Leggere Winnicott. Prefazione di Helen Taylor Robinson. Milano: FrancoAngeli, 2014).
  193. Winnicott D.W. (1960). Ego distortion in terms of true or false Self. In: The Maturational Process and the Facilitating Environment (1957-63). New York: International Universities Press, 1965, pp. 140-152 (trad. it.: Distorsioni dell’Io in termini di vero e falso Sé. In: Sviluppo affettivo e ambiente. Roma: Armando, 1970, pp. 177-193. Anche col titolo “Vero e falso Sé” in: Casonato M., a cura di, Psicologia Dinamica. 2: Dai pionieri della psicoanalisi alla scuola inglese. Torino: Bollati Boringhieri, 1992, pp. 323-334).
  194. Wren B. (2000). Early physical intervention for young people with atypical gender identity development. Clinical Child Psychology & Psychiatry, 5, 2: 220-231. DOI: 10.1177/1359104500005002007
  195. Zucker K.J., Drummond K.D., Bradley S.J. & Peterson-Badali M. (2009). Troubled meditations on psychosexual differentiation: Reply to Hegarty. Developmental Psychology, 45, 4: 904-908. DOI: 10.1037/a0016125
  196. Zucker K.J., Owen A., Bradley S.J. & Ameeriar L. (2002). Gender-dysphoric children and adolescents: A comparative analysis of demographic characteristics and behavioral problems. Clinical Child Psychology & Psychiatry, 7, 3: 398-411. DOI: 10.1177/1359104502007003007
  197. Zucker K.J., Wood H., Singh D. & Bradley S.J. (2013). A developmental, biopsychosocial model for the treatment of children with gender identity disorder. In: Drescher & Byne, 2013a, pp. 75-101.
  198. Langer S.J. (2012). “Our body project: From mourning to making the transgender body”. Paper presented at the Third Annual Trans Symposium, Institute for Contemporary Psychoanalysis (ICP), New York, February 26, 2012.
  199. Lemma A. (2012). Research off the couch: Re-visiting the transsexual conundrum. Psychoanalytic Psychotherapy, 26, 4: 263-281. DOI: 10.1080/02668734.2012.732104
  200. New York, January 15, 2011. Pula J. (2013). “Polymorphously perverse candidates, how we fit and conflict with modern psychoanalytic training: Early personal reflections of a transgender doctor”. Paper presented at
  201. Riley E.A., Sitharthan G., Clemson L. & Diamond M. (2011b). The needs of gender-variant children and their parents: A parent survey. International Journal of Sexual Health, 23, 3: 181-195. DOI: 10.1080/19317611.2011.593932
  202. Roberts L.A., Rosario M., Corliss H.L., Koenen K.C. & Austin B. (2012). Childhood gender nonconformity: A risk for childhood abuse and posttraumatic stress in youth. Pediatrics, 129, 3: 410-418. DOI: 10.1542/peds.2011-1804
  203. Saketopoulou A. (2011a). Minding the gap: Intersections between gender, race, and class in clinical work with gender variant children. Psychoanalytic Dialogues, 21, 2: 192-209. DOI: 10.1080/10481885.2011.562845
  204. Saketopoulou A. (2011b). Queer children, new objects: The place of futurity in Loewald’s thinking. DIVISION/Review (Division 39, American Psychological Association), January: www.apadivisions.org/division-39/publications/review/2011/01/gay-children.aspx.
  205. Salamon G. (2010). Assuming a Body: Transgender and Rhetorics of Materiality. New York: Columbia University Press.
  206. Serano J. (2007). Whipping Girl: A Transsexual Woman on Sexism and the Scapegoating of Femininity. Emeryville, CA: Seal Press.
  207. Serano J. (2013). Excluded: Making Feminist and Queer Movements Inclusive. Emeryville, CA: Seal Press.
  208. Smith Y.L., van Goozen S.H., Kuiper A.J. & Cohen-Kettenis P.T. (2005). Sex reassignment: Outcomes and predictors of treatment for adolescent and adult transsexuals. Psychological Medicine, 35, 1: 85-99. DOI: 10.1017/S0033291704002776
  209. Socarides C.W. (1970). A psychoanalytic study of the desire for sexual transformation (“transsexualism”): The plaster-of-paris man. International Journal of Psychoanalysis, 51: 341-349.
  210. Spack N.P., Edwards-Leeper L., Feldman H.A., Leibowitz S., Mandel F., Diamond D.A. & Vance S.R. (2012). Children and adolescents with gender identity disorder referred to a pediatric medical center. Pediatrics, 129, 3: 418-425. DOI: 10.1542/peds.2011-0907
  211. Steensma T.D., Biemond R., de Boer F. & Cohen-Kettenis P.T. (2011). Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study. Clinical Child Psychology & Psychiatry, 16, 4: 499-516. DOI: 10.1177/1359104510378303
  212. Steensma T.D. & Cohen-Kettenis P.T. (2011). Gender transitioning before puberty? Archives of Sexual Behavior, 40, 4: 649-650. DOI: 10.1007/s10508-011-9752-2
  213. Stein R. (1995). Analysis of a case of transsexualism. Psychoanalytic Dialogues, 5: 257-289. Steiner J. (1992). The equilibrium between the paranoid-schizoid and the depressive positions.
  214. In: Anderson R., editor, Clinical Lectures on Klein and Bion. London: Routledge, 1992, pp. 46-58.
  215. Stoller R.J. (1985). Presentations of Gender. New Haven, CT: Yale University Press.
  216. Stoller R.J. (1997). Splitting: A Case of Female Masculinity. New Haven, CT: Yale University Press.
  217. Suchet M. (2011). Crossing over. Psychoanalytic Dialogues, 21, 2: 172-191. DOI: 10.1080/10481885.2011.562842
  218. Quinodoz D. (2002). Termination of a fe/male transsexual patient’s analysis: An example of general validity. International Journal of Psychoanalysis, 83, 4: 783-798. DOI: 10.1516/7ULG-83LG-PC08-DNTX
  219. Ramachandran V.S. & McGeoch P.D. (2008). Phantom penises in transsexuals: Evidence of an innate gender-specific body image in the brain. Journal of Consciousness Studies, 15, 1: 5-16.
  220. Riley E.A., Sitharthan G., Clemson L. & Diamond M. (2011a). The needs of gender-variant
  221. children and their parents according to mental health professionals. International Journal of Transgenderism, 13, 2: 54-63. DOI: 10.1080/15532739.2011.622121

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