Hertzmann,Leezah & Newbigin,Juliet (Eds.). Sexuality and Gender Now: Moving Beyond Heteronormativity. The Tavistock Clinic Series. London: Routledge. 2019. Pp. 358. Pbk. £29.99.

In this paper the author argues that trans-identification and its associated medical treatment can constitute an attempt to evade experiences of psychological distress. This occurs on three levels. Firstly, the trans person themselves may seek to evade dysregulated affects associated with such experiences as attachment trauma, childhood abuse, and ego-alien sexual feelings. Secondly, therapists may attempt to evade feelings, such as fear and hatred, evoked by engaging with these dysregulated affects. Thirdly, we, as a society, may wish to evade acknowledging the reality of such trauma, abuse and sexual distress by hypothesizing that trans-identification is a biological issue, best treated medically. The author argues that the quality of evidence supporting the biomedical approach is extremely poor. This puts young trans people at risk of receiving potentially damaging medical treatment they may later seek to reverse or come to regret, while their underlying psychological issues remain unaddressed.     

A Review of: “Woolfolk,R. L., & Allen,L. A. (2007). Treating Somatization: A Cognitive-Behavioral Approach.”

A 5-year old subject was treated for molestation-induced behavior problems consisting of excessive verbal ruminations and concamitant negative emotional responding. Treatment invovled utilization of a modified operant DRO procedure using the subject's mother as primary behavior change agent. Data based observations predicated on home-environment and generalization probe sources demonstrated dramatic reductions in problem behaviors targeted for intervention. Treatment gains remained stable over a 12-month period as indicated by extended follow-up assessment queries.     

A Review of: “Greenwald,R. (2009). Treating Problem Behaviors: A Trauma-Informed Approach.”

This single-case-design experiment examined an intervention to decrease bed-sharing in children, ages 2 through 6. Three sessions were conducted with each parent. At the first session, parents described bed-sharing history and began collecting baseline data. At the second session, parents were instructed to employ the intervention. At the third session, parents were interviewed and offered continued support, if needed. Participants included three children who slept with their parents 4 or more nights per week. The intervention resulted in a substantial decrease in bed-sharing behavior for all participants, and parents reported being satisfied with the intervention.     

A review of: “R.D. Laing: A divided self”

John Clay (1996) R.D. Laing: A Divided Self, London: Hodder & Stoughton, pp. 308, $20.00 (hb), $7.99 (pb)     

Cookson,R., Griffin,S., Norheim,O. F., & Culyer,A. J. (Eds.). (2020). Distributional Cost-Effectiveness Analysis: Quantifying Health Equity Impacts and Trade-Offs. Oxford: Oxford University Press, 2020. Paperback (ISBN-13: 9780198838197). £ 28.03. 365 pp

Ethical Theory and Moral Practice -