A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children

ABSTRACT

Background: It has been widely suggested that over 80% of transgender children will come to identify as cisgender (i.e., desist) as they mature, with the assumption that for this 80%, the trans identity was a temporary “phase.” This statistic is used as the scientific rationale for discouraging social transition for pre-pubertal children. This article is a critical commentary on the limitations of this research and a caution against using these studies to develop care recommendations for gender-nonconforming children.

Methods: A critical review methodology is employed to systematically interpret four frequently-cited studies that sought to document identity outcomes for gender-nonconforming children (often referred to as “desistance” research).

Results: Methodological, theoretical, ethical, and interpretive concerns regarding four “desistance” studies are presented. The authors clarify the historical and clinical contexts within which these studies were conducted to deconstruct assumptions in interpretations of the results. The discussion makes distinctions between the specific evidence provided by these studies versus the assumptions that have shaped recommendations for care. The affirmative model is presented as a way to move away from the question of, “How should children's gender identities develop over time?” toward a more useful question: “How should children best be supported as their gender identity develops?”

Conclusion: The tethering of childhood gender diversity to the framework of “desistance” or “persistence” has stifled advancements in our understanding of children's gender in all its complexity. These follow-up studies fall short in helping us understand what children need. As work begins on the 8th version of the Standards of Care by the World Professional Association for Transgender Health, we call for a more inclusive conceptual framework that takes children's voices seriously. Listening to children's experiences will enable a more comprehensive understanding of the needs of gender-nonconforming children and provide guidance to scientific and lay communities.     

Auditory attention switching and judgment switching: Exploring multicomponent task representations

An auditory attention-switching paradigm was combined with a judgment-switching paradigm to examine the interaction of a varying auditory attention component and a varying judgment component. Participants heard two dichotically presented stimuli—one spoken by a female speaker and one spoken by a male speaker. In each trial, the stimuli were a spoken letter and a spoken number. A visual explicit cue at the beginning of each trial indicated the auditory attention criterion (speaker sex/ear) to identify the target stimulus (Experiment 1) or the judgment that had to be executed (Experiment 2). Hence, the attentional selection criterion switched independently between speaker sexes (or between ears), while the judgment alternated between letter categorization and number categorization. The data indicate that auditory attention criterion and judgment were not processed independently, regardless of whether the attention criterion or the judgment was cued. The partial repetition benefits of the explicitly cued component suggested a hierarchical organization of the auditory attention component and the judgment component within the task set. We suggest that the hierarchy arises due to the explicit cuing of one component rather than due to a “natural” hierarchy of auditory attention component and judgment component.     

Friendship and romance across the U.S. political divide: Hindrance or help for outgroup political attitudes?

Consistent with the intergroup contact literature, cross-political relationships (e.g., friendships or romantic relationships between different partisans) may help reduce inter-political group prejudice. Given that unfavorable attitudes based on the political group membership are particularly heightened at present in the United States, we explored whether having cross-political friendships (Study 1) or romantic relationships (Study 2) predict more positive interpersonal or intergroup attitudes among American Democrats and Republicans. In Study 1, using a social network measure (N = 301), where participants reported on their closest friends, cross-political (versus same-political) friendship was associated with less positive interpersonal attitudes when this relationship was unsatisfying. Having any (versus no) or more (versus less) cross-political group friendships was not associated with holding more positive intergroup attitudes. In Study 2, cross-political romantic relationships were examined (N = 392). Having a cross- (versus same-) political romantic relationship was associated with relatively less positive attitudes toward the political outgroup via lower empathy when relationship satisfaction was low. Study findings highlight the potential limitations of the beneficial effects of intergroup contact.     

Testing the Metacognitive Model of Rumination and Depression in Non-clinical Population: New Data about PBRS and NBRS Scales

Journal of Psychopathology and Behavioral Assessment - Rumination is a maladaptive emotion regulation strategy linked to depression. An intriguing question is why some people tend to use it. The...     

Vital Wheels: Disability,Relationality, and the Queer Animacy of Vibrant Things

This article probes the philosophical and political significance of the relationships between wheelchair activists and their wheelchairs. Analyzing disability memoirs and the work of a professional wheelchair dancer, I argue that wheelers frequently experience complex relationality and queer kinships with their wheels. By bringing the artistry of disabled writers and dancers into conversation with the notions of human–material relations in the work of Donna Haraway, Jane Bennett, Stacy Alaimo, and Mel Chen, I show how alternative animacies shape wheelers’ conceptions of interdependence and movement. The sensuous pleasure they take in their wheels queers conventional conceptions of how humans should relate to things. New materialist philosophy has increasingly drawn attention to the porous boundaries between the human and material world. But where posthumanist philosophers have largely aimed to dethrone the sovereignty of the human, disability activists use alternative animacies to raise up a devalued and discounted portion of humanity: to emphasize the agency and capacity of those whose lives are often cast as pitiable and powerless, to express a queer feminist disability culture and politics, and to claim the transgressive vitality and vibrant artistry of life with disability.     

Me,Myself, and Mobility: The Relevance of Region for Young Adults' Identity Development

As residential mobility is a common life event that particularly affects young adults, regional identity may be relevant for young adults. We therefore extended the three‐dimensional identity model to the regional domain. The development of regional identity was studied using a prospective design over six months with a sample of 1,795 post‐secondary graduates (71% female, mean age of 24.54 years), containing both movers and non‐movers. Latent profile analyses and latent profile transition analyses revealed three main findings: First, solutions with four regional identity statuses—moratorium, searching moratorium, closure, and achievement—were found to be most interpretable. Second, the emergent statuses differed substantially in terms of Big Five personality traits and life satisfaction, as well as with moving experience. Third, the stability of identity status membership across a period of six months was highest for the non‐movers group. Comparatively less stability across time was found for the movers, underscoring the relevance of transitions for identity development. Taken together, these findings show that even in a mobile world, region matters in identity development. Copyright © 2016 European Association of Personality Psychology     

Mother–Daughter Relationship Quality and Body Image in Preadolescent Girls

Research suggests that mothers may play a role in girls’ body image development. The “interactive” hypothesis specifies that qualities of the mother–daughter relationship, as opposed to maternal modeling alone, predict daughter’s body image. We sought to understand how maternal relationship quality, from the perception of both daughters and mothers, was associated with preadolescent girls’ body image. The relationship between mother–daughter relationship quality and daughters’ body image was examined in 152 girls (ages 8–12) and their mothers. Mothers and daughters primarily identified as non-Hispanic white or Hispanic. Hierarchical linear regression analyses indicated that daughters’ perception of mother–daughter relationship quality was associated with daughters’ body esteem and body dissatisfaction, adding a small, but significant, amount of variance above the larger effect of child z-BMI and age. In contrast, maternal perception of mother–daughter relationship quality was not associated with any child body image measures. Young girls who perceived their relationships with their mothers more positively had healthier body images. Although effect sizes were relatively small and the cross-sectional design precludes conclusions regarding causality, these results support the “interactive” model of body image development whereby the characteristics of the mother–daughter relationship (as perceived by the daughter) are related to body image. Our findings support the notion that daughters’ perceptions of strong mother–daughter relationships are associated with healthy child body image, and fall in line with family-based prevention efforts that attempt to enhance parent–child relationships.     

A Positive Psychology Intervention for Patients with an Acute Coronary Syndrome: Treatment Development and Proof-of-Concept Trial

Positive psychological constructs are associated with superior outcomes in cardiac patients, but there has been minimal study of positive psychology (PP) interventions in this population. Our objective was to describe the intervention development and pilot testing of an 8-week phone-based PP intervention for patients following an acute coronary syndrome (ACS). Initial intervention development and single-arm proof-of-concept trial, plus comparison of the PP intervention to a subsequently-recruited treatment as usual (TAU) cohort. PP development utilized existing literature, expert input, and qualitative interview data in ACS patients. In the proof-of-concept trial, the primary outcomes were feasibility and acceptability, measured by rates of exercise completion and participant ratings of exercise ease/utility. Secondary outcomes were pre-post changes in psychological outcomes and TAU comparisons, measured using effect sizes (Cohen’s d). The PP intervention and treatment manual were successfully created. In the proof-of-concept trial, 17/23 PP participants (74 %) completed at least 5 of 8 exercises. Participants rated the ease (M = 7.4/10; SD = 2.1) and utility (M = 8.1/10, SD = 1.6) of PP exercises highly. There were moderate pre-post improvements (ds = .46–.69) in positive affect, anxiety, and depression, but minimal effects on dispositional optimism (d = .08). Compared to TAU participants (n = 22), PP participants demonstrated greater improvements in positive affect, anxiety, and depression (ds = . 47–.71), but not optimism. A PP intervention was feasible, well-accepted, and associated with improvements in most psychological measures among cardiac patients. These results provide support for a larger trial focusing on behavioral outcomes.