Prepubertal social gender transitions: What we know; what we can learn—A view from a gender affirmative lens

ABSTRACT

?Background: This article provides a review and commentary on social transition of gender-expansive prepubertal youth, analyzing risks, and benefits based on a synthesis of research and clinical observation, highlighting controversies, and setting forth recommendations, including the importance of continued clinical research.

Methods: This article involved: (1) a review and critique of the WPATH Standards of Care 7th edition guidelines on social transition; (2) a review and synthesis of empirical research on social transition in prepubertal children; (3) a discussion of clinical practice observations; (4) a discussion of continuing controversies and complexities involving early social transition; (5) a discussion of risks and benefits of social transition; and (6) conclusions and recommendations based upon the above.

Results: Results suggest that at this point research is limited and that some of the earliest research on young gender-expansive youth is methodologically questionable and has not been replicated. Newer research suggests that socially transitioned prepubertal children are often well adjusted, a finding consistent with clinical practice observations. Analysis of both emerging research and clinical reports reveal evidence of a stable transgender identity surfacing in early childhood.

Discussion: The authors make recommendations to support social transitions in prepubertal gender-expansive children, when appropriate, as a facilitator of gender health, defined as a child's opportunity to live in the gender that feels most authentic, acknowledging that there are limitations to our knowledge, and ongoing research is essential.     

The poehlman case: running away from the truth

Eric T. Poehlman, Ph.D., was an internationally recognized, tenured professor at the University of Vermont (UVM) in Burlington when, in October 2000, a junior member of Poehlman’s laboratory became convinced that he had altered data from a study on aging volunteers from the Burlington area. This suspicion developed into one of the most significant cases of scientific misconduct in the history of the US Department of Health and Human Services’ (HHS) Office of Research Integrity (ORI), launching a US Department of Justice (DOJ) civil and criminal fraud investigation and, eventually, to a much publicized guilty plea and felony conviction. In the end, Dr. Poehlman admitted to 54 findings of scientific misconduct made by the UVM and ORI, agreed to retract or correct ten of his publications and to exclude himself from federal procurement and nonprocurement transactions for life. The United States Government’s handling of this case was distinguished by a highly cooperative approach that integrated the resources of the US Attorney’s Office for the District of Vermont (USAO) and both ORI and the Office of the Inspector General (OIG) in HHS in the common goal of prosecuting research fraud. The content of this article represents the personal views of the authors and does not express the opinion or policy of DHHS or its components. A paper on this topic was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005.     

Concurrent-schedule performance in transition: changeover delays and signaled reinforcer ratios

Six pigeons were trained in experimental sessions that arranged six or seven components with various concurrent-schedule reinforcer ratios associated with each. The order of the components was determined randomly without replacement. Components lasted until the pigeons had received 10 reinforcers, and were separated by 10-s blackout periods. The component reinforcer ratios arranged in most conditions were 27:1, 9:1, 3:1, 1:1, 1:3, 1:9 and 1:27; in others, there were only six components, three of 27:1 and three of 1:27. In some conditions, each reinforcement ratio was signaled by a different red-yellow flash frequency, with the frequency perfectly correlated with the reinforcer ratio. Additionally, a changeover delay was arranged in some conditions, and no changeover delay in others. When component reinforcer ratios were signaled, sensitivity to reinforcement values increased from around 0.40 before the first reinforcer in a component to around 0.80 before the 10th reinforcer. When reinforcer ratios were not signaled, sensitivities typically increased from zero to around 0.40. Sensitivity to reinforcement was around 0.20 lower in no-changeover-delay conditions than in changeover-delay conditions, but increased in the former after exposure to changeover delays. Local analyses showed that preference was extreme towards the reinforced alternative for the first 25 s after reinforcement in changeover-delay conditions regardless of whether components were signaled or not. In no-changeover-delay conditions, preference following reinforcers was either absent, or, following exposure to changeover delays, small. Reinforcers have both local and long-term effects on preference. The former, but not the latter, is strongly affected by the presence of a changeover delay. Stimulus control may be more closely associated with longer-term, more molar, reinforcer effects.     

The Emerging Gender Gap: Cultural and Economic Conservatism in the Netherlands 1970–1992

Research on gender differences in political alignments and cultural orientations in the past decades reveals a large value change in women relative to that in men, indicating that women might recently have become less conservative than men, whereas women used to be more conservative in many respects. In this article this possible reversal in the gender gap in recent decades is analyzed. Recent research has demonstrated that in the Netherlands women are presently less conservative than men. This lower level of conservatism in Dutch women is apparent with respect to both economic and cultural issues. It is investigated whether these gender differences are due to a reversal in the gender gap in the Netherlands and if so, how this emerging gender gap can be explained. Three explanations are hypothesized: one in terms of the characteristics of the youngest generations (the gender-cohort model), the second in terms of growing structural equality between women and men in general (the situational/structural model), and a specification of the second model, in which differential effects of structural factors for women and men are presumed to have their effect (the gender-interaction model). Neither of the three tested models was in itself able to fully explain the results. The gender gap can partly be explained by growing structural equality between women and men, partly by the fact that the gender gap is largest in the youngest generations (economic conservatism), and partly by the fact that the gender gap is largest between groups of "independent" women and their male counterparts. Possible additional determinants are also discussed.     

The Props are Falling Down and We Want to Make Music: A Narrative Perspective on Organisations in Transition (Violins/Violence in Organisations)

While South African society finds itself in the throes of political changes, therapists working within organisations in transition find themselves challenged by the turbulence of transformation. The authors are a group of therapists attempting to understand, from a narrative perspective, the organisational context within which they work. This paper recounts the processes around the design, implementation, and outcomes of a workshop on this theme. The main body of the paper consists of a letter that was sent to participants after the workshop. The reader is invited to join collaboratively in our reflections so as to continue an open-ended, creative process.     

Political Power and Race Relations in South Africa: African Attitudes Before and After the Transition

When an oppressed majority finally gains political power, what happens to its attitudes to its erstwhile oppressor, and to its perceptions and feelings about its socioeconomic disadvantages that were established during its oppression? Longitudinal data from pre- and post-transition surveys of black South African college and high school students indicate marked reductions in perceptions of and outrage about intergroup socioeconomic inequity and deprivation relative to English-speaking and Afrikaans-speaking whites, but no change in attitudes toward these groups or toward whites in general. The findings are discussed in terms of contemporary theory and research on justice, intergroup relations, and group conflict. Some tentative implications for the prospects for a democratic political culture in South Africa are noted.     

The Client Cultural Competence Inventory: An Instrument for Assessing Cultural Competence in Behavioral Managed Care Organizations

The rapid growth in Behavioral Managed Care Organizations has led to increasing concern about the future availability of culturally competent mental health services for ethnic minorities. Prior efforts to assess cultural competence of mental health services have focused exclusively on agency providers and individual mental health professionals rather than on clients' perceptions of care. We introduce the Client Cultural Competence Inventory, which has several advantages over other cultural competence measures including its (a) lower susceptibility to social desirability bias, (b) ability to assess attitudes concerning a broader range of therapists, providers and plans, and (c) focus on clients rather than the psychiatric community as the central force in determining cultural competence. Preliminary psychometric analyses of the inventory are presented from data gathered in a group of parents with children who are severely emotionally disturbed.     

Towards a normative change approach in child labour: A theoretical analysis and empirical exploration of the constituted and constitutive procedural social norms

Growing evidence in the field of child labour has identified social norms among the key antecedents. Social norms regulate actions of people within the social order. Where social norms are institutionalized and legitimized, people conform to them out of a sense of duty. It is argued that legitimate, deep-rooted, and institutionalized social norms are difficult to change. Yet, there have been some significant improvements in research suggesting that normative change programs can effectively shift deep-rooted social norms. In this study, we explored a pathway to change social norms that underpin child labour practices in four major hubs of cocoa and sea fishing. We employed a bottom-up practice research approach to co-design the study, and implemented it through narrative vignette interviews. Using vignette stimulus, we interviewed parents (n = 40), with 20 of them perceived to have engaged their children in child labour, and stakeholders in the communities (n = 10). Findings from the narrative interviews revealed norms on informal apprenticeship, inheriting family business, and hard work, among the core child labour norms. We unraveled the constitutive procedural norms that legitimize and justify the child labour norms in the communities. Based on this, a normative change framework has been designed and supported with suggested intervention programs to shift the social norms.     

Un éclairage de la transition de retraite par l’analyse interprétative phénoménologique (IPA)

IntroductionInterpretative phenomenological analysis (IPA) is a method of qualitative discourse analysis that aims to understand lived experience and the meaning that individuals attribute to it.ObjectivesAfter describing its theoretical foundations and its methodology, this paper applies this method on a research on the experience of retirement transition which collected 28 interviews. It thus aims to show the interest of this method in understanding the psychological and reflexive processes inherent in periods of life marked by transformations.MethodCentred on the way in which people imagine their own transformation of identity at retirement age and on the meaning they give to it, the analysis takes into account the adjustments made to daily life, to the relationship with time, and to social relations. This analysis is based on the detailed study of a case, and then compared to five other cases.ResultsThe need to make a break, manifested by the extent and form of the transformations given on a daily basis, varies according to the subjects, meaning being attributed not only to the break but also to continuity. A temporal experience marked by a present to be reconfigured and interpersonal relationships deemed meaningful, is, on the other hand, very shared.ConclusionBy bringing to light the psychological and reflexive processes of the experience of retirement, this study carried out with reference to the IPA can contribute to nourishing the practices of support for retirement, which are tending to develop.