Learning to listen to trans and gender diverse children: A Response to Zucker (2018) and Steensma and Cohen-Kettenis (2018)

ABSTRACT

The authors answer recent responses by Steensma & Cohen-Kettenis (2018 Steensma, T. D., & Cohen-Kettenis, P. T. (2018). A critical commentary on “A critical commentary on follow-up studies and “desistence” theories about transgender and gender non-conforming children”. International Journal of Transgenderism. Advance online publication. doi:10.1080/15532739.2018.1468292[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) and Zucker (2018 Zucker, K. (2018). The myth of persistence: Response to AA critical commentary on follow-up studies and “Desistance” theories about transgender and gender non-conforming children. International Journal of Transgenderism. Advance online publication. doi:10.1080/15532739.2018.1468293[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) to our critical commentary on “desistance” stereotypes and their underlying research on trans and gender diverse children (Temple Newhook et al., 2018 Temple Newhook, J., Pyne, J., Winters, K., Feder, S., Holmes, C., Tosh, J., … Pickett, S. (2018). A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children. International Journal of Transgenderism. Advance online publication. doi:10.1080/15532739.2018.1456390[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]). We provide clarification in the following areas: (1) the scope of our paper; (2) our support of longitudinal studies; (3) consequences of harm to trans and gender diverse children; (4) clinical practice implications; (5) concerns about validity of research methodology; and (6) the importance of learning to listen to trans and gender diverse children.     

Regulation of hypothalamic-pituitary-adrenal activity in response to cognitive therapy in patients with generalized anxiety disorder

The aim of this study was to evaluate the efficacy of cognitive therapy (CT) in the treatment of generalized anxiety disorder (GAD), as it would be reflected through both psychological and psychoneuroendocrinological parameters. For this purpose, a group of outpatients with GAD were treated with CT for up to a maximum of 24 sessions. In order to assess psychological and biological changes, anxiety-related symptoms were evaluated according to the Hamilton Anxiety Rating Scale (HAM-A), and the hypothalamic-pituitary-adrenal (HPA) function was determined through assessment of circulating cortisol levels. A significant decrease in the HAM-A scores, along with significant changes in plasma cortisol levels, were observed after completion of treatment with CT. These observations contribute to demonstrate that the effect of certain psychotherapeutic approaches, such as CT, may be observed at both psychological and biological levels.     

Maternal beliefs concerning young children's private speech

The goal of this study was to understand maternal reports, beliefs, and attitudes about their young children's use of private speech. Mothers of 48 children between the ages of 3 and 5 participated in a semi‐structured interview in which they reported on the frequency and context of their child's use of private speech, maternal responses toward such speech use in children, and beliefs about the utility of such speech for children. Interviews were transcribed and responses coded. Mothers also completed surveys on children's self control and parenting style. Results indicated that practically all parents reported that their child engaged in private speech and that such speech was more likely to appear during fantasy play than during problem‐solving activities. Parents varied in their personal responses to children's self talk and, as a group, do not appear to actively discourage or encourage its use. Ignoring/allowing child private speech use was common and this response was positively associated with authoritative parenting. Parental reports of the frequency with which their child talks to himself were negatively associated with parental reports of children's self‐control. Crib speech, or bedtime monologue, was reported to be very common and was negatively associated with children's self‐control and positively associated with children's private speech use. Parents were uniformly positive in their belief that private speech serves important functions and that it helps young children during task activities. Copyright © 2006 John Wiley & Sons, Ltd.     

Institutional Evils,Culpable Complicity,and Duties to Engage in Moral Repair

Apology is arguably the central act of the reparative work required after wrongdoing. The analysis by Claudia Card (1940–2015) of complicity in collectively perpetrated evils moves one to ask whether apology ought to be requested of persons culpably complicit in institutional evils. To better appreciate the benefits of and barriers to apologies offered by culpably complicit wrongdoers, this article examines doctors’ complicity in a practice that meets Card's definition of an evil, namely, the non‐medically necessary, nonconsensual “normalizing” interventions performed on babies born with intersex anatomies. It argues that in this instance the complicity of doctors is culpable on Card's terms, and that their culpable complicity grounds rightful demands for them to apologize.