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  • Thursday, February 2, 2017

    February 03, 2017 1:30 PM - February 03, 2017 3:00 PM

    Centennial Hall C

    • Heino Meyer-Bahlburg, Dr. rer. nat. ;
    • Dan Karasic, MD ;
    • Kenneth Zucker, PhD ;
    • Vilanayur Ramachandran, MBBS; PhD
    Mini-Symposium Outline: Purpose:  This Mini-Symposium will contrast distinct variations in presenting identity features of persons with gender dysphoria and the factors that plausibly contributed to their development, which may help to individually tailor clinical assistance. Materials and Methods:  Pertinent publications will be reviewed and illustrative case histories critically examined. Results:  In the context of the dramatic surge of referrals for clinical assistance of persons with gender dysphoria in recent years and the rapid growth of trans*-specialized clinical services, the spectrum of identity presentations has broadened. As a consequence, clinicians become gradually aware of a variety of distinct combinations of gender dysphoria with other salient features, for instance, autism or asexuality, which call for individualization of clinical approaches. A selection of such combinations will be the focus of this symposium. The first speaker will address the combination of gender dysphoria with dissociative identity, highlight the differences between the two types of identity and their relationship in the same person, and discuss treatment considerations. The second speaker will address gender dysphoria during childhood from a comparative-developmenal perspective. The talk will provide an overview of the follow-up literature to date, identify predictors of persistence (vs. desistence), and address conceptual and methodological critique of these studies. New data will be presented regarding general psychologic and psychiatric functioning of children followed prospectively, in relation to long-term gender identity and sexual orientation trajectories. Lastly, clinical implications of the long-term follow-up data will be discussed in relation to new cohorts of children who have socially transitioned prior to puberty. The third speaker will focus on individuals with somatic intersexuality and provide an overview of the limited data available on, and case illustrations of, the development of diverse gender-identity presentations and their long-term outcomes along with contributing factors such as early onset and degree of gender-atypical behavior, pubertal virilization (in female-raised 46,XY individuals), homosexual orientation, pressures by parents, other family, clan, society, and religion, and data showing the resolution of gender questioning by later adolescence or young adulthood in 46,XX CAH; such findings carry implications for clinical policies of intersex management, especially regarding decisions on gender-confirming hormonal and surgical treatment. The fourth speaker will add a neuroscience perspective with a particular focus on the presentation of rapidly oscillating gender identities and the possibly underlying brain structures and their functions. Conclusions:  After attending this session, participants will be able to (1) Identify salient features of diverse identity presentations; (2) Summarize current thinking about contributing factors; (3) Improve individual tailoring of clinical assistance to persons with gender dysphoria.
    Category: Identity Development and Theory