Graham Philip
University College, London, UK.
BJPsych Bull. 2023 Apr;47(2):98-104. doi: 10.1192/bjb.2022.3.
The development of gender identity in children from around the age of 3 years is described. Wishes for transgender identity are distinguished from gender-atypical behaviour. Reasons for the recent rise in transgender referrals in the early teen years are discussed. The now widely used protocol developed by the Amsterdam group for assessing transgender children and young people and, where appropriate, offering them puberty blockers, cross-sex hormones and sex reassignment surgery is described. Evidence for the effectiveness of this approach is considered. The competence of young people to give consent to these procedures is discussed. Finally, proposals are made for topics urgently requiring further research.
本文描述了3岁左右儿童性别认同的发展情况。对跨性别身份的渴望与性别非典型行为有所区分。探讨了青少年早期跨性别转诊人数近期上升的原因。介绍了阿姆斯特丹小组制定的、目前广泛使用的评估跨性别儿童和青少年的方案，并在适当情况下为他们提供青春期阻滞剂、跨性别激素和性别重置手术。考虑了这种方法有效性的证据。讨论了年轻人对这些程序给予同意的能力。最后，针对迫切需要进一步研究的课题提出了建议。
