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Revision as of 03:14, 20 March 2019 by Genericusername57 (talk | contribs) (→Online sources: ce)(diff) ← Previous revision | Latest revision (diff) | Newer revision → (diff) Cessation or reversal of transgender identification or gender transitionThe neutrality of this article is disputed. Relevant discussion may be found on the talk page. Please do not remove this message until conditions to do so are met. (March 2019) (Learn how and when to remove this message) |
Detransition is the cessation or reversal of a transgender identification or gender transition, whether by social, legal, or medical means.
Direct, formal research of detransition is lacking. Professional interest in the phenomenon has been met with contention. Detransitioners (persons who detransition) have similarly experienced controversy and struggle.
Background and terminology
Transition is the process of a transgender person changing their gender presentation and/or sex characteristics to accord with their internal sense of gender identity. Transition commonly involves social changes (such as clothing, personal name, and pronouns), legal changes (such as legal name and legal gender), and medical changes (such as hormone replacement and surgery).
Detransition (sometimes called retransition) is the process of halting or reverting a transgender identification or gender transition. Like transition, detransition is not a single event. Methods of detransitioning can vary greatly among individuals, and can involve changes to one's gender expression, social identity, legal identity documents, and/or anatomy. Desistance is a general term for any cessation, and it is commonly applied specifically to the cessation of transgender identity or gender dysphoria. Those who undertake detransition are known as detransitioners. Detransition is commonly associated with transition regret, but regret and detransition do not always coincide.
Occurrence
This section needs more reliable medical references for verification or relies too heavily on primary sources. Relevant discussion may be found on the talk page. Please review the contents of the section and add the appropriate references if you can. Unsourced or poorly sourced material may be challenged and removed. Find sources: "Detransition" – news · newspapers · books · scholar · JSTOR (December 2017) |
Formal studies of detransition have been few in number, of disputed quality, and politically controversial. Frequency estimates for detransition and desistance vary greatly, with notable differences in terminology and methodology. Detransition is more common in the earlier stages of transition, particularly before surgeries. The number of detransitioners is unknown but growing.
A 2008 study of gender dysphoric adolescents found 61% desisted from their transgender identity before reaching the age of 29, and a 2013 study found 63% desisted before age 20. A 2019 clinical assessment found that 9.4% of patients with adolescent-emerging gender dysphoria ceased wishing to pursue medical interventions and/or no longer felt that their gender identity was incongruent with their biological sex within an eighteen-month period.
A 2018 survey of WPATH (World Professional Association for Transgender Health) surgeons found that approximately 0.3% of patients who underwent transition-related surgery later requested detransition-related surgical care. The 2015 U.S. Transgender Survey found that 8% of those who had transitioned reported having ever detransitioned, and 62% of that group had later returned to living in a trans identity. A 2003 German study found evidence for an increase in the number of demands for detransition, blaming poor practice on the part of "well-meaning but certainly not unproblematic" clinicians who—contrary to international best practices—assumed that transitioning as quickly as possible should be the only correct course of action. Surgeon Miroslav Djordjevic and psychotherapist James Caspian have reported that demand for surgical reversal of the physical effects of medical transition has been on the rise.
Detransitioners have commonly cited trauma, isolation, dissociation, inadequate mental healthcare, and social pressure as motivations for pursuing transition. Informed consent and affirmation of self-diagnosis (both newer but increasingly employed models for transgender healthcare) have been criticized for failing to meet the needs of those who eventually detransition. Among eventual detransitioners, the progression of transition has been found to magnify, rather than remedy, gender dysphoria. Sufferers may fixate on passing (being perceived as their preferred gender), leading them to pursue ever further steps in medical transition.
Motives for detransitioning commonly include financial barriers to transition, social rejection in transition, depression or suicidality due to transition, and discomfort with sexual characteristics developed during transition. Additional motives include concern for lack of data on long-term effects of hormone replacement therapy, concern for loss of fertility, complications from surgery, and changes in gender identity. Some people detransition on a temporary basis, in order to accomplish a particular aim, such as having biologically related children, or until barriers to transition have been resolved or removed. Detransition is also a concern among elderly transgender people. Dementia patients who forget they have transitioned may experience distress regarding their gender presentation and detransition. In addition, concerns about the ability to receive adequate care in later life may lead some people to detransition preemptively.
Individual accounts
In April 2007, Mike Penner, a sportswriter for the Los Angeles Times, publicly announced his transition. He took the name Christine Daniels, and he wrote about his experiences with gender for approximately one year. In October 2008, he resumed his male name and identity. He committed suicide in November 2009.
Since 2011, Walt Heyer has written several books on his experience of regret and detransition.
In 2015, Australia's Sydney Morning Herald and US-based Vocativ (then an online newspaper) profiled Joel Nowak. Nowak identified as a woman for ten years, including a legal change of name, hormone therapy, and surgery, before re-identifying as a man. Nowak described long feeling "closeted" and in denial about his doubts of transition. He described detransition as feeling "liberating", and he expressed hope for topics of gender to move beyond dogmatism.
In September 2017, the Australian 60 Minutes television program featured a 12-year-old boy who had undergone hormone replacement therapy for two years before deciding to stop. Both he and his mother stated they did not regret transition, nor have they regretted detransition.
Also in September 2017, British daily paper The Guardian published an interview with Elan Anthony of Ohio. Anthony lived as a transgender woman for two decades, including undertaking hormones and surgery, before detransitioning. He described a well-intentioned but misguided rush to transition from doctors and allies. In detransition, he lost friends, and he developed a renewed sense of shame. He has since pursued advocacy work for detransitioners, and he has begun work toward a doctorate in psychology.
Female detransitioner Max Robinson was profiled in the July/August 2017 issue of The Atlantic and the October/November 2017 issue of The Economist's 1843 magazine. Robinson began transition at age 15, including hormones and surgery. Three years later, she began to detransition. She has since re-identified as a bisexual woman. She has now blamed her gender dysphoria on her anxiety and depression, and believes her therapist overlooked "the possibility that her mental health problems, far from being symptomatic of gender dysphoria, could actually be the cause of it."
In April 2018, Paper magazine published a biography of Brian Belovitch (formerly known as Tish Gervais), a performance artist in New York City. Belovitch undertook medical transition following social pressure to conform his feminine personality to binary gender norms. He lived as trans for fifteen years, until eventually desisting hormones and getting a mastectomy. Belovitch primarily cited his changed views on gender identity (referring to himself now as "genderqueer or gender nonconforming") for his reason to detransition. He noted feeling rejected initially by friends and peers, who saw his decision as a betrayal. He voiced hope for an eventual destigmatization of detransition. He published book on his experience in 2018.
In June 2018, American magazine The Atlantic released a short film entitled "Reversing a Gender Transition", documenting Ohio-resident Carey Callahan's experiences in transition, regret, and detransition. Callahan identified as trans for four years, including a period of nine months on hormones, before detransitioning. She has since become an advocate for detransitioners: writing, vlogging, and presenting public talks. She has expressed concern that WPATH's Standards of Care (SOC) are too loose, while also supporting individuals' pursuit of informed transition.
In March 2019, Jamie Shupe, the first American to be legally recognized as having a non-binary gender, criticized his transition and publicly re-identified as a man.
Cultural and political impact
Individuals who have detransitioned, and some researchers and medical providers, have voiced concern for a lack of legal, medical, and psychological assistance for those seeking detransition. Healthcare professionals add that they perceive an atmosphere of censorship around discussing and researching the phenomenon, while detransitioners express experiences of harassment from activists who view detransition as a political threat to trans rights.
In August 2017, the Mazzoni Center's Philadelphia Trans Health Conference, which is an annual meeting of transgender people, advocates, and healthcare providers, canceled a panel discussion on detransition. The conference organizers said, "When a topic becomes controversial, such as this one has turned on social media, there is a duty to make sure that the debate does not get out of control at the conference itself. After several days of considerations and reviewing feedback, the planning committee voted that the workshops, while valid, cannot be presented at the conference as planned."
In September 2017, Bath Spa University revoked permission for James Caspian, a counselor who specializes in transgender therapy, to research regret of gender-reassignment procedures and pursuit of detransition. Caspian alleged the reason for the university's refusal was that it was "a potentially politically incorrect piece of research, carries a risk to the university. Attacks on social media may not be confined to the researcher, but may involve the university. The posting of unpleasant material on blogs or social media may be detrimental to the reputation of the university."
WPATH's Standards of Care have offered no mention of detransition, though a majority of WPATH surgeons have expressed desire for detransition guidelines to be included, and former WPATH president and longtime chair of WPATH's SOC revision team, Eli Coleman, has listed detransition among the topics he's working to include in the eighth edition.
The rise of detransition has attracted interest from both social conservatives on the political right and radical feminists on the political left. Activists on the right have been accused of utilizing detransitioners' stories to further their work against trans rights. Those on the left see detransitioners' experiences as further proof of patriarchal enforcement of gender roles and medicalized erasure of gays and lesbians. This attention has elicited in detransitioners mixed feelings of both exploitation and support.
See also
- Feminist views on transgender topics
- Healthcare and the LGBT community
- LGBT rights by country or territory
- LGBT social movements
References
- Brown and Rounsley 1996
- Marchiano 2017; Graham 2017; Tobia 2018; Herzog 2017a; Clark-Flory 2015; Danker et al. 2018; Turban et al. 2018b
- Clark-Flory 2015; Herzog 2017a; Graham 2017; Tobia 2018
- Merriam-Webster n.d.; Collins n.d.
- Marchiano 2017; Steensma et al. 2013; Wallien and Cohen-Kettenis 2008
- Herzog 2017a; Graham 2017; Singal 2018
-
- "Not everyone who detransitions regrets transitioning in the first place, and, like transitioning, the process of deciding to detransition is a very individual and personal choice. Detransitioning in itself does not necessarily imply that mistakes were made, although that is a possibility. It means that what was previously right for someone in their life may not be the best choice for them anymore." Yarbrough 2018, p. 130
- Graham 2017
- Herzog 2017a
-
- "There is a paucity of literature." Danker et al. 2018
-
- "The research on outcomes post-transition is mixed at best." Marchiano 2017
-
- "esearch in this field is extremely controversial." Danker et al. 2018
- "t might cause criticism of the research on social media, and criticism of the research would be criticism of the university, and ... it was better not to offend people." BBC 2017
- " potentially politically incorrect piece of research carries a risk to the university. Attacks on social media may not be confined to the researcher, but may involve the university. The posting of unpleasant material on blogs or social media may be detrimental to the reputation of the university." Weale 2017
- Detransition estimates:
- "Eight percent of respondents to the 2015 Survey reported detransitioning at some point, that is, returning to living as the gender they were assigned at birth; however, most detransitioned only temporarily, and 62 percent of those who had once detransitioned reported living in their felt gender identity." Boslaugh 2018, p. 43
- "Detransitioning after surgical interventions ... is exceedingly rare. Research has often put the percentage of regret between 1 and 2% ... Detransitioning is actually far more common in the stages before surgery, when people are still exploring their options. 'There are people who take hormones and then decide to go off hormones,' says Randi Ettner, a therapist who has served on the board of the World Professional Association for Transgender Health. 'That is not uncommon.'" Clark-Flory 2015
- "A 50-year study out of Sweden found that only 2.2 percent of people who medically transitioned later experienced 'transition regret'" Herzog 2017a
- "There were 15 (5 and 10 ) regret applications corresponding to a 2.2% regret rate for both sexes. There was a significant decline of regrets over the time period." (Dhejne et al. define "regret" as "application for reversal of the legal gender status among those who were sex reassigned" which "gives the person the right to treatment to reverse the body as much as possible.") Dhejne et al. 2014
- Desistance estimates:
- "There is a wealth of replicated research that tells us that 80–95% of children who experience a cross-sex identification in childhood will eventually desist and come to identify with their natal sex as adults." Marchiano 2017
- There have, however, been almost a dozen studies looking at the rate of desistance among trans-identified kids James Cantor summarized 'ery few trans kids ... transition by the time they are adults'. The exact rate of desistance varied by study, but overall they concluded that about 80% ... identified as their sex at birth.... he most recent study ... found that two-thirds ultimately identified as the gender they were assigned at birth." Herzog 2017a
- "For decades, follow-up studies of transgender kids have shown that a substantial majority—anywhere from 65 to 94%—eventually ceased to identify as transgender." Brooks 2018
- "Only very few trans- kids still want to transition by the time they are adults. Instead, they generally turn out to be regular gay or lesbian folks. The exact number varies by study, but roughly 60–90% of trans- kids turn out no longer to be trans by adulthood." Cantor 2016
- Marchiano 2017
-
- "Miroslav Djordjevic ... has seen an increase in 'reversal' surgeries among transgender women who want their male genitalia back... Other researchers also report hearing about such regrets." Borreli 2017
- "He then amassed some preliminary findings that suggested a growing number of young people ... were transitioning their gender and then regretting it." Shute 2017. See also BBC 2017 and Weale 2017.
- "The growing number of detransitioners is a possible indication that there are significant numbers of people who are not satisfied with transition outcomes." Marchiano 2017
- "Max is one of what appears to be a growing number of people who believe they were failed by the therapists and physicians they went to for help with their gender dysphoria." Singal 2018
- "Cass recently started posting videos to YouTube, where there are a growing number of detransitioning confessionals." Herzog 2017a
- Stein 2009; Wallien and Cohen-Kettenis 2008
- Brooks 2018; Herzog 2017a; Steensma et al. 2013
- Churcher Clarke & Spiliadis 2019
- Danker et al. 2018
- Boslaugh 2018, p. 43; James et al. 2016, p. 111
- "In jüngster Zeit gibt es jedoch einige Hinweise für die Zunahme von Rückumwandulungsbegehren und es stellen sich zunehmend Patienten vor, bei denen schondie erste diagnostische Exploration Hinweise auf übergreifende Identitätsstörungen, u. U. auch auf transvestitisch-fetischistische Neigungen, auf unrealistische Erwartungen hin-sichtlich eines „völlig neuen Lebens“, jedoch nicht auf eine gelebte und innerlich fixierteGeschlechtsrollentransposition gibt. In Anbetracht derartiger Verläufe besorgt die zwarwohlmeinende, aber keinesfalls unproblematische Einstellung einiger Behandler, die annehmen, dass das möglichst schnelle Bedienen der vehement vorgetragenen Patienten-wünsche die einzig richtige Vorgehensweise wäre,„da man da sowieso nichts anderes machen kann.“ Dies widerspricht eklatant den Erfahrungen internationaler Gender-Zentren" Bosinski 2003
-
- Borreli 2017
- Shute 2017
- "... his preliminary findings that suggested growing numbers of young people, particularly women, were regretting gender reassignment ... e was first alerted to the issue of gender reassignment reversal in 2014, when a Belgrade doctor told him he had been asked to carry out an unprecedented seven reversals that year." Weale 2017
- "e wanted to study people who had swapped gender and then changed their minds after coming across evidence of a growing number of people who regretted having the surgery and finding no research had been done into the subject ... 'I found it very difficult to get people willing to talk openly about the experience of reversing surgery. They said they felt too traumatised to talk about it ...'" BBC 2017
- Marchiano 2017
- Graham 2017; Marchiano 2017; Singal 2018
- Marchiano 2017
-
- Borreli 2017
- Bowen 2007
- Clark-Flory 2015
- Danker et al. 2018
- Herzog 2017a
- McFadden 2017
- Sarner 2017
- Turban et al. 2018a
- "Six persons clearly ventilated their feelings of regret about the decision; three of them accused their clinician of incompetence. Four others respectively gave as primary reasons: social isolation, disappointing surgical results and a sudden vanishing of the urge to live as a woman." Kuiper and Cohen-Kettenis 1998
- Americo 2018; Kanner 2018
- BBC 2018
- Witten 2015
- Pieper 2015; Friess 2009; Herman 2011
- Heyer n.d.; Dumas 2015
- Dumas 2015; Clark-Flory 2015
- Schipp 2017; Young 2017
- McFadden 2017; Seleh 2017
- Singal 2018; McCann 2017
- Tobia 2018; Belovitch 2018
- Pollock 2018; Singal 2018
- Showalter 2019; Christian Today 2019; Shupe 2019
- Graham 2017
- Shute 2017; BBC 2017; Borreli 2017; Stein 2009; Veissière 2018
-
- "'The complexity of our viewpoint is pretty inconvenient to people on all sides of the political spectrum,' Carey says in the film. For her, detransitioning has resulted in the most harassment she has ever faced in her life." Pollock 2018
- "This has ignited a contentious debate both in and outside the trans community, with various sides accusing each other of bigotry, harassment, censorship, and damaging the fight for trans rights. It's such a fraught issue that many people I interviewed requested anonymity. (All the names of detransitioners have been changed.) Others refused to speak on the record, afraid of the potential fallout. But as more people like Jackie come out, the debate is just heating up." Herzog 2017a
- " were from clinicians and detransitioners, thanking me for presenting a perspective they felt so many were scared to voice." Veissière 2018
- ""he trans community does our best to pretend that retransitioning never happens ... trans people who have retransitioned are often treated as outcasts, as aberrations or as an embarrassment to our community's goals. They are assumed to be failures, traitors to the cause of trans liberation." Tobia 2018
- Rodriguez 2017; Herzog 2017b
- Mazzoni 2017
- BBC 2017; Weale 2017; Hurst 2017
-
- WPATH 2012
- "There are currently no professional guidelines or resources for providers who encounter patients who experience regret and/or seek detransition." Danker et al. 2018
-
- "88% of respondents feel that WPATH SOC 8 should include a chapter on detransition" Danker et al. 2018
-
- "Miscellaneous suggestions ... detransition." Coleman 2017
- Ford 2018; Herzog 2017a; Bowen 2007; Tobia 2018
- Herzog 2017a; Bowen 2007
- Herzog 2017a; Bowen 2007
Sources
Books
- Boslaugh, Sarah (2018). "Transitioning". Transgender Health Issues. ABC-CLIO. ISBN 9781440858888. OCLC 1031429228.
{{cite book}}
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(help) - Brown, Mildred L.; Rounsley, Chloe A. (1996). True Selves: Understanding Transsexualism – For Families, Friends, Coworkers, and Helping Professionals. San Francisco: Jossey-Bass. ISBN 978-0-7879-6702-4. OCLC 462435058.
- James, Sandy E.; Herman, Jody L.; Rankin, Susan; Keisling, Mara; Mottet, Lisa; Anafi, Ma'ayan (2016). "De-Transitioning" (PDF). The Report of the 2015 U.S. Transgender Survey (Report). Washington, DC: National Center for Transgender Equality. Retrieved 18 March 2019.
{{cite report}}
: Invalid|ref=harv
(help) - Yarbrough, Eric (8 March 2018). "Transitions and Detransitions". Transgender Mental Health. Washington D.C.: American Psychiatric Pub. ISBN 978-1-61537-113-6. OCLC 1035850780.
{{cite book}}
: Invalid|ref=harv
(help)
Journal articles
- Bosinski, H.A.G. (2003-04-03). "Diagnostische und arztrechtliche Probleme bei transsexuellen Geschlechtsidentitätsstörungen". Der Urologe (in German). 42 (5): 709–721. doi:10.1007/s00120-003-0337-0. ISSN 0340-2592.
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suggested) (help)CS1 maint: ref duplicates default (link) - Churcher Clarke, Anna; Spiliadis, Anastassis (6 February 2019). "'Taking the lid off the box': The value of extended clinical assessment for adolescents presenting with gender identity difficulties". Clinical Child Psychology and Psychiatry: 135910451882528. doi:10.1177/1359104518825288. ISSN 1359-1045. PMID 30722669.
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suggested) (help)CS1 maint: ref duplicates default (link) - Danker, Sara; Narayan, Sasha K.; Bluebond-Langner, Rachel; Schechter, Loren S.; Berli, Jens U. (August 2018). "A Survey Study of Surgeons' Experience with Regret and/or Reversal of Gender-Confirmation Surgeries". Plastic and Reconstructive Surgery – Global Open. 6: 189. doi:10.1097/01.GOX.0000547077.23299.00. ISSN 2169-7574 – via Wolters Kluwer.
- Dhejne, Cecilia; Öberg, Katarina; Arver, Stefan; Landén, Mikael (November 2014). "An Analysis of All Applications for Sex Reassignment Surgery in Sweden, 1960–2010: Prevalence, Incidence, and Regrets". Archives of Sexual Behavior. 43 (8): 1535–45. doi:10.1007/s10508-014-0300-8. PMID 24872188.
- Kuiper, A.J.; Cohen-Kettenis, P.T. (July–September 1998). "Gender Role Reversal among Postoperative Transsexuals". International Journal of Transgenderism. 2 (3). Archived from the original on 5 July 2007.
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suggested) (help) - Marchiano, Lisa (6 Oct 2017). "Outbreak: On Transgender Teens and Psychic Epidemics". Psychological Perspectives. 60 (3): 345–366. doi:10.1080/00332925.2017.1350804.
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: CS1 maint: ref duplicates default (link) - Steensma, Thomas D; McGuire, Jenifer K; Kreukels, Baudewijntje PC; Beekman, Anneke J; Cohen-Kettenis, Peggy T (June 2013). "Factors associated with desistence and persistence of childhood gender dysphoria: a quantitative follow-up study". Journal of the American Academy of Child and Adolescent Psychiatry. 52 (6): 582–590. doi:10.1016/j.jaac.2013.03.016. PMID 23702447. Retrieved 4 February 2019.
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suggested) (help) - Pieper, Lindsay Parks (March 2015). "Mike Penner 'or' Christine Daniels: the US media and the fractured representation of a transgender sportswriter". Sport in Society. 18 (2, Gender, Media, Sport): 186–201. doi:10.1080/17430437.2013.854472. ISBN 978-1-138-93639-3.
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: CS1 maint: ref duplicates default (link) - Stein, Martin T. (28 January 2009). "Does Gender Dysphoria in Young Children Persist?". jwatch.org. NEJM Journal Watch. Retrieved 16 February 2019.
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: CS1 maint: ref duplicates default (link) - Turban, Jack L.; Keuroghlian, Alex S. (July 2018). "Dynamic Gender Presentations: Understanding Transition and "De-Transition" Among Transgender Youth". Journal of the American Academy of Child & Adolescent Psychiatry. 57 (7): 451–453. doi:10.1016/j.jaac.2018.03.016. PMID 29960687.
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: Unknown parameter|subscription=
ignored (|url-access=
suggested) (help) - Turban, Jack L.; Carswell, Jeremi; Keuroghlian, Alex (October 2018). "Understanding Pediatric Patients Who Discontinue Gender-Affirming Hormonal Interventions". JAMA Pediatrics. 172 (10): 903–904. doi:10.1001/jamapediatrics.2018.1817. PMID 30178056.
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: Unknown parameter|subscription=
ignored (|url-access=
suggested) (help) - Wallien, Madeleine S.C.; Cohen-Kettenis, Peggy T. (December 2008). "Psychosexual outcome of gender-dysphoric children". Journal of the American Academy of Child and Adolescent Psychiatry. 47 (12): 1413–1423. doi:10.1097/CHI.0b013e31818956b9. PMID 18981931. Retrieved 4 February 2019.
- Witten, Tarynn (November 2015). "When My Past Returns: Loss of Self and Personhood - Dementia and the Trans-Person". Unpublished. doi:10.13140/rg.2.1.1867.4641. Retrieved 17 March 2019.
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News
- Americo, Lara (13 May 2018). "I'm a Trans Woman Who Detransitioned to Become a Mom". Them. Retrieved 17 March 2019.
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- Dumas, Daisy (31 July 2015). "The in-betweeners". The Sydney Morning Herald. Retrieved 18 March 2019.
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: CS1 maint: ref duplicates default (link) - Weale, Sally (26 September 2017). "University 'turned down politically incorrect transgender research'". The Guardian. Retrieved 1 November 2017.
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: CS1 maint: ref duplicates default (link) - Young, Sarah (7 September 2017). "12-Year-Old Boy Who Transitioned to Female Changes His Mind Two Years Later". The Independent. Retrieved 19 March 2019.
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Online sources
- "Trans figured : my journey from boy to girl to woman to man". WorldCat. Retrieved 19 March 2019.
- "Catalogue of Walt Heyer's works". WorldCat. Retrieved 13 March 2019.
- Coleman, Eli (28 February 2017). "The WPATH Standards of Care: What it really says and looking forward to Version 8" (PDF). Retrieved 1 February 2019.
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: CS1 maint: ref duplicates default (link) - "Definition of 'desist'". Collins English Dictionary. n.d. Retrieved 16 March 2019.
- "Definition of desist". Merriam-Webster. n.d. Retrieved 16 March 2019.
- Graham, Julie (9 January 2018). Detransition and Retransition: What Do We need to Know? (Presentation). National LGBT Health Education Center. Retrieved 29 January 2019 – via Vimeo.
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(help) - Graham, Julie (14 October 2017). Detransition, Retransition: What Providers Need to Know (PDF) (Presentation slides). Fenway Health. Retrieved 29 January 2019.
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(help) - "Response to the cancellation of workshops". Mazzoni Center. 29 August 2017. Retrieved 1 November 2017.
- Veissière, Samuel (2 December 2018). "The Debate on Trans Teens: Compassion Is Needed on All Sides". Psychology Today. Retrieved 2 February 2019.
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: CS1 maint: ref duplicates default (link) - "The World Professional Association for Transgender Health Standards of Care". wpath.org. WPATH. 2012. Retrieved 29 January 2019.
Further reading
- Goldberg, Michelle (4 August 2014). "What Is a Woman? The dispute between radical feminism and transgenderism". The New Yorker. Vol. 90, no. 22. pp. 24+. Retrieved 18 March 2019.
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(help) - Johnston, Kirsty (29 April 2017). "From girl to boy and back again, Zahra Cooper shares her journey: 'Everyone is different'". NZ Herald. Retrieved 18 March 2019.
- Landén, M.; Wålinder, J.; Hambert, G.; Lundström, B. (1998). "Factors predictive of regret in sex reassignment". Acta Psychiatrica Scandinavica. 97 (4): 284–9. doi:10.1111/j.1600-0447.1998.tb10001.x. PMID 9570489.
- Monroe, Rachel (4 December 2016). "Detransitioning: a story about discovery". The Outline. Retrieved 18 March 2019.
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(help) - White, Jess (8 January 2019). "Whiteboard". In Sikk, Helis; Meyer, Leisa (eds.). The Legacies of Matthew Shepard: Twenty Years Later. Routledge. ISBN 9780429620522.
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(help) - Yoo, Alexander (16 February 2018). "Transition Regret and Detransition". In Stewart, Chuck (ed.). Lesbian, Gay, Bisexual, and Transgender Americans at Risk: Problems and Solutions. Vol. 2. ABC-CLIO. ISBN 978-1-4408-3236-9. OCLC 1002302935. Retrieved 31 January 2019.
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