Evidence map›Paper›PMID 33202051›Full record

ArticleThe Journal of analytical psychology2020

Transgender medicalization and the attempt to evade psychological distress.

Robert Withers

Abstract read
In one paragraph

Article in The Journal of analytical psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. The Detransition Rate Is Unknown.Archives of sexual behavior · 2023
    Article
  6. Gender detransition: A critical review of the literature.Actas espanolas de psiquiatria · 2023
    Article
  7. Article
  8. Interrogating Gender-Exploratory Therapy.Perspectives on psychological science : a journal of the Association for Psychological Science · 2023
    Article
  9. Gender detransition: a case study.The Journal of analytical psychology · 2021
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Robert WithersBrighton.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this paper the author argues that trans-identification and its associated medical treatment can constitute an attempt to evade experiences of psychological distress. This occurs on three levels. Firstly, the trans person themselves may seek to evade dysregulated affects associated with such experiences as attachment trauma, childhood abuse, and ego-alien sexual feelings. Secondly, therapists may attempt to evade feelings, such as fear and hatred, evoked by engaging with these dysregulated affects. Thirdly, we, as a society, may wish to evade acknowledging the reality of such trauma, abuse and sexual distress by hypothesizing that trans-identification is a biological issue, best treated medically. The author argues that the quality of evidence supporting the biomedical approach is extremely poor. This puts young trans people at risk of receiving potentially damaging medical treatment they may later seek to reverse or come to regret, while their underlying psychological issues remain unaddressed.

Indexed as

MedicalizationPsychological DistressFemaleHumansMaleTransgender PersonsTranssexualismaffect déréguléaffetti alteratiattachment traumaBeziehungstraumacontratransferenciacontretransfertcontrotransfertcountertransferencedetransicióndetransitionDetransitiondé-transitiondetransizionedisforia de género (GD)disforia di genere (DIG)disociacióndissociationdissociazioneDissoziationdysphorie de genredysregulated affectdysregulierter Affektemoción desreguladaGegenübertragunggender dysphoria (GD)Geschlechtsdysphorie (GD)homofobia internalizadahomophobie internaliséeinternalised homophobiainternalisierte Homophobieomofobia interiorizzatatransgendertransgénerotransgenretrauma de apegotrauma dell’attaccamentotraumatisme de l’attachementгендерная дисфория (GD)детрансформациядисрегулируемый аффектдиссоциацияинтернализованная гомофобияконтрпереностравма привязанноститрансгендер依恋创伤内化恐同去性别转换反移情失调的情绪性别焦虑症 (GD)跨性别隔离

Identifiers

PMID33202051
PMCPMC7787368

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.