Psychoanalytic Studies on Dysphoria: The False Accord in the Divine Symphony depicts the profound dysphoria afflicting certain individuals, and includes the author's own personal experience of this as a German Jewish child during the Holocaust. Marion M. Oliner explores the impact of catastrophic events on the lives of individuals and their descendants from a broadly psychoanalytic perspective. The book focuses on the interplay between the experience and the unconscious meaning attributed to the trauma, and the ways in which patients may feel guilt, and blame themselves for the events and effects of their trauma. Drawing on the work of Freud and Winnicott, and with emphasis on the traumas suffered during the Second World War, Oliner offers new ways of understanding how resistant to treatment such traumas can be, and how the analyst can understand the experiences. The chapters span the evolution undergone in the nearly four decades of practice by the author. The book references a range of works including some taken from the German and French psychoanalytic literature, some never published in English. Taken together they aim at keeping the vitality of psychoanalysis without idealization, while discarding concepts whose essence is static, and therefore unhelpful. Psychoanalytic Studies on Dysphoria will appeal to psychoanalysts as well as other mental health professionals working with self-defeating behavior as a result of trauma.

In recent years, there has been an explosion in the number of children and young people who diagnose themselves as gender dysphoric, or trans. In the UK, and worldwide, there is a growing tendency to refer them on to 'specialist' gender services almost as soon as they express any confusion or distress about their biological sex or gender identity. Due to the rapidly rising numbers and various pressures on the system, patients are increasingly likely to be offered life-altering medication and/or surgical treatments, often with little exploration of their emotional world. As so little is yet known or understood regarding this increase in gender incongruent patients, it seems precipitous to proceed onto physical treatments before any assessment work is undertaken. Many who present as gender dysphoric have complex needs with comorbid problems such as autism, histories of abuse or trauma, social phobias, depression, eating disorders, and other mental health symptoms. Therefore, all aspects of the individual's life deserve thorough assessment and therapeutic work. This book is aimed primarily at clinicians working in the field to provide a model for understanding, assessing, and treating gender dysphoria. The model uses a psychoanalytic framework to help explain disturbed states of mind and how psychic defences can be enlisted unconsciously to avoid overwhelming psychic pain. This offers professionals a way of trying to think with, and offer understanding to, their trans-identifying clients. Clinical examples are given to illustrate these processes and promote the understanding of transgender children, adolescents, and young people and their internal worlds, their thinking, and their interpersonal relationships. As well as clinical exploration and understanding, the book includes an overview of the current political, social, and clinical environments which have all impacted on the clinical care of trans-identifying individuals. As well as professional and trainee clinicians, this book might also prove useful to parents, other professionals, and possibly the gender dysphoric person too.

Drawing on the author’s clinical work with gender-variant patients, Transgender Psychoanalysis: A Lacanian Perspective on Sexual Difference argues for a depathologizing of the transgender experience, while offering an original analysis of sexual difference. We are living in a "trans" moment that has become the next civil rights frontier. By unfixing our notions of gender, sex, and sexual identity, challenging normativity and essentialisms, trans modalities of embodiment can help reorient psychoanalytic practice. This book addresses sexual identity and sexuality by articulating new ideas on the complex relationship of the body to the psyche, the precariousness of gender, the instability of the male/female opposition, identity construction, uncertainties about sexual choice—in short, the conundrum of sexual difference. Transgender Psychoanalysis features explications of Lacanian psychoanalysis along with considerations on sex and gender in the form of clinical vignettes from Patricia Gherovici's practice as a psychoanalyst. The book engages with popular culture and psychoanalytic literature (including Jacques Lacan’s treatments of two transgender patients), and implements close readings uncovering a new ethics of sexual difference. These explorations have important implications not just for clinicians in psychoanalysis and mental health practitioners but also for transgender theorists and activists, transgender people, and professionals in the trans field. Transgender Psychoanalysis promises to enrich ongoing discourses on gender, sexuality, and identity.

The essays in this volume are written by clinicians, psychologists, sociologists, educators, parents and de-transitioners. Contributors demonstrate how ‘transgender children and young people’ are invented in different medical, social and political contexts: from specialist gender identity development services to lobby groups and their school resources, gender guides and workbooks; from the world of the YouTube vlogger to the consulting rooms of psychiatrists; from the pharmaceutical industry to television documentaries; and from the developmental models of psychologists to the complexities of intersex medicine. Far from just investigating how they are invented the authors demonstrate the considerable psychological and physical harms perpetrated on children and young people by transgender ideology, and offer tangible examples of where and how adults should intervene to protect them.

Extremely gender variant children and adolescents (minors), increasingly referred to as 'trans' or 'transgender children,' are small in number. In recent years, their situation has become highly sensationalized, whilst the matter of how to best treat them remains an area of controversy. A growing body of research supports emerging treatment approaches, but more research is still needed to answer a host of questions: Do trans minors have a psychiatric disorder or a normal variation of gender presentation? Should treatment be aimed at helping them accept the bodies into which they were born or should parents, clinicians and schools accommodate their wishes of transition? At what age should transition begin? What are the implications – physical, psychological, social and ethical – of various treatment approaches? The first part of this volume explores different clinical approaches to transgender minors in the USA and abroad. The second part contains responses to these approaches by commentators from various fields including biology, child psychiatry, civil rights activism, ethics, law, gender studies, queer theory and psychoanalysis. The work will be an invaluable source for parents and families looking at how to proceed with a trans child, as well as clinicians seeking to make appropriate referrals. This book was originally published as a special issue of the Journal of Homosexuality.

This unique and timely volume provides a comprehensive overview of the most recent clinical work and research on the topic. Following an overview of the disorder, the first section of the book deals with young children, providing a detailed analysis of gender identity disorder in both boys and girls. The second section, which focuses on adolescents, covers gender identity disorder, transvestic fetishism - also based on the largest sample of individuals ever studied - and homosexuality. Detailed clinical case material, which brings the issues to life, is included throughout.

Transsexualism refers to the most extreme form of incongruity between an individual's gender identity and anatomic sex. In 1994, the diagnosis of transsexualism was replaced with ”gender identity disorder" by the DSM-IV committee. Transsexualism is associated with distress because the individual, due to his/her physical characteristics, is not treated as a representative of the gender he/she identifies with and cannot therefore live in a gender role with which he/she identifies. The sexual anatomy of the body also feels alien and inappropriate. Transsexualism that causes distress is treated with sex reassignment therapy. The aim is to alter body characteristics and anatomy closer to those of the target gender as well as to facilitate the integration into the social role of the opposite sex. Investigations and surgery are often only available in specialist centres.