A5091071659- LGBTQ Health, Identity, and Policy
- Reproductive Health and Technologies
- Sexual Differentiation and Disorders
- Child Abuse and Trauma
- Sexuality, Behavior, and Technology
- Urological Disorders and Treatments
- Gender Roles and Identity Studies
- Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Child Welfare and Adoption
- Adolescent and Pediatric Healthcare
- Ethics and Legal Issues in Pediatric Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Adolescent Sexual and Reproductive Health
- Migration, Health and Trauma
- Reproductive Biology and Fertility
- Sex and Gender in Healthcare
- Autism Spectrum Disorder Research
- Child Abuse and Related Trauma
- Gender, Feminism, and Media
- Child and Adolescent Health
- Assisted Reproductive Technology and Twin Pregnancy
- Racial and Ethnic Identity Research
- Educational and Psychological Assessments
- Child Development and Digital Technology
- Sperm and Testicular Function
Boston College
2011-2025
Harvard University
2011-2022
Morris College
2022
Boston Children's Hospital
2013-2022
Boston Children's Museum
2010-2021
Lemuel Shattuck Hospital
2019
Massachusetts General Hospital
2015-2016
Boston University
2011
Children's Hospital
2010
Binghamton University
1989-1993
Transgender healthcare is a rapidly evolving interdisciplinary field. In the last decade, there has been an unprecedented increase in number and visibility of transgender gender diverse (TGD) people seeking support gender-affirming medical treatment parallel with significant rise scientific literature this area. The World Professional Association for Health (WPATH) international, multidisciplinary, professional association whose mission to promote evidence-based care, education, research,...
In the summer of 2013, Dr. Jack Drescher published an editorial opinion about gender-nonconforming children in New York Times which he stated: ''Currently experts can't tell apart kids who outgrow gender dysphoria (desisters) from those do not (persisters), and how to treat them is controversial'' [Drescher, p. 1]. As members a four-site child clinic group, we concur with regarding controversy, but take issue his assessment their inability differentially assess ''persisters'' ''desisters''...
Evidence indicates an overrepresentation of youth with co-occurring autism spectrum disorders (ASD) and gender dysphoria (GD). The clinical assessment treatment adolescents this co-occurrence is often complex, related to the developmental aspects ASD. There are no guidelines for care when ASD GD co-occur; however, there clinicians researchers experienced in co-occurrence. This study develops initial consensus GD, from best practices current experts field. Expert participants were identified...
Limited prospective outcome data exist regarding transgender and nonbinary youth receiving gender-affirming hormones (GAH; testosterone or estradiol).We characterized the longitudinal course of psychosocial functioning during 2 years after GAH initiation in a cohort United States. Participants were enrolled four-site prospective, observational study physical outcomes. completed Transgender Congruence Scale, Beck Depression Inventory-II, Revised Children's Manifest Anxiety Scale (Second...
Purpose: Transgender youth are at high risk for mental health morbidities. Based on treatment guidelines, puberty blockers and gender-affirming hormone therapy should be considered to alleviate distress due discordance between an individual's assigned sex gender identity. The goals of this study were examine the: (1) prevalence diagnoses, self-injurious behaviors, school victimization (2) rates insurance coverage therapy, among a cohort transgender adolescents large pediatric program,...
Background : This article provides a review and commentary on social transition of gender-expansive prepubertal youth, analyzing risks, benefits based synthesis research clinical observation, highlighting controversies, setting forth recommendations, including the importance continued research. Methods involved: (1) critique WPATH Standards Care 7th edition guidelines transition; (2) empirical in children; (3) discussion practice observations; (4) continuing controversies complexities...
There is evolving evidence that children and adolescents with gender dysphoria have higher-than-expected rates of autism spectrum disorder (ASD), yet clinical data on ASD among youth remain limited, particularly in North America. This report aims to fill this gap.We conducted a retrospective review patient chart from 39 consecutive ages 8 20 years (mean age 15.8 years, natal male: n = 22, female: 17) presenting for evaluation at multidisciplinary clinic large U.S. pediatric hospital 2007...
Historically, many gender variant individuals have lived in a chronic state of conflict between self-understanding and physical being, one which there was continual misalignment others' perceptions them their internal self-perception gender. Only recently professionals from mental health medical realms come together to provide services these youth. This paper describes an innovative program: the first multidisciplinary clinic housed pediatric academic center North America serve needs We...
Background: Transgender children and adolescents (ie, those who experience incongruence between assigned sex at birth internal gender identity) are poorly understood an understudied population in the United States. Since 2008, medical care for transgender youth has generally followed guidelines developed by professional consensus, given paucity of empirical research, particularly US setting. Objective: The objective this research was to provide evidence-based data inform clinical youth....
Gender identity is a core component of human experience, critical to account for in broad health, development, psychosocial research, and clinical practice. Yet, the psychometric characterization gender has been impeded due challenges modeling myriad self-descriptors, statistical power limitations related multigroup analyses, equity-related concerns regarding accessibility complex terminology. Therefore, this initiative employed an iterative multi-community-driven process develop Self-Report...
The Stroop Color- Word Test is frequently used in neuropsychological settings. However, there has been no rigorous evaluation of the test-retest reliability commercially available version ofthe Stroop. present study investigated across two different time intervals. In addition, standard error prediction and differences were computed, applications results to use document change cognitive rehabilitation are discussed.
Growing numbers of transgender and gender-nonconforming (TGNC) youth are presenting for medical mental health care, increasingly, pediatric psychologists being called upon to serve as critical members interdisciplinary care teams. In this commentary, we present information on TGNC in three distinct developmental cohorts: prepubescent children, peripubertal youth, pubertal adolescents. First, describe the social, medical, and/or surgical treatments available each cohort youth. Next, address...