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Article ; Online: Detransition and Desistance Among Previously Trans-Identified Young Adults.

Littman, Lisa / O'Malley, Stella / Kerschner, Helena / Bailey, J Michael

Archives of sexual behavior

2023  Volume 53, Issue 1, Page(s) 57–76

Abstract: Persons who have renounced a prior transgender identification, often after some degree of social and medical transition, are increasingly visible. We recruited 78 US individuals ages 18-33 years who previously identified as transgender and had stopped ... ...

Abstract Persons who have renounced a prior transgender identification, often after some degree of social and medical transition, are increasingly visible. We recruited 78 US individuals ages 18-33 years who previously identified as transgender and had stopped identifying as transgender at least six months prior. On average, participants first identified as transgender at 17.1 years of age and had done so for 5.4 years at the time of their participation. Most (83%) participants had taken several steps toward social transition and 68% had taken at least one medical step. By retrospective reports, fewer than 17% of participants met DSM-5 diagnostic criteria for Gender Dysphoria in Childhood. In contrast, 53% of participants believed that "rapid-onset gender dysphoria" applied to them. Participants reported a high rate of psychiatric diagnoses, with many of these prior to trans-identification. Most participants (N = 71, 91%) were natal females. Females (43%) were more likely than males (0%) to be exclusively homosexual. Participants reported that their psychological health had improved dramatically since detransition/desistance, with marked decreases in self-harm and gender dysphoria and marked increases in flourishing. The most common reason given for initial trans-identification was confusing mental health issues or reactions to trauma for gender dysphoria. Reasons for detransition were more likely to reflect internal changes (e.g., the participants' own thought processes) than external pressures (e.g., pressure from family). Results suggest that, for some transgender individuals, detransition is both possible and beneficial.
MeSH term(s) Male ; Female ; Humans ; Young Adult ; Retrospective Studies ; Transsexualism/psychology ; Transgender Persons/psychology ; Mental Health ; Sexual and Gender Minorities ; Gender Dysphoria/diagnosis ; Gender Dysphoria/psychology ; Gender Identity
Language English
Publishing date 2023-12-01
Publishing country United States
Document type Journal Article
ZDB-ID 184221-3
ISSN 1573-2800 ; 0004-0002
ISSN (online) 1573-2800
ISSN 0004-0002
DOI 10.1007/s10508-023-02716-1
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