The complexity of childhood gender dysphoria

Australas Psychiatry. 2020 Oct;28(5):530-532. doi: 10.1177/1039856220917076. Epub 2020 May 29.


Objective: To explore a developmental understanding of childhood gender dysphoria and to compare it to the prevailing paradigm, gender-affirming care.

Conclusion: Viewing gender dysphoria through a contemporary developmental frame generates a different understanding of the nature of the phenomenon and its treatment and raises ethical questions about our current gender-affirming approach.

Keywords: children; ethics; gender dysphoria; transgender.

MeSH terms

  • Child
  • Gender Dysphoria / psychology
  • Gender Dysphoria / therapy*
  • Humans
  • Outcome Assessment, Health Care / ethics*
  • Psychiatry / ethics*
  • Psychological Theory
  • Sex Reassignment Procedures / ethics*