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    HomeSubject areasPsychotherapy Gender Dysphoria: A Therapeutic Model for Working with Children, Adolescents and Young Adults
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    Gender Dysphoria: A Therapeutic Model for Working with Children, Adolescents and Young Adults

    Authors: Susan Evans and Marcus Evans

    £18.89 – £29.99

    A thoughtful exploration of gender dysphoria, aimed primarily at clinicians to provide a model for understanding, assessing, and treating trans identifying individuals which may also be of interest to other professionals, parents and the gender dysphoric person.

    Contains a foreword from Stephen B. Levine and a preface from David Bell.

    Due to be published in April 2021.

    Authors

    Susan Evans and Marcus Evans

    ISBN

    9781912691784

    Format

    Paperback, e-Book, Print & e-Book

    Page Extent

    272

    Publication Date

    April 2021

    Subject Areas

    Child & Adolescent, Psychoanalysis, Psychoanalytic Theory, Psychotherapy

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    • Description
    • About the authors
    • Contents
    Description

    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.

    About the authors

    About the authors

    Susan Evans is a psychoanalytic psychotherapist trained at the former Lincoln Centre for Psychotherapy. Retired after nearly 40 years in the NHS, she now has a private practice in South East London. She is a member of the British Psychotherapy Foundation, the London Psychoanalytic Psychotherapy Service, and is registered with the British Psychoanalytic Council (BCP). She trained as a State Registered Nurse in 1977, then trained as an RMN and worked within many mental health specialist services including addictions, eating disorders, and in a specialist mother and baby service, which won the Sir Graham Day Award for NHS service development (1999).

    As a psychotherapist she worked for 12 years at the Tavistock and Portman NHSFT in the Adult Department and also in the Gender Identity Development Service for Children. She was responsible as Course Organiser for the development and delivery as senior clinical lecturer of several training programmes at the Tavistock and a Senior Fellow at University of East London.

    Marcus Evans is a psychoanalyst and was an adult psychotherapist at the Tavistock & Portman NHS Foundation Trust with 40 years’ experience in mental health, originally training as a psychiatric nurse. After qualifying as a psychotherapist at the Tavistock & Portman NHS Trust, he took up a post as head of the nursing discipline. Marcus was Associate Clinical Director of the Adult & Adolescent departments between 2011 and 2015. Marcus has designed, developed, and taught outreach courses for front line staff in various settings for the last 25 years. He was also one of the founding members of the Fitzjohn’s Service for the treatment of patients with severe and enduring mental health conditions and/or personality disorder in the adult department. He has written and taught extensively and is author of Making Room for Madness in Mental Health: The Psychoanalytic Understanding of Psychotic Communications, published by Karnac in the Tavistock Clinic series.

    Contents

    Contents

     

    Acknowledgements
    Preface by David Bell
    Foreword by Stephen B. Levine

    CHAPTER ONE
    Why have we written this book?

    CHAPTER TWO
    Developmental theory

    CHAPTER THREE
    Psychoanalytic ideas regarding gender dysphoria

    CHAPTER FOUR
    Working with fixed states of mind

    CHAPTER FIVE
    The family

    CHAPTER SIX
    Adolescence

    CHAPTER SEVEN
    Complexities of delivering therapy

    CHAPTER EIGHT
    Detransitioners

    CHAPTER NINE
    The link between suicidal ideation and gender
    dysphoria

    CHAPTER TEN
    The link between emotionally unstable personality disorder and gender dysphoria in mental health settings

    CHAPTER ELEVEN
    Co-morbid mental health issues and gender dysphoria

    CHAPTER TWELVE
    The societal, cultural and political environment

    References
    Index

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