Gender identity disorder in adolescents
Wednesday 1 October 2008
Venue: The Royal Society of Medicine, 1 Wimpole Street, London, W1G 0AE
organised by the Royal Society of Medicine in association with The Society for Endocrinology and the British Society for Paediatric Endocrinology and Diabetes
Participating Sections:
Endocrinology & Diabetes Section, Sexuality & Sexual Health Section, Psychiatry Section, General Practice with Primary Healthcare, Paediatrics, Open, Obstetrics & Gynaecology
Gender identity disorder is often used synonymously with gender dysphoria as signalling an individual being uncomfortable with their assigned gender. There is a feeling of belonging to the other sex, a phenomenon that may have arisen during childhood or in adolescence. Such feelings may be transient or presage a state of permanent discomfort with the biological sex that requires medical and psychological intervention. Adolescence can be particularly distressing fore these young people and decision-making about starting physical intervention can be complex.
The aims of this meeting are to address what GID is in an adolescent, from the perspective of its prevalence and natural history, and attempt to determine aetiology in relation to cognitive development and endocrine factors in utero. The recognition from functional imaging studies that even the structure of the brain is still maturing throughout adolescence adds further complexity to the assessment of GID in this age group.
The options for management will be discussed from the psychosocial and endocrine aspects and how these relate to ethical issues in dealing with GID. Knowledge about the longer term outcome in sparse but this must be addressed in terms of putting in place strategies for follow up.
Registration Details:
Associate: £100
Fellow: £135
Student Members: £40
Student: £50
Retired Fellow: £100
RSM Trainee: £100
Trainee: £125
Non-Fellow: £245
Allied Health Professional: £125
Charity worker: £125
CPD: 5 credits
9.15 am |
Registration and coffee |
9.45 am |
Welcome address |
| Dr John Scadding, Dean, Royal Society of Medicine | |
|
Session one: definition, history and epidemiology |
|
| Chair: Dr Liz Crowne, Chairman, British Society of Paediatric Endocrinology and Diabetes | |
9.50 am |
Definition and spectrum of Gender Identity Disorder |
| Professor Ken Zucker, University of Toronto | |
10.15 am |
Questions |
10.25 am |
An historical perspective |
| Dr Dave King, University of Liverpool | |
10.50 am |
Questions |
11.00 am |
Epidemiology and natural history |
| Professor Peggy Cohen-Kettenis, VU University Medical Center, Amsterdam | |
11.25 am |
Questions |
11.35 am |
Coffee |
|
Session two: aetiology |
|
| Chair: Professor John Wass, President, Society for Endocrinology | |
12.00 pm |
Neural and cognitive development during adolescence: evidence from imaging studies |
| Professor Sarah-Jayne Blakemore, Institute of Cognitive Neuroscience, UCL | |
12.25 pm |
Questions |
12.35 pm |
Endocrine influences on the development of gender identity |
| Professor Melissa Hines, Faculty of Social and Political Sciences, Cambridge | |
1.00 pm |
Questions |
1.10 pm |
Lunch |
|
Session three: clinical assessment and management - 1 |
|
| Chair: Dr Rob Senior, Consultant Child and Adolescent Psychiatrist | |
2.10 pm |
Assessment, psychological and social management |
| Dr Domenico Di Ceglie, GID Unit, Tavistock Clinic | |
2.35 pm |
Questions |
2.45 pm |
Options in endocrine treatment: towards a consensus |
| Dr Russell Viner, Institute of Child Health and Professor Henriette Delemarre-van de Waal, Leiden University Medical Centre, Leiden | |
3.25 pm |
Questions |
3.35 pm |
Tea |
|
Session four: management - 2 |
|
| Chair: Professor Ieuan Hughes, Cambridge University | |
3.55 pm |
Ethical issues in GID and gender assignment |
| Dr Vic Larcher, Great Ormond Street Hospital | |
4.20 pm |
Questions |
4.30 pm |
Prognosis and long-term follow up |
| Professor Philip Steer, President Elect, Section of Obstetrics and Gynaecology, RSM | |
4.55 pm |
Questions |
5.20 pm |
Closing remarks |
| Professor Ieuan Hughes, Cambridge University | |
5.30 pm |
Close of meeting |