We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
性同一性障害児童への学校・地域相談機関での対応と支援.
- Authors
中山 浩; 伊藤 真人
- Abstract
The more adults and children with gender identity disorder (GID) are given social recognition, the more children we are coming to see with the difficulty visiting us for consultation. We report on seven cases from our clinical and consulting experiences in City X, alongside discussion based on review of some published findings. During primary school, the usual course is to simply observe, as wishes for improvement of life situations owing to the child’s psychological sex are rare. However, this also denotes difficulty in arriving at any decisions regarding how to treat or care for them. After reaching junior high school age, meeting their demands of life reflecting their psychological sex becomes the primary issue. Deciding support and following through requires the coordination of various professionals and authorities, for example: 1) teaching and student support staff in the schools, 2) aministrative authorities including mental health and welfare services and child welfare centers, 3) hospitals and clinics specializing in GID, and 4) municipal and prefectural boards of education and other relative administrative bureaus. The child psychiatrists have the important role of providing basic information on GID and expert opinion regarding how such children should be dealt with in real life including the school setting, going beyond the role of diagnosing GID. The number of child psychiatrists and specialized facilities capable of coordinating the disparate sectors are few, and the expectations placed upon child psychiatrists in dealing with the issues surrounding the GID child, parents and teachers are high. Regarding the timing of initiating care for such children, entry into junior high school is a critical time, as gender issues-such as uniforms-take on significance. It is believed the subjects, becoming intensely aware of the physical changes brought on by secondary sex characteristics, are prompted to give serious thought to their future self-image, often come to voice wishes asking for consideration of their psychological sex in their daily lives around this time, uncomfortable with their present life in school.
- Publication
Japanese Journal of Child & Adolescent Psychiatry, 2015, Vol 56, Issue 4, p674
- ISSN
0289-0968
- Publication type
Article