SM_121b: Gender Development Flashcards
Gender identity is ____
Gender identity is person’s perception of having a particular gender
Gender expression is ____
Gender expression is the way in which a person expresses their gender identity, through appearance, dress, and behavior
Gender behaviors is ____
Gender behaviors is typical set of behaviors associated with a gender
Sexual orientation is ____
Sexual orientation is who a person is attracted to
Sexual identity is ____
Sexual identity is how one thinks of themselves in terms of who they are attracted to
Sexual behavior is ____
Sexual behavior is the process by which one expresses sexuality
Homosexuality removed from DSM between ____ and ____
Homosexuality removed from DSM between DSM-2 and DSM-3

In DSM-5, ____ replaced gender identity disorder
In DSM-5, gender dysphoria replaced gender identity disorder

ICD-11 removed ____ from mental and behavioral disorders chapter
ICD-11 removed gender incongruence from mental and behavioral disorders chapter

_____ identity begins around age 4
Gender identity begins around age 4

____ orientation begins around age 12
Sexual orientation begins around age 12

DSM-5 has ____ criteria for gender dysphoria in children and adolescents / adults
DSM-5 has separate criteria for gender dysphoria in children and adolescents / adults

Gender dysphoria that continues into adolescence is ____
Gender dysphoria that continues into adolescence is unlikely to subside and often intensifies with pubertal changes
(15-27% persistence of gender dysphoria into adolescence)
Factors that predict persistence of gender dysphoria into adolescence / adulthood is ____, ____, and ____
Factors that predict persistence of gender dysphoria into adolescence / adulthood is higher intensity of childhood gender dysphoria, social transition status, and a tendency to assert gender cognitively
I am a boy (cognitively) versus I feel like a boy (affectively)
Gender dysphoria is asociated with ____
Gender dysphoria is asociated with psychiatric comorbidities

_____ is the process by which an individual lives as their affirmed gender
Social transition is the process by which an individual lives as their affirmed gender
(may involve legal process of changing one’s name)
Transgender youth who socially transition have ____ rates of depression and ____ levels of anxiety than those who do not
Transgender youth who socially transition have similar rates of depression and slightly higher levels of anxiety than those who do not
Gender dysphoria ____ around the onset of puberty
Gender dysphoria often intensifies around the onset of puberty
Early intervention with ____ may help alleviate psychological distress by pausing development of secondary sex characteristics and buying time for youth to explore gender
Early intervention with GnRH agonists (leuprolide, histrelin) may help alleviate psychological distress by pausing development of secondary sex characteristics and buying time for youth to explore gender
Gender dysphoric individuals who have ____ can be treated with GnRH agonist
Gender dysphoric individuals who have entered puberty at Tanner Stage 2 can be treated with GnRH agonist
Puberty blockers ____ gender dysphoria
Puberty blockers do not decrease gender dysphoria
(decrease rates of lifetime suicidal ideation)
GnRH for social transition is ____
GnRH for social transition is reversible
Treat transmasculine individuals with ____
Treat transmasculine individuals with testosterone
(gender affirming hormones)
Treat transfeminine individuals with ____
Treat transfeminine individuals with estradiol ± androgen blockers
Gender affirming hormones are ____
Gender affirming hormones are partially irreversible
(adolescents can consent at 16 years old)
Gender affirming hormones ____
Gender affirming hormones alleviate gender dysphoria
Gender affirming surgery is ____
Gender affirming surgery is irreversible