Response to Dr. Jack Drescher and the NY Times About Childhood Transition: Part 2, by Arlene Istar Lev

Coy Mathis

GID Reform Advocates respond to the question, “When a child identifies with the other gender, what to do?” Dr. Jack Drescher’s commentary on the Coy Mathis Civil Rights Case in Colorado appeared in the Sunday Dialogues Feature of the June 29, 2013 New York Times. Here is the discussion that the Times did not publish.

A Guest Post by Arlene Istar Lev LCSW-R, CASAC
Albany New York
Social Worker, Family Therapist, Gender Specialist, Activist
Choices Counseling and Consulting

To the Editor:

Thank you for opening this dialogue and recognizing the importance of public discourse on the issue of transgender children and their civil rights.

My colleague, Dr. Drescher, is correct that “no one knows” whether Coy will identify as a girl or boy when she matures; however, the same can be said for Coy’s classmates. He is also correct that theories abound in this newly emerging field and that experts are engaged in heated discussions about how to best support gender dysphoric children and their families. The concept of children transitioning gender in elementary is clearly a recent, and controversial, phenomenon, one which is increasingly being supported by mental health specialists, school policies, and legal decisions.

Dr. Drescher states that most “children like [Coy] grow up to be gay, not transgender.” This is a misleading statement for a number of reasons. First of all, the research he is referring to is a few decades old; gender atypical children who are now gay adults matured into their identities before transgender expression was a viable social option (especially for children!), and in the early days of the gay liberation movement. More options exist in the modern world for exploration of gender identity and expression, as well as the freedom to live an out gay life. This research also examined gender non-conforming children, not necessarily those who were gender dysphoric, a distinction that may appear academic, but is crucial to understanding the experiences and potential trajectories of children’s emerging gender identities.

Gender non-conforming behavior can exist in a wide-range of children, and can cause distress since our culture can (still!) be extremely rigid about gender roles and rules, especially for boys. One can imagine a gender atypical boy, particularly one who might be aware of attractions to other boys, might be struggling psychologically. Gender dysphoria is, however, markedly different from the social and identity challenges of a gender non-conforming child who will grow up to be gay. Transgender children are suffering in an intensely personal way, with a body and a social world that is at odds with their deepest sense of self.

I am not saying it is always easy to determine what is happening within a young child’s psyche, not as a therapist, and not as a parent. I agree with Dr. Drescher that parents must educate themselves on all the treatment approaches, and recognize the current limitations of science. I also believe that parents can see the difference between a profoundly suffering little boy and a happy contented little girl. A child who is not transgender would simply not adjust to a gender transition with a lessening of mental health symptoms, and an increasing satisfying social life. A boy, no matter how atypical his gender might be, has no interest in using the girls’ bathroom. For a child who is a girl, it is an essential part of her identity.

Thank you Colorado for recognizing this obvious truth. Thank you to Dr. Drescher for initiating respectful public and professional dialogue on this controversial subject. Thank you to Coy and her parents, for allowing their personal family struggles to be a guiding light to others.

Arlene Istar Lev

Arlene Istar Lev, LCSW, CASAC

Arlene Lev is a social worker, family therapist, educator, and writer whose work addresses the unique therapeutic needs of lesbian, gay, bisexual, and transgender people. She is the Founder and Clinical Director of Choices Counseling and Consulting in Albany, New York, providing family therapy for LGBTQ people and is on a Lecturer at the University at Albany, School of Social Welfare, and an adjunct at Empire College. She is also the Founder and Clinical Director of TIGRIS, The Institute for Gender, Relationships, Identity, and Sexuality, a post-graduate training program serving people seeking greater relational and sexual intimacy, people who identify as sexual minorities, and those interested in exploring sexuality, gender, and identity issues. Arlene is the author of The Complete Lesbian and Gay Parenting Guide andTransgender Emergence: Therapeutic Guidelines for Working with Gender-Variant People and their Families, winner of the American Psychological Association Distinguished Book Award, 2006. She serves on the editorial Boards of theJournal of GLBT Family StudiesThe Journal of Lesbian Studies, and the Journal of Transgenderism. Arlene is the organizer of Professionals Concerned with Gender Diagnoses in the DSM.

About Kelley
Dr. Kelley Winters is a writer and consultant on issues of gender diversity in medical and public policy. She is the author of Gender Madness in American Psychiatry: Essays from the Struggle for Dignity (2008) and a past member of the International Advisory Panel for the World Professional Association for Transgender Health (WPATH) Standards of Care, the Global Action for Trans* Equality (GATE) Expert Working Group, and the Advisory Boards for TransYouth Family Allies (TYFA). She was recognized in the 2013 Trans 100 Inaugural List for work supporting the transgender community in the US. Kelley has presented papers and presentations on gender policy issues at annual conventions of the American Psychiatric Association, the American Psychological Association, the American Counseling Association and the Association of Women in Psychology. Kelley wanders the highways of America in an old Mazda, ever in search of comfort food.

3 Responses to Response to Dr. Jack Drescher and the NY Times About Childhood Transition: Part 2, by Arlene Istar Lev

  1. Hi Kelley,

    My paper published in 2010 might help support this. I am doing a sociology PhD in London focussing on trans children and young people and the results from my qualitative research suggest that the overwhelming majority of trans children are “non-apparent” meaning they are not known as trans to any adult. If this is the case then all the figures suggesting most become “desisters” is entirely unwarranted.


  2. gidreform says:

    Thanks, Natacha. I’ve been reading and admiring your work on young children and age of awareness. Your paper is an important counterbalance to myth that nonbirth-assigned gender identies represent “confusion” (as termed by Zucker’s GIID test). Please keep in touch and let me know if you would like to post a post on this forum.

  3. Suzan says:

    Drescher is referring to the Richard Green Sissy Boys study. It may well be that “sissy boys’ grow up to be femme gay men. Sissy boy doesn’t equal transkid. Many transkids are more feminine than sissy in ways that aren’t as obvious as flamboyant “SISSY”.. Traits such as bookish, quiet, gentle etc. At the same time femme gay boy children are often more theatrical.

    I knew such kids in school and they did grow up to be gay men, femme but not drag queens or TS/TG.

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