Disforia de género en niños y controversias en su tratamiento: dos concepciones distintas sobre la identidad de género

Gender Dysphoria in Children and Controversies about its Treatment: Two Different Conceptions of Gender IdentityDisforia de gênero em crianças e controvérsias em seu tratamento: duas concepções diferentes sobre a identidade de gêneroGender dysphoria is a marked mismatch between the sex felt or expressed by an individual and that assigned to them at birth. It is associated with clinically significant discomfort or social impairment and can occur in children, adolescents, and adults. The literature mainly describes three approaches for preadolescents: therapeutic model, watchful waiting, and gender affirmative model. However, there is currently no consensus on its treatment nor any evidence that favors one approach over another. This paper provides a brief review of the existing literature on gender dysphoria, explains various approaches for children, and discusses the anthropological views behind them. We argue that at least two ways of understanding gender identity have given rise to disagreements over the proposed treatments. It is quite important to comprehend the anthropological assumptions on which these models are based since they underlie different conceptions of the person’s sex-gender relationship and, therefore, the role of corporality and self-awareness in gender identity.Para citar este artículo / To reference this article / Para citar este artigoCox P, Carrasco MA. Disforia de género en niños y controversias en su tratamiento: dos concepciones distintas sobre la identidad de género. Pers bioet. 2020;24(1):57-76. DOI: https://doi.org/10.5294/pebi.2020.24.1.5Recibido: 30/10/2019Aceptado: 03/01/2020Publicado: 07/05/2020