Variations in sex development : medicine, culture and psychological practice / Lih-Mei Liao.

Format:

Book

Author/Creator:

Liao, Lih-Mei, author.

Language:

English

Subjects (All):

Intersexuality.

Intersex people--Medical care.

Intersex people.

Intersex people--Mental health services.

Intersex people--Identity.

Physical Description:

1 online resource (xv, 305 pages) : digital, PDF file(s).

Edition:

First edition.

Place of Publication:

Cambridge, United Kingdom ; New York, NY : Cambridge University Press, 2023.

Summary:

Biological variations in sex development, also known as intersex, are greatly misunderstood by the wider public. This unique book discusses psychological practice in healthcare for people and families impacted by a range of 'intersex' variations. It highlights the dilemmas facing individuals and their loved ones in the social context and discusses the physical and psychological complexities of irrevocable medical interventions to approximate social norms for bodily appearance and function. It exposes the contradictions in medical management and suggests valuable theoretical and practice tools for psychosocial care providers to navigate them. Uniquely featuring theory and research informed practice vignettes, the book explores interpersonal work on the most salient psychosocial themes, ranging from grief work with impacted caretakers to sex therapy with impacted adults. An indispensable resource for working ethically, pragmatically and creatively for a variety of healthcare specialists and those affected by variations in sex development and their families and communities.

Contents:

Cover

Half-title

Reviews

Title page

Copyright information

Dedication

Contents

Preface

Irreconcilable Differences in Language

Why This Book?

How is the Book Structured?

Whom to Thank?

List of Abbreviations

Section 1 Ordinary Lives

Chapter 1 Circles and Squares

Section 2 Medicalization and Resistance Introductory Notes

Chapter 2 Evolving Terms and Definitions

2.1 Dimorphic Sex Development

2.2 ''Hermaphroditism''

2.3 ''Intersex''

2.4 '''Disorders of Sex Development''

2.4.1 46,xx dsd

2.4.1.1 Mayer-Rokitansky-Küster-Hauser Syndrome (MRKHS)

2.4.1.2 Congenital Adrenal Hyperplasia (CAH)

2.4.2 46,xy dsd

2.4.2.1 Androgen Insensitivity Syndrome (AIS)

2.4.2.2 5α-Reductase 2 Deficiency (5αR2D)

2.4.2.3 17β-Hydroxysteroid Dehydrogenase-3 Deficiency (17βHSD3D)

2.4.2.4 XY Complete Gonadal Dysgenesis (Swyer Syndrome)

2.4.3 Ovotesticular DSD

2.4.4 Sex Chromosome DSD

2.4.4.1 Turner Syndrome (TS)

2.4.4.2 Klinefelter Syndrome (KS)

2.4.5 Other Genital Variations

2.4.5.1 Hypospadias

2.4.5.2 Cloacal Anomalies

2.4.5.3 Bladder Exstrophy-Epispadias Complex (BEEC)

2.5 Dispute over Naming

2.6 Disputes over Inclusion and Prevalence

2.7 Implications for Psychological Practice

Chapter 3 Medical and Psychological Controversies

3.1 Concealment

3.2 The Gaze

3.3 An ''Optimal-Gender Policy''

3.4 Size Matters

3.5 Absence of Psychological Care

3.6 Implication for Psychological Practice

Chapter 4 Adult Outcome of Childhood Genital Surgery

4.1 ''Feminizing'' Surgery

4.2 ''Masculinizing'' Surgery

4.3 Theoretical Critique

4.4 Implications for Psychological Practice

Chapter 5 Advocacy, Public Engagement and Healthcare Reform

5.1 Patients' Rights

5.2 Syndrome-Specific Peer Support

5.3 Intersex Activism

5.4 Mass Media.

5.5 Human Rights

5.6 Healthcare Reform

5.7 Implication for Psychological Practice

Chapter 6 The New Care Standard

6.1 Patient-Centered Care

6.2 Multidisciplinary Team

6.2.1 Under Application of Psychological Expertise

6.3 Medical Framing

6.3.1 Continuation of Childhood Genital Surgery

6.4 Minoritization-Informed Care

6.5 Implication for Psychological Practice

Section 3 Psychological Theories and ApplicationsIntroductory Notes

Chapter 7 Psychological Practice: Epistemic Considerations

7.1 Recognizing Epistemic Assumptions

7.2 Psychosomatic Theories

7.3 The Biopsychosocial Model

7.4 A Systemic Focus

7.5 Understanding Ideological Power

7.5.1 Power Threat Meaning in Sex Development

7.5.2 Anti-oppressive Psychological Practice

7.6 Summary

Chapter 8 Psychological Practice: Process Considerations

8.1 A Wide Brief

8.2 Relationship to Help

8.3 Practitioner Qualities

8.3.1 Therapist Self-Disclosure

8.4 Assessment

8.5 Formulation

8.6 Psychological Interventions

8.6.1 Dialogical Approaches

8.6.2 Dialectical Approaches

8.6.3 Mind-Body Approaches

8.6.4 Signposting, Liaising, Triaging

8.7 Evaluation

8.8 Summary

Section 4 Working Psychologically Introductory Notes

Chapter 9 Choosing ''Normalizing'' Genital Surgery

9.1 Doing Gender

9.2 Disadvantage and Influence

9.3 Psychological Barriers to Informed Consent

9.4 Practice Vignette

9.4.1 Assessment

9.4.2 Formulation

9.4.3 Dialectical Consultation

9.5 Reflexivity

Chapter 10 Caretakers' Grief and Growth

10.1 Research with Caretakers

10.2 Understanding Grief

10.2.1 Processing Loss

10.2.2 Adaptation

10.3 Service Principles for Grief and Growth

10.3.1 Safeness/Containment

10.3.2 Emotionally Competent Communication

10.3.3 Facilitating Connections with Peers.

10.4 Practice Vignette

10.4.1 Assessment

10.4.2 Formulation

10.4.3 Dialogical Consultation

10.5 Reflexivity

Chapter 11 Assigning Legal Gender

11.1 Brain Gender

11.1.1 Research in Intersex

11.1.2 Needs for Theoretical Development

11.2 Gender Uncertainties in Context

11.2.1 Working with Limitations

11.3 Practice Vignette

11.3.1 Joining with the Family from the Beginning

11.3.2 Working with the System

11.3.3 Continuity of Care

11.4 Reflexivity

Chapter 12 Disclosure

12.1 Research with Caretakers

12.2 Research with Adults

12.3 Contested Knowing and Talking

12.4 Practice Vignette

12.4.1 Assessment

12.4.2 Formulation

12.4.3 Dialectical Consultation

12.5 Reflexivity

Chapter 13 Sexual Intimacy

13.1 Sexual Difficulties

13.2 Ideological Constructions of ''Sex''

13.2.1 Coital Imperative

13.2.2 Orgasmic Imperative

13.2.3 Medicalization

13.3 Absence of Pleasure Talk

13.3.1 Objectification, Aversion, Shame

13.3.2 Physical Health Considerations

13.4 Sex Therapy

13.4.1 Inclusivity

13.4.2 Sensate Focus

13.4.3 Communication

13.4.4 Mind-Body Awareness

13.4.5 Cognitive and Behavioral Techniques

13.5 Practice Vignette

13.5.1 Assessment

13.5.2 Formulation

13.5.3 Sex Therapy

13.6 Reflexivity

Chapter 14 Childfreedom

14.1 Fertility and Variations in Sex Development

14.2 Psychosocial Research in Infertility

14.2.1 Assisted Reproductive Technology

14.2.2 Adoption

14.2.3 Gender Differences

14.2.4 Psychological Support

14.3 Childfree Lives

14.4 Practice Vignette

14.5 Reflexivity

References

Index.

Notes:

Title from publisher's bibliographic system (viewed on 18 Nov 2022).

Includes bibliographical references and index.

ISBN:

9781009006507

1009006509

9781009000345

1009000349