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Gender Dysphoria: A Therapeutic Model for Working with Children, Adolescents and Young Adults Paperback – 28 Dec. 2023
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- Print length272 pages
- LanguageEnglish
- PublisherPhoenix Publishing House
- Publication date28 Dec. 2023
- Dimensions22.91 x 15.19 x 2.44 cm
- ISBN-101912691787
- ISBN-13978-1912691784
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Review
Gender Dysphoria is a thoughtful and timely contribution to the current controversy around gender dysphoria, how it is thought about and how it is treated when help is sought. [...] The book would clearly be of interest to anyone working with this client group, but I also found it a valuable resource in terms of thinking about the adolescent state of mind. [...] Gender Dysphoria is an important book and a valuable contribution to the current debate. The book would grace the shelf of any trainee or practising therapist.
Gender dysphoria is increasingly being seen as a part of the spectrum of human diversity. This has resulted in a profoundly reductionistic and decontextualised clinical approach to gender distress. The authors draw on their extensive clinical experience to illustrate how gender dysphoria cannot be understood without understanding the developmental and relational contexts within which it arises. Their detailed case examples document the unique psychic landscapes of people suffering gender dysphoria, illuminating how the ubiquitous "born in the wrong body" conceptualisation can leave vast areas of historical and current lived experience unaddressed. The authors utilise a psychoanalytic lens to understand the experience of both patient and therapist in therapeutic work with gender dysphoria, in a way that is both accessible and insightful. This will be an invaluable reference for those seeking to go beyond the surface to work at depth with gender dysphoria. This work is remarkable for its bravery in presenting a perspective on gender dysphoria that is increasingly being excluded from social and clinical discourse.
This clear, excellent, clinically based account is very timely. It will help those who want to find their way through the confusing and often contentious writings on the subject of gender identity. It is well founded on experience of helping and working with people who do not feel at home in their bodies, particularly in regard to their sexual identity. They bring to the subject an unusual amount of clinical experience of this specialised psychological area. I strongly recommend it to those in the psychological, medical, and social fields, as well as to anyone who wants an informed account of a confused and confusing subject.
I highly recommend this sensitive and timely book to laypersons and professionals who are interested in learning about the complex, controversial, and contemporary subject of gender dysphoria. The authors, Susan and Marcus Evans, are open, compassionate, non-judgemental, and able to tolerate uncertainty in their understanding of those who experience gender dysphoria, are transitioning, or detransitioning. Their psychoanalytically oriented therapeutic model takes into account the individual's development, family, culture, and political environment. I think the reader will especially appreciate the additional attention paid to the response of adolescents, emotionally unstable personality disordered people, and suicidal individuals to gender dysphoria.
In this timely, necessary book, Susan and Marcus Evans provide key insights into what adequate psychotherapeutic explorations of gender dysphoria should look like [...] This book is a must-read not only for those working with gender dysphoria but also those who wish to expand their thinking on this cutting-edge work when dealing with the unbearableness of catastrophic anxiety.
This book is as thoughtful as it is necessary. Every responsible clinician and therapist who treats children and adolescents must read it - and read it carefully.
About the Author
Product details
- Publisher : Phoenix Publishing House (28 Dec. 2023)
- Language : English
- Paperback : 272 pages
- ISBN-10 : 1912691787
- ISBN-13 : 978-1912691784
- Dimensions : 22.91 x 15.19 x 2.44 cm
- Best Sellers Rank: 161,114 in Books (See Top 100 in Books)
- 180 in Psychology & Sexual Behaviour
- 240 in Theory of Psychoanalysis
- 301 in Child Development
- Customer reviews:
About the authors

Marcus Evans is a psychoanalyst and was a consultant psychotherapist and mental health nurse with 40 years’ experience in mental health. He was head of the nursing discipline at the Tavistock & Portman NHS Trust between a 1998-2018. He was also the lead clinician in the adult and adolescent service and one of the founding members of the Fitzjohn’s Service for the treatment of patients with severe and enduring mental health conditions and/or personality disorder.
He has written and taught extensively on the application of psychoanalytic thinking in mental health settings. The first ‘Making Room for Madness in Mental Health: the psychoanalytic understanding of psychotic communications’ was published by Karnac in 2016.
His second book Psychoanalytic Thinking in mental health settings introduces front line mental health professionals to psychoanalytic thinking and was published by Routledge in 2020.
His third Book which he has written with his wife Susan Gender dysphoria: a Therapeutic model for working with Children adolescents and young adults is due to be published this month.

Discover more of the author’s books, see similar authors, read book recommendations and more.
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Highly recommended
However, I’m pleased I did. I found this book was written containing informative case examples including step by step breakdowns and case discussions from a psychoanalytical perspective. Along with discussions on the wider topics surrounding gender dysphoria including societal and cultural trends, child development and co-morbidities.
I would recommend this book to therapists (and those interested) that need a balanced and sensible resource to help navigate the topic of gender dysphoria.
Top reviews from other countries
5.0 out of 5 stars Therapists need to read this book
5.0 out of 5 stars A critically important book - on par with trans-forward Finland
5.0 out of 5 stars What you need to know and don't know - The other side of "lived experience"
5.0 out of 5 stars Excellent and important book
Given the physical dangers of the lifetime hormones and surgeries, and lack of moderate or high quality studies of accompanying mental health outcomes, it is very good to understand how at least some people find explorative psychotherapy alone helps them resolve their gender distress.
This book is desperately needed to help people with this painful condition. I hope many therapists read it and add this knowledge to their tools.
