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TRANS: Exploring Gender Identity and Gender Dysphoria Paperback – 6 Feb. 2018

4.2 4.2 out of 5 stars 43 ratings

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What is gender dysphoria? How does it affect people? What do terms like intersex, cisgender and transsexualism mean?

This book, the first of its kind, presents an easy-to-read, jargon-free guide to help anyone understand the terminology, the concept and the day-to-day reality of gender dysphoria and related concepts.

TRANS is a book for everyone - insightful enough for professionals, but accessible enough for all. Put simply, TRANS explains what gender dysphoria is, how it affects people, and what is available, medically and psychotherapeutically to support people with gender dysphoria.

The editor, Dr Az Hakeem, has assembled a group of contributors to give readers a truly accessible guide to the psychology and the everyday reality of gender dysphoria, transvestism, gender reassignment and being trans. The book even addresses 'the difficult questions' like 'What do we tell the children?' and 'What happens when you change your sex, then change your mind?

Product description

Book Description

An easy-to-read, jargon-free guide to help anyone understand the day-to-day reality of gender dysphoria and related concepts.

About the Author


Dr Az Hakeem (MBBS, FRCPsych, Msc M.InstGA) is a top gender expert. He is a Consultant Psychiatrist and Visiting Professor in Psychiatry & Applied Psychotherapy. He ran a specialist Gender Dysphoria service in the NHS for 12 years. He now practises in the private sector at The Priory Hospital Roehampton and at Harley Street. He is a Visiting Professor at Bradford University and a Senior Clinical Lecturer at The University of New South Wales, Australia. Az has a wealth of media experience. He was an on-screen resident psychiatrist alongside Davina McCall on Channel 4's Big Brother, and a psychotherapist and co-presenter on E4's Wife Swap: The Aftermath. He has also appeared as Resident Psychiatrist on Weekend Sunrise in Australia and GMTV in the UK.

Contributions by:

Fintan B Harte (MA, MB, BCh, Dobs, DCH, FRCPsych, FRANZCP) is a Consultant Psychiatrist with over twenty years’ experience as a gender specialist working in transgender health.

Andrew Ives (MB, ChB, FRACS) is a qualified Plastic and Reconstructive Surgeon based in Melbourne.

Rosemary Anne Jones (MB, ChB, FRCOG, FRANZCOG) trained in Obstetrics and Gynaecology in Natal, and thereafter in Groote Schuur Hospital in Cape Town.

Elizabeth Riley (PhD, MA(Couns), BSc) is a Sydney-based counsellor, academic and clinical supervisor specialising in gender identity.

Melissa Vick (BA, BMus, DipEd, MEd, PhD) spent most of her life as a teacher, researcher and scholar as James Cook University, Australia. She transitioned relatively late at 62 and remained in her academic position until her retirement in late 2012.

Kevan Wylie (MD FRCP, FRCPsych, FRCOG, FECSM) is a Consultant in Sexual Medicine, Porterbrook Clinic, Sheffield; Honorary Professor of Sexual Medicine, University of Sheffield; and President at the World Association for Sexual Health.

Luka Griffin is a young transgender man, living in Queensland, Australia. In November 2016, Luka was the first transgender teen in North Queensland to succeed in securing testosterone treated through the Family Court process, setting a vital precedent for future transgender youth.

Product details

  • Publisher ‏ : ‎ Trigger; 1st edition (6 Feb. 2018)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 216 pages
  • ISBN-10 ‏ : ‎ 1911246496
  • ISBN-13 ‏ : ‎ 978-1911246497
  • Dimensions ‏ : ‎ 15.49 x 1.27 x 23.29 cm
  • Customer reviews:
    4.2 4.2 out of 5 stars 43 ratings

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Top reviews from United Kingdom

  • Reviewed in the United Kingdom on 12 May 2018
    If you would like to be better informed about trans issues, but are not quite sure where to turn, this is the perfect book. The author walks you through the clinical issues and the personal impact these have upon people, drawing upon many years of expertise. By the end of it you can feel confident about having a better grasp of the complexities involved. This means that if you are required to express an opinion, as a parent, teacher, or indeed any 21st C adult, you can do so from a position of knowledge and understanding. Dr Hakeem has provided a much needed accessible, expert, description of a field that feels balanced, reliable, and non agendered. Highly recommended.
    24 people found this helpful
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  • Reviewed in the United Kingdom on 14 March 2018
    Amazing book and important exploration on a hot topic that needs deciphering particularly in this day and age. It goes beyond what you might expect and turns up the heat on our actual definition of gender. What does it actually mean and the effects of the way we think are key themes of this incredibly interesting and thought provoking book. Beautifully written and masterfully explored it is a brilliant read and i thoroughly recommend opening your horizons with the wisdoms contained within. Great guide especially on the journey of any transformation, I was thoroughly captivated all the way through and really enjoyed all places it was taking me . A total must read in my books ( no pun intended!)
    25 people found this helpful
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  • Reviewed in the United Kingdom on 30 December 2023
    Thus is a very interesting and balanced account of a complicated topic which is very much in the news at the moment. Recommended for anyone with Gender Dysphoria, their families, friends, work colleagues and anyone with an interest in the subject.
  • Reviewed in the United Kingdom on 2 February 2019
    I am very disappointed with this book. It contains a lot of useful information but it is not a balanced exploration of the subject. Dr Hakeem has bought into the ideology of 'gender mainstreaming', a product of a branch of radical feminism which states, with no empirical foundation, that gender is a social construct. He uses their pretentious and imprecise language when he writes such statements as 'Gender is a psycho-social virtual entity without location in a person's body' The decoupling of gender roles (partially learned but even then not entirely as an increasing body of evidence shows) from the traditional genders of female ,male and intersex has led to a proliferation of 'gender' into 51 fictional subtypes which are a playground for narcissists and student extremists. Dr Hakeem seems somewhat surprised when The Royal Colleges Conference is cancelled because of these ideologues but does at least realise that genuinely trans people are not happy by their predicament being hijacked by opportunists for personal or political advantage . As a practitioner he takes no account of the current state of society and the use of social media such as Instagram to spread false perceptions and suffering amongst teenagers. We live in a time when obsession with identity has replaced the search for meaning but Dr Hakeem does not look into this and the consequent psychological impacts.
    Perhaps, most telling, is the inherent contradiction in looking at the genuine predicament of those suffering real gender dysphoria through the distorted lens of gender as a social construct. You can't have it both ways. Either Trans people are the products of psychosocial virtual reality or they have real psychological and physical problems which need addressing with compassion, understanding and appropriate treatment.
    I can well understand why many trans people are feeling additional threats generated by the totalitarian ideologues who pretend to represent them but expose them to additional vilification.
    By unwittingly accepting the postmodernist philosophy of such as Judith Butler( which has fuelled the mind set of the social justice warriors) Dr Hakeem, in spite of good intention, has failed in objectivity, and added to the confusion surrounding this controversial area .However,, to be fair to him, he demonstrates a caring approach focussed on individuals and their needs which appears to override his partiality when it comes to gender theory.
    42 people found this helpful
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  • Reviewed in the United Kingdom on 26 July 2019
    Whether you already have an interest or simply just want to learn about the subject matter, this book is an absolute must. For a clinician or non clinician the author satisfies in every way with this book. Excellent contributory chapters, together with the authors extensive knowledge and experience make it very real and easy to understand. I can’t recommended it highly enough.
    16 people found this helpful
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  • Reviewed in the United Kingdom on 24 October 2020
    A detailed yet accessible summary of Trans topics. Have recommended to several friends.
    16 people found this helpful
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  • Reviewed in the United Kingdom on 4 May 2019
    A brave book daring to cut through the many different views and politics of transgender issues. Also not scared to use psychodynamic ideas despite the evident unpopularity in the field.
    5 people found this helpful
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  • Reviewed in the United Kingdom on 21 September 2018
    This is a well balanced book by an expert clinician.
    13 people found this helpful
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Top reviews from other countries

  • leendawoman
    5.0 out of 5 stars well balanced presentation
    Reviewed in the United States on 3 February 2024
    I know very little about trans stuff. I read this book as an introduction to get a better idea about what all the ruckus is about. I have my own preconceived notions of course but wanted to learn more from professionals, intellectuals,& trans people themselves. This book fit the bill presenting opinions of medical professionals & psychiatrists with experience treating trans people, views of trans activists, & experiences of trans people. Dr. Hakeem deliberately & meticulously details the heterogeneity amongst trans people. I would like to have heard more from an about trans men. He also only mentioned in passing feminist concerns about trans activism and how it potentially affects natal women & girls. Overall a good read.
  • Emma_99
    5.0 out of 5 stars Gender Dysphoria demystified
    Reviewed in the United States on 1 February 2020
    This book is likely to equally delight and upset both the "born in the wrong body" and the "born in the right body" crowds. This, almost by definition, suggests that the book is quite balanced and non-judgmental, which is exactly what you should expect from a thoughtful therapist.

    A number of chapters have been written by those specializing in surgical and hormonal sex reassignment/"gender confirmation," including chapters by specialists who describe surgical techniques that allow gender dysphoria sufferers to change their body to more closely align with how they would like to be perceived. There are also chapters by people who have undergone these treatments themselves.

    Dr. Hakeem's own expertise is that of a psychiatrist who deeply understands the etiology of gender dysphoria, and how non-invasive ethical treatment approaches can help lessen or eliminate the feeling of "sex incongruence." Dr. Hakeem presents a model of how gender dysphoria develops, which has tremendous face validity, and also provides a potential roadmap for how to put the gender dysphoria genie back in the bottle using ethical psychotherapy. Which is important, because hormones and surgeries rarely fully alleviate gender dysphoria, which often subsides for a period of time following medical procedures, but for a number of people, tends to come back. While the book only deals with adults and does not address the recent exponential rise in gender dysphoric adolescents (mostly females on the austisic/ADHD spectrum) that the Western world has witness in the last decade, the model appears to apply to this new cohort as well.

    We should all welcome the availability of psychotherapeutic approaches that allay gender dysphoria, which for many is a disabling condition.