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Stop your defence fees rocketing
No full textVarious factors help decide what private doctors pay for their indemnity subscription fee. Dr Gabrielle Pendlebury highlights ten of the biggest issues
Nurturing children: From trauma to growth using attachment theory, psychoanalysis and neurobiology
No full textNurturing Children describes children’s lives transformed through therapy. Drawing on decades of experience, internationally respected clinician and trainer Graham Music tackles major issues affecting troubled children, including trauma, neglect, depression and violence. Using psychoanalysis alongside modern developmental thinking from neurobiology, attachment and trauma theory and mindfulness, Music creates his own distinctive blend of approaches to help even the most traumatised of children.
A mix of personal accounts and therapeutic riches, Nurturing Children will appeal to anyone helping children, young people and families to lead fuller lives
‘Taking the lid off the box’: The value of extended clinical assessment for adolescents presenting with gender identity difficulties
No full textAs the number of young people referred to specialist gender identity clinics in the western world increases, there is a need to examine ways of making sense of the range and diversity of their developmental pathways and outcomes. This article presents a joint case review of the authors caseloads over an 18-month period, to identify and describe those young people who presented to the Gender Identity Development Service (GIDS) with gender dysphoria (GD) emerging in adolescence, and who, during the course of assessment, ceased wishing to pursue medical (hormonal) interventions and/or who arrived at a different understanding of their embodied distress. From the 12 cases identified, 2 case vignettes are presented. Implications for the development of clinical practice, service delivery and research are considered
ESPE and PES international survey of centers and clinicians delivering specialist care for children and adolescents with gender dysphoria
No full textBackground/Aims: Increasing numbers of children and adolescents seek medical care because they experience incongruence between their physical sex and their gender identity. Methods: The ESPE working group on gender dysphoria (GD) undertook a survey to investigate the structure and the type of medical care in centers that offer specialist care for transgender adolescents. Results: The personnel of each center varied from country to country, and a nationally organized network or plan for managing GD did not exist in all centers. The majority of young people were transitioning from female to male, and the number of new referrals increased remarkably during the past 3 years. Almost all centers follow the guidelines issued by the Endocrine Society and World Professional Association for Transgender Health. GnRH analogues were used as the initial treatment in the majority of the centers. The age from which adolescents are treated with gender-affirming hormones varied between centers. Several legal restrictions that concern or influence the treatment of children and adolescents with GD were finally addressed. Conclusion: This first international survey examining the variations in availability and provisions of services for children and adolescents with GD serves as a starting block for further dialogue and future studies
Top 10 books about psychotherapy
No full textIts tantalising mix of self-exposure and self-discovery is as intriguing in fiction as it is in fact. A therapist-novelist recommends the best of bot
Instagram parents: Exploitative or not?
No full textThey used to be just for the family album at home, but now, photos taken by proud parents are shared widely and sometimes seen by millions. But is it right and is it safe? Joining us at the Roundtable was Vicki Shotbolt CEO of Parent Zone; Kerri Northcott parent and social media influencer; Jen Persson, Director, Defend Digital Me who campaign to improve children's data privacy and digital rights; Graham Music, child and adolescent psychotherapist. Roundtable is a discussion programme with an edge. Broadcast out of London and presented by David Foster, it's about bringing people to the table, listening to every opinion, and analysing every point of view. From fierce debate to reflective thinking, Roundtable discussions offer a different perspective on the issues that matter to you
