Challenges and Joys in Adolescence

Part of the Critical and Applied Approaches in Sexuality, Gender and Identity book series (CAASGI)


This chapter continues the critical developmental approach outlined in Chap.  2, in this chapter focusing specifically on the challenges and joys faced by transgender adolescents. The chapter explores gender intensification theory as one way of understanding the challenges that transgender adolescents may face, but also draws attention to four areas where clinicians may encourage an attendant focus on positive growth through adolescence. The chapter presents two case studies focused on transgender adolescents, exploring topics such as disclosure, dysphoria, fertility preservation, and sexuality.


  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  2. Bellwether, M. (2010). Fucking trans women. Retrieved June 8, 2018, from
  3. Benestad, E. E. P. (2010). From gender dysphoria to gender euphoria: An assisted journey. Sexologies, 19(4), 225–231.CrossRefGoogle Scholar
  4. De Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134(4), 696–704.CrossRefGoogle Scholar
  5. Edelman, E. A., & Zimman, L. (2014). Boycunts and bonus holes: Trans men’s bodies, neoliberalism, and the sexual productivity of genitals. Journal of Homosexuality, 61(5), 673–690.CrossRefGoogle Scholar
  6. Faust, M. S. (1983). Alternative constructions of adolescent growth. In J. Brooks-Gunn & A. C. Petersen (Eds.), Girls at puberty: Biological and psychosocial perspectives (pp. 105–125). Boston: Springer.CrossRefGoogle Scholar
  7. Grossman, A. H., D’Augelli, A. R., & Frank, J. A. (2011). Aspects of psychological resilience among transgender youth. Journal of LGBT Youth, 8(2), 103–115.CrossRefGoogle Scholar
  8. Hill, J. P., & Lynch, M. E. (1983). The intensification of gender-related role expectations during early adolescence. In J. Brooks-Gunn & A. C. Petersen (Eds.), Girls at puberty: Biological and psychosocial perspectives (pp. 201–228). Boston: Springer.CrossRefGoogle Scholar
  9. Holt, V., Skagerberg, E., & Dunsford, M. (2016). Young people with features of gender dysphoria: Demographics and associated difficulties. Clinical Child Psychology and Psychiatry, 21(1), 108–118.CrossRefGoogle Scholar
  10. Lesko, N. (2012). Act your age! A cultural construction of adolescence (2nd ed.). New York: Routledge.CrossRefGoogle Scholar
  11. McGuire, J. K., Doty, J. L., Catalpa, J. M., & Ola, C. (2016). Body image in transgender young people: Findings from a qualitative, community based study. Body Image, 18, 96–107.CrossRefGoogle Scholar
  12. Pez, J. (2013). Dude magazine. Retrieved June 8, 2018, from
  13. Pollock, L., & Eyre, S. L. (2012). Growth into manhood: Identity development among female-to-male transgender youth. Culture, Health & Sexuality, 14(2), 209–222.CrossRefGoogle Scholar
  14. Pullen Sansfaçon, A., Hébert, W., Lee, E. O. J., Faddoul, M., Tourki, D., & Bellot, C. (2018). Digging beneath the surface: Results from stage one of a qualitative analysis of factors influencing the well-being of trans youth in Quebec. International Journal of Transgenderism, 19(2), 184–202.CrossRefGoogle Scholar
  15. Riggs, D. W., & Bartholomaeus, C. (2018). Transgender young people’s narratives of intimacy and sexual health: Implications for sexuality education. Sex Education, 18(4), 376–390.CrossRefGoogle Scholar
  16. Roen, K. (2018). Rethinking queer failure: Trans youth embodiments of distress. Sexualities.
  17. Singh, A. A. (2013). Transgender youth of color and resilience: Negotiating oppression and finding support. Sex Roles, 68(11–12), 690–702.CrossRefGoogle Scholar
  18. Strauss, P., Cook, A., Winter, S., Watson, V., Wright Toussaint, D., & Lin, A. (2017). Trans pathways: The mental health experiences and care pathways of trans young people. Telethon Kids Institute, Perth.Google Scholar
  19. Taylor, G. L. (2015). Being trans: An interpretative phenomenological study of young adults. Unpublished Honours Thesis, Edith Cowan University.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.College of Education, Psychology and Social WorkFlinders UniversityAdelaideAustralia

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