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  • Book
    Aron Janssen, Scott Leibowitz, editors.
    Summary: This unique resource offers an in-depth, comprehensive look at different types of mental health needs of transgender and gender diverse youth, how these intersect with gender identity, gender expression, and sexual orientation, and provides practical information on how to ethically, responsibly, and sensitively care for these patients. Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide begins with three introductory chapters which contain practical information regarding assessment, psychological interventions, and the potential medical and surgical interventions that are indicated for youth with gender identity concerns. The remaining chapters are illustrated by multiple cases build around overarching chapter themes. Each case chapter opens with broad questions applicable to clinical practices, while the cases themselves focus on a particular co-occuring mental health condition. The case chapters are structured with intersectionality in mind, including elements of ethnic, racial, and cultural diversity, and the patients range over the full developmental spectrum, from pre-pubertal children to older adolescents. Chapter cases range in complexity as well, to provide readers with the tools they need to evaluate patients, and to assist in the decision of which presenting factors to prioritize in treatment at which time. Ending each chapter are clinical take-home messages, closing with additional practical knowledge that can be applied to other cases providers may see in their own practices. Written by expert clinicians in the field, Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide is an ideal resource not only for child and adolescent psychiatrists, but for clinicians across all mental health disciplines working with gender non-conforming youth, and who are interested in providing informed, affirmative, and intersectional care.

    Contents:
    Chapter 1. Affirming and Gender-Informed Assessment of Gender Diverse and/or Transgender Youth Across Development
    Chapter 2. Social Gender Transition and the Psychological Interventions
    Chapter 3. Transgender Adolescents and the Gender Affirming Interventions: Pubertal Suppression, Hormones, Surgery, and Other Pharmacological Interventions
    Chapter 4. Gender Dysphoria and Family Dynamics, and Culture: A Case Composite
    Chapter 5. The Gender Nonbinary Adolescent
    Chapter 6. "I'm Here to Get Taller and Because I Want to be a Boy": A Case of Down-Turner Mosaicism in a Prepubescent Gender-Nonconforming Child
    Chapter 7. Pre-pubertal Children with Gender Dysphoria: A Case to Illustrate the Management of Co-Occurring Attention Deficit Hyperactivity Disorder and Disruptive Behavior Disorders
    Chapter 8. Gender Dysphoria and Autism Spectrum Disorders
    Chapter 9. Anxiety and Gender Dysphoria
    Chapter 10. Childhood Gender Nonconformity and Trauma Recovery in a Transgender Latina: A Retrospective Case Example
    Chapter 11. Depression and Gender Dysphoria
    Chapter 12. Gender Dysphoria and Psychotic Spectrum Disorders
    Chapter 13. Gender Dysphoria and Multiple Co-Occurring Psychiatric Issues: Compare and Contrast.
    Digital Access Springer 2018
  • Article
    Pour P.
    Am J Pathol. 1978 Feb;90(2):295-316.
    The ductular complex of the Syrian hamster pancreas represents a system of conduit which encompasses intercalated (intralobular), periinsular, and intrainsular ductules. The intercalated (intralobular) ductules comprise centroacinar and intercalated cells. A meshwork of small ductules (invisible by usual histologic procedures) surrounds islets (periinsular ductules) and extends in the form of often ramified tiny channels within the islet (intrainsular ductules). Although the function of the latter ductules is obscure, their cells seem to make up one of the undifferentiated cellular units of the pancreas, and as such are also the progenitors of beta-cells of the islets (islet cell precursor = IP). Systematic histologic examination of the pancreas in this species treated with pancreatic carcinogen N-nitrosobis(2-oxopropyl)amine indicated that ductular cells, especially those of periinsular and intrainsular origin, are the most responsive to this carcinogen. The neoplastic process was initiated with hyperplasia of intercalated (intralobular) ductular and interlobular ductal cells associated with newly formed islets (nesidioblastosis). This process was followed by excess formation of mature but especially of immature islet cells and their precursors (IP) in the islet periphery, as well as with the appearance, distention, and multiplication of periinsular and particularly of intrainsular ductules. The hyperplasia, metaplasia, and malignant alteration of these periinsular and intrainsular ductules (including IP) and, to a lesser degree, of intercalated ductules indicated their histogenetic relationship and their potency for reproducing embryonic tissue on carcinogenic stimulus. The similarity of some induced lesions to diabetes has been emphasized.
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