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Sowohl national als auch international findet ein Diskurs \u00fcber die psychotherapeutischen und medizinischen Gesundheitsbedarfe dieser jungen Menschen sowie die zugrunde liegende ethische Auslegung der Problematik statt. Die divergierenden Expertenmeinungen und fachlichen Verunsicherungen spiegeln sich nicht zuletzt in der unzureichenden psychotherapeutischen und psychiatrischen Versorgung f\u00fcr die geschlechtlich nonkonformen und geschlechtsdysphorischen Kinder und Jugendlichen wider. Der vorliegende Artikel gibt einen \u00dcberblick \u00fcber die verf\u00fcgbaren epidemiologischen Daten, den gesellschaftlichen, rechtlichen und medizinischen Paradigmenwechsel, die Entwicklungen in den neuen diagnostischen Klassifikationssysteme (DSM-5, ICD-11) sowie \u00fcber wichtige Aspekte der AWMF-S3-Leitlinie \u201eGeschlechtsinkongruenz, Geschlechtsdysphorie und Trans-Gesundheit\u201c f\u00fcr das Erwachsenenalter. Auf dieser Basis werden der aktuelle Diskurs und die ethischen Dilemmata im Kindes- und Jugendalter dargestellt sowie die sich daraus ergebenden Herausforderungen f\u00fcr die Kinder- und Jugendpsychiatrie und Psychotherapie skizziert.<\/jats:p>","DOI":"10.1024\/1422-4917\/a000724","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T19:39:40Z","timestamp":1588102780000},"page":"93-102","source":"Crossref","is-referenced-by-count":18,"title":["Geschlechtsidentit\u00e4ten im Wandel"],"prefix":"10.1024","volume":"48","author":[{"given":"Esther","family":"Strittmatter","sequence":"first","affiliation":[{"name":"Gesundheitszentrum Walstedde, Tagesklinik GmbH, Drensteinfurt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Holtmann","sequence":"additional","affiliation":[{"name":"LWL-Universit\u00e4tsklinik Hamm der Ruhr-Universit\u00e4t Bochum, Hamm"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12817"},{"key":"c2","unstructured":"American Psychiatric Association. 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