{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:27:53Z","timestamp":1779892073395,"version":"3.53.1"},"reference-count":53,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2025,10,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To review reporting on a case series of \u201cinpatient therapy\u201d administered to pre\u2010pubertal children presenting with gender expansive behaviours previously published in the <jats:italic>MJA<\/jats:italic> and to compare this reporting to the adulthood recollections and past contemporaneous medical records of a person who had received such treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective analysis of autoethnography, archived mental health records, and patient details published in a 1987 <jats:italic>MJA<\/jats:italic> case series of eight children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Stubbs Terrace Hospital, a Western Australian state\u2010funded child and adolescent psychiatric hospital, no longer in operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participant<\/jats:title><jats:p>Jayne McFadyen (J), a transgender woman whose recollections align with the clinical details supplied for Case 5 in the case series, and an author of this article.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Concordance and discordance among details documented in the published case series, J's autoethnography of her hospital treatment, and archived childhood psychiatric records obtained through freedom of information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>J's recollections align closely with details in the archived records. Both align with many, but not all, published details, most notably the following published statement: \u201cNo conscious attempt was made by the staff members to encourage masculine or feminine role behaviours.\u201d Some of the verified recollections are of psychologically coercive and aversive practices typical of sexual orientation and gender identity and expression change or suppression efforts (SOGICE). Despite inpatient treatment aimed at suppressing or changing her transgender identity and expression, J's sense of whom she understood herself to be remained steadfast.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A retrospective review of \u201cinpatient treatment\u201d intended to re\u2010direct gender expansive identity formation revealed pseudo\u2010psychological strategies reliant on denial and repression. These were directed towards extinguishing childhood behaviours deemed to be socially undesirable. 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