COMPLEXITIES IN THE EARLY EVOLUTION OF (TRANSGENDER) IDENTITY

With Brent Willock Ph.D., C.Psych. Through careful analysis of rich clinical material, this article explores the proposition that at least some, perhaps many, transgender identities may be formed to manage (defend against) prior developmental relational challenges and trauma. Adverse experience during the stage of differentiation out of the dual unity that Winnicott, Mahler, and others emphasized may prompt some boys to retreat to the security provided by earlier, undifferentiated, primary identification with their mothers. The diagnostic and treatment value of considering this possibility and perspective is underscored. Two children’s profound wish to understand their difficult developmental trajectories is examined, along with their astonishing ability to utilize art to tackle their questions about their developmental identity histories (who they are, where they came from, and where they are going). Without thorough understanding of these early developmental processes and defenses, it may be difficult or impossible to provide optimal assessment and treatment for these individuals.