Hertha Richter-Appelt

• University Medical Center Hamburg - Eppendorf

Zusammenfassung: Hintergrund: Seit vielen Jahren nehmen Betroffene von Organisierter und Ritueller Gewalt (ORG) psychotherapeutische Angebote der Regelversorgung in Anspruch. Oft gilt die Behandlung durch anhaltende Gewalt -erfahrungen und die Komplexität der Traumafolgestörungen als schwer. Empirisch ist bisher wenig darüber bekannt, welche Ther...

Zusammenfassung Von Intergeschlechtlichkeit oder Varianten der Geschlechtsentwicklung (VdG) spricht man, wenn sich die geschlechtsspezifischen Merkmale des Körpers untypisch entwickeln. Im Rahmen der VdG können bei Sportler_innen erhöhte Testosteronspiegel vorliegen. Da Testosteron im Sport als leistungssteigernd angesehen wird, gilt für Athletinne...

Empirical evidence concerning the psychosocial health outcomes after puberty suppression and gender-affirming (GA) medical interventions of adolescents with gender dysphoria (GD) is scarce. The aim of the present study was to describe how dimensions of psychosocial health were distributed among different intervention groups of adolescents with a GD...

Organisierte und rituelle Gewaltstrukturen (ORG) werden durch schwere sexualisierte phy-sische und psychische Gewaltformen definiert, welche von mehreren TäterInnen geplant und wiederholt ausgeübt werden. Dies soll häufig in einem kommerziellen Rahmen geschehen und durch (Schein)Ideologien gerechtfertigt werden. Diese Art von extremer Gewaltanwendu...

Empirical evidence on organized and ritual child sexual abuse (ORA), that is, organized child sexual abuse with an ideological framework, is rare and definitions of the term “ritual” are often vague or inhomogeneous. The aim of the current study is to analyze contents, purposes and acts of violence in ORA. In a project of the Independent Inquiry in...

Adolescents with gender dysphoria (GD) often face various associated social, emotional, and behavioral difficulties. In such a marginalized group, it is crucial to identify factors that may impact psychological functioning to better accommodate their needs. Therefore, the present study investigated the impact of two specific risk factors, poor peer...

Menschen, die Organisierte und Rituelle Gewalt erlebt haben und Unterstützung in der Regelversorgung suchen, leiden häufig unter komplexen posttraumatischen und dissoziativen Störungen. Eine mangelnde gesellschaftliche und fachliche Anerkennung dieser Gewaltformen bedingt eine unzureichende Versorgungssituation. Über das Erleben von psychosozialen...

Zusammenfassung Einführung Körperliche Geschlechtsentwicklungen, die auf chromosomaler, gonadaler und/oder anatomischer Ebene untypisch verlaufen, werden als Intergeschlechtlichkeit, Varianten der Geschlechtsentwicklung, Intersex, Intersexualität, Variationen der körpergeschlechtlichen Merkmale und Störungen der Geschlechtsentwicklung bezeichnet. S...

Introduction PCOS is the most common endocrine syndrome in women of the reproductive age that has manifold effects on the life of affected women. Little scientific attention has been devoted to these womenʼs sexual lives. Aim To investigate sexual quality of life in women with PCOS. Methods The sample size was n = 44. Measures employed were: An ext...

Background The umbrella terms diverse sex development (dsd) and intersex describe various congenital conditions of atypical sex development. Intersex conditions are still lacking societal acknowledgment but currently there is a paradigm shift in how to deal with this phenomenon. In the past, the treatment practice of intersex was influenced by medi...

Zusammenfassung Einleitung Geschlechtsdysphorie (GD) bezeichnet einen Leidensdruck, der sich aus der Inkongruenz zwischen körperlichen Geschlechtsmerkmalen und dem Erleben des eigenen Geschlechts ergeben kann (Geschlechtsinkongruenz, GI). Die vorliegende Arbeit beschäftigt sich mit dem Zusammenspiel von medizinischer Behandlung und sozialer Unterst...

Zusammenfassung Einleitung: Bisher bestehen wenig gesicherte wissenschaftliche Daten zur innerfamiliären Beziehungsqualität sowie zu dem Erziehungsstil der Eltern von transidenten Personen. Forschungsziel: Ziel der Studie war es, die Erziehungseinstellung und -praktiken sowie die Qualität innerfamiliärer Beziehungen von transidenten Personen rückbl...

Persistent feelings of gender dysphoria (GD) are accompanied by distress and body dissatisfaction in most clinically referred adolescents and adults. Transition-related medical interventions (e.g., puberty suppression, hormones, or surgery) may alleviate body dissatisfaction. The aim of the present cross-sectional study was to compare multidimensio...

Organized and ritual child sexual abuse (ORA) is often rooted in the child’s own family. Empirical evidence on possible associations between ORA and trauma-related symptoms in those who report this kind of extreme and prolonged violence is rare. The aim of our study was to explore socio-demographic and clinical characteristics of the individuals re...

In this study the authors examined the issue of permanent infertility in two diagnoses of the diverse sex developments (DSD) spectrum: Complete Androgen Insensitivity Syndrome (CAIS) and Mayer-Rokitansky-KÏster-Hauser Syndrome (MRKHS). The participants with CAIS (n = 12) was older, showed a lower wish for a child and was less distressed about their...

IntroductionThis paper introduces the German S3-guideline Gender Incongruence, Gender Dysphoria and Trans Health: Diagnostics, Counselling and Treatment that was finalized in October 2018.Objectives The objective of the guideline group was to adapt the 1997 Standards for Treatment and Expert Opinion on Transsexuals to current scientific development...

Die Versorgungssituation von Menschen mit organisierten und/oder rituellen Gewalter-fahrungen gilt unter Betroffenen sowie Fachexpertinnen und Fachexperten seit langem als unzureichend. Häufige psychische Folgen sind komplexe posttraumatische und dissoziative Störungen, vor allem die Dissoziative Identitätsstörung, deren Behandlung als besonders he...

International discussion on social and medically supported transition for young people with gender dysphoria has been controversial largely because there is insufficient scientific evidence for adequate predictions of the long-term psychosexual, psychosocial, and physical consequences. The few existing international studies on the developmental pat...

Objective: Children and adolescents who have experienced interpersonal Type-II-trauma often develop symptoms going far beyond the Post-Traumatic Stress Disorder (PTSD). Van der Kolk (2009) suggested the Developmental Trauma Disorder (DTD) to define the extensive symptomatology; however, research on DTD is limited. Method: Frequency and group dif...

Background: Transgender adolescents who apply for treatment often experience a marked increase in body-related distress when entering puberty, accompanied by internalizing problems and poor peer relations. Although adolescence is a time of considerable psychosocial and physical change, generally associated with a decline in health-related quality o...

Complex Trauma-related Disorders in Research and Practice Frequent traumata in childhood and adolescence are long-term or repeated interpersonal traumata caused by perpetrators in the close environment of the minors. For the description of the extensive symptoms after interpersonal Type II traumata, the complex trauma-related disorders Complex Post...

Zusammenfassung Studie 1 Fragebogenentwicklung Die meisten Fragebögen zu Einstellungen zur Mutterschaft setzen Fertilität voraus und bilden positive und negative Einstellungen zur Mutterschaft auf einer Dimension ab. Häufig liegen zudem keine deutschsprachigen Versionen und Normwerte vor. Ziel dieser Studie ist es zu überprüfen, ob mit der Entwickl...

Objectives: The aim of the European Network for the Investigation of Gender Incongruence is to investigate the status of all individuals who had applied for gender confirming interventions from 2007 until 2009, irrespective of whether they received treatment. The current article describes the study protocol, the effect of medical treatment on gend...

Objectives The purpose of this exploratory, retrospective, and correlational study was to examine the relationships between childhood treatment experiences, parental care, and social support, and outcome in adults with different diverse sex development (DSD). Methods The data of 69 participants from an exploratory questionnaire were collected in a...

Norms are considered to influence expectations toward gender-related behavior. Deviations from these norms are often perceived negatively by the social environment. The objective of this study was to investigate adults diagnosed with a Gender Identity Disorder (GID), their recalled play behavior, and peer preferences in childhood and adolescence. D...

Gender dysphoria (GD) is often accompanied by dissatisfaction with physical appearance and body image problems. The aim of this study was to compare body satisfaction with perceived appearance by others in various GD subgroups. Data collection was part of the European Network for the Investigation of Gender Incongruence. Between 2007 and 2012, 660...

This study examined two instruments measuring gender dysphoria within the multicenter study of the European Network for the Investigation of Gender Incongruence (ENIGI). The Utrecht Gender Dysphoria Scale (UGDS) and the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ-AA) were examined for their definitions of gender...

Im Vergleich scheint zum Beginn des 21. Jahrhunderts, dass geschlechtsvariante Verhaltensweisen im Kindes- und Jugendalter gesellschaftlich eher akzeptiert werden und Themen rund um Trans* (auch im Jugendalter) in den letzten Jahren zunehmend öffentliche Aufmerksamkeit bekommen, reflektiert und diskutiert werden. Dennoch leiden Kinder und Jugendlic...

Purpose: This study examines quality of life and psychological distress in individuals with Mayer- Rokitansky-Küster-Hauser Syndrome (MRKHS) and Complete Androgen Insensitivity Syndrome (CAIS), two syndromes belonging to the field of “disorders of sex development”. Methods: Fifty women with MRKHS and eleven individuals with CAIS participated. The G...

Five women were questioned on their experiences with Kallmann Syndrome (KS) in thematically focused, open interviews. This investigation complements the study of the experiences of men with KS 1. The results show that the consequences and pressures of KS extend beyond the somato-medical field and that those affected are also burdened by mental and...

9, 12, S. 3154-3170 12.

Fulltext online http://liga-kind.de/fk-310-schweizer/

Schönbucher, V., Schweizer, K. & Richter-Appelt, H., 2010, in : . 36, 3, S. 193-215 3.

Unlabelled: This study examined the relationship between PMS and emotion-related electromyographic facial activity at different phases of the menstrual cycle. Twenty-four women of reproductive age (12 with PMS, 12 controls) participated in two EMG sessions (T1 and T2) in which they were shown photographic images that can elicit various emotions (I...

Beinahe alle Psychotherapeutinnen und Psychotherapeuten, die sexuell traumatisier-te Patientinnen behandeln, berichten davon, dass ein Großteil dieser Patientinnen sich immer wieder absichtlich selber verletzt. Und auch diejenigen Ärzte und Psychologen, die in ihrer täglichen Arbeit mit solchen Patientinnen konfrontiert sind, die sich selber Verlet...

In the United States, school-based programs are regarded as a very promising avenue for preventing child sexual abuse. The authors provide a critical overview of these primary prevention-oriented models. The focus, moreover, is on the "Child Assault Prevention Project" The authors are especially critical of the simplification of abuse situations, a...