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Glossary

Adapted Child:

The child feels at one with caregivers.

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Adult Ego-State:

Where logical decisions happen based on both society's rules and intuition. 

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Abnormal in Psychology:

Thoughts do not align with reality. Also known as disorder. 

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Affirmation:

(Dutch Protocol) affirming gender incongruent children as the opposite sex or a “third gender.” Not recommended. Not like developmental affirmations.  

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Attachment Theory:

The study of parent-child relationships. 

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Autonomy:

The recovery of awareness, intimacy, and spontaneity. 

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Child Ego-State:

In the diagram of ego-states, in the PAC model, Parent, Adult, and Child are parts of each individual’s personality. The Parent and Child ego-states advise the Adult. One strives to remain in Adult. All parts of the mind work together in health. 

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Contamination: 

Functioning is based on an Adult but is contaminated by the Child ego-state. 

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Codependency:

Absence of differentiation. 

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Confluence:

The contact is so true, and we are so compatible that we feel the experience of another’s existence. 

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Contact Interruption: 

A contact interruption is defined as a lack of awareness.

 

Critical Parent:

The ego-state that shows genuine concern but does not encourage innovation. 

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Cultural Script: 

The law, custom, tradition, and presuppositions of a culture.

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Desister:

Those in whom the gender dysphoria remitted. 

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Developmental Affirmation:

What a child needs to hear at the right stage.

 

Discount:

To pretend an important issue doesn’t matter. 

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Disorders of Sexual Development (DSD):

DSDs are abnormal conditions or sets of disorders, like congenital adrenal hyperplasia (CAH), which cause infants to be born with ambiguous genitalia. These individuals are either male or female.

 

Double-Bind:

A message that can cause a split in the child’s personality. The child cannot reconcile two ways of being.

 

DNA Methylation:

Affects the brain's development, how we learn, memory, and diseases of the human brain.

 

Drama Triangle: 

The triangle can be observed as an ongoing script, where players take one of three positions (Victim, Prosecutor, and Rescuer). It is a psychological game being played for strokes. 

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Dutch Protocol:

A Gender-medical experiment on kids in the Netherlands. Between 2007 and 2016. 

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Exclusion:

A loss of awareness that happens when one ego-state is excluded. 

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Epigenetics:

The changes that affect the way your genes work. 

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Field:

All of the environment in gestalt psychology. Not the self. 

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Fixated:

To be stuck in fantasy. Unable to grow. 

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Fuss Box:

Get a box and kick it in private. Change one thing about the situation. 

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Furry:

A person with an interest in animals with human qualities. 

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Games:

Confirm destructive script behavior and reinforce the negative script. 

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Gender Dysphoria (GD):

A psychological condition in which youth express a marked incongruence between experienced gender and sex. 

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Gender Identity:

Interchangeable with sexual identity role. There is no medical test for an identity. A subjective idea about how men and women should behave based on cultural scripts.

 

Gestalt:

A learning cycle in child development. 

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Gonadotropin-Releasing Hormone Agonist (GnRH):

Puberty Blocker. 

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Grit:

A stick with it attitude.

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Injunction:

When a person holds a set of beliefs in mind and does not question them, it is a message given to the child by the parent. In essence, the message tells the child how he can expect to receive strokes from his Mother and Father. 

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Intersex:

DSDs, Disorders of Sexual Development, are diagnosable disorders of the body. (0.02% of the population). They are still male or female based on the sex gametes and do not represent a 3rd sex because they do not produce a 3rd gamete. 

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Intercurrent Disease:

A disease that happens in tandem with other ailments.

 

Introjection:

In introjected behaviour, all we can do is play roles because we have not become what we are doing. We take on introjections like we put on a mask.

 

Life Script:

A life position is a repetition of the events and reactions of childhood. 

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Lupron:

Used for precocious puberty and to chemically castrate male sex offenders in jail.

 

Little Professor:

The ego-state that is autonomous, in testing and experimenting. 

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Magical Thinking:

A fantasy escape from life’s problems.

 

Neurolinguistics Programming:

Helps a person understand how their own mind works and how they come to think and behave the way they do. 

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Normality:

That which functions according to design. An organism is structured to function during the reproductive act. A female child is designed to provide offspring, and her thoughts align with this reality. 

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Nurturing Parent:

The self-care ego-state. 

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Paraphilias:

Persistent and recurrent sexual interests, urges, fantasies, or behaviors of marked intensity involving objects, activities, or even situations that are atypical in nature. 

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Persister: 

Adolescents with persisting gender dysphoria. 

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Playing Stupid:

A psychological Game in which the individual can’t see what is right in front of them, confounding others.

 

Physis:

Good Orderly Direction (GOD). The growth force. 

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Polysurgery:

A Psychological Game of unnecessary medical treatments. 

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Projection:

To see reality differently from its actuality, more in accord with our desires. 

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Protective Factor:

Sensitive kids can be protected through family and community support that reinforces morality. 

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Puberty Blockers:

This chemical blocks puberty and may lower IQ. Studies in mice, sheep, and primates indicate that GnRH suppression impacts behavioural analogues of cognitive function, effects that are often sex-specific.

 
Re-Parent:

To reshape a damaged Child ego-state.

 

Rackets:

Inauthentic feelings learned in childhood that are often below an individual's level of awareness, or other feelings, which are used in a conditioned reflex manner to manipulate others. 

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Rapid Onset Gender Dysphoria (ROGD): 

Littman (2018). Gender variant youth are identifying as transgender in clusters of friendship groups, where kids are not getting proper assessment before hormones and surgery are implemented.

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Retroflection:

This is self-restraint under the auspices of the growth of the self. Healthy retroflection is discipline. 

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Sex:

A binary biological trait that is determined at fertilization.

 
Simple Contract for Change:

A contract that promotes change and asks a few questions to get to the root of the problem.

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Stroke:

A word for a measure of recognition - from words, to eye contact, to touch. 

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Sexual and Gender Minorities (SGMs):

Those historically protected from discrimination under the law - gays, women, and lesbians.  

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Transactional Analysis (TA) Psychotherapy:

An intervention that is built to “do no harm.” When learned, it slows reactive fight, flight, or freeze reactions. Individuals think about their behaviour, gaining control to do the next right thing.

 

Transgender:

A term describing individuals who self-diagnose as having gender incongruity. Transgender identity development is constructed. There is no definitive test for transgender because the condition has no typical pathway and is based on an individual’s subjective view of themselves. 

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Trans Identified Female:

This is a female who does not accept her femaleness. Used instead of the term "transman". A trans-identified male is then the logical reference to a "transwoman". These references are important in order to maintain the meanings of the words woman and man.

 

Working Model:

Infants develop a working model of attachment (secure, anxious, disorganized, and non-attached) based on how parents respond to them; infants use this working model to predict the world around them. 

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Authors of the Parent and Teacher Guideline for Gender Dysphoric Youth Michelle A. Cretella, MD. (Chair of the Adolescent Sexuality Council of the American College of Pediatricians, and past executive director of American College of Pediatricians); Linda Blade, PHD (Kinesiology and Olympian Triathlete) and former president for Athletics Alberta; and Lara Forsberg (Med)

Email us at schoolguidecanada@gmail.com

Parent and Teacher Guideline for Gender Dysphoric Youth published 2025

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