Development and mental health: the issue of difference in atypical gender identity development / Peter Wilson -- Reflections on the nature of the "atypical gender identity organization" / Domenico Di Ceglie -- Associated psychopathology in children with gender identity disorder / Kenneth J. Zucker -- The complexity of early trauma: representation and transformation / Susan W. Coates & Mary Sue Moore -- Biological contributions to atypical gender identity development / Caroline Brain -- The contribution of social anthropology to the understanding of atypical gender identity in childhood / Allison James -- Some developmental trajectories towards homosexuality, transvestism, and transsexualism: mental health implications: Homosexual experience during adolescence / Fiona Tasker -- Transvestism during adolescence / Susan J. Bradley -- Transsexualism during adolescence / Peggy Cohen-Kettenis, Stephanie H.M. van Goozen, & Leo Cohen.

Gender identity disorder, depression, and suicidal risk / Hartwin Sadowski & Barbara Goffney -- Gender identity development and eating disorders / Gianna Williams & Richard Graham -- Child sexual abuse and gender identity development: some understanding from work with girls who have been sexually abused / Judith Trowell -- Intersex disorder in childhood and adolescence: gender identity, gender role, sex assignment, and general mental health / Adrian Sutton & Jane Whittaker -- Management and therapeutic aims in working with children and adolescents with gender identity disorders, and their families / Demenica Di Ceglie -- Case illustrations: "Jack" and "Jill" : two children with gender identity disorders / Leslie Ironside -- "Teresa": an adolescent girl who wants to become a man -- A psychoanalytic exploration / Mauro Morra.

"Phil": helping a transsexual teenager to engage in self-exploration / Paulina Reyes -- "Lesley"; the struggle of a teenager with an intersex disorder to find an identity -- its impact on the "I" of the beholder / Adrian Sutton -- "William": working with the family about unresolved mourning and secrecy / Domenico De Ceglie -- "Harriet": a child in a primary school / Karine George -- Children of transsexual parents: research and clinical overview / Richard Green -- Mental health issues and some principles of management / Domenicao Di Ceglie -- Issues facing the child of a transsexual parent / Mary Lightfoot.

Appendix A: Gender identity disorders in children and adolescents guidance for management / The Royal College of Psychiatrists (introduction by Peter Hill) -- Appendix B: The gender identity development unit at the Portman Clinic, London -- Appendix C: Mermaids.