The history of gender-affirming care (GAC) dates back millennia. Ancient records acknowledged gender variance and early attempts at medical/surgical treatment. The twentieth century saw significant advancements in GAC, particularly in the success of gender-affirming surgeries. The emergence of centers like the Johns Hopkins Gender Identity Clinic in the 1970s marked a turning point in GAC's recognition and acceptance. However, their sudden closure after just a few years hampered progress in GAC for the next several decades. In 2014, the Department of Health and Human Services overturned its prohibition on Medicare coverage for gender-affirming surgery, leading to greater access. The World Professional Association for Transgender Health (WPATH) guidelines have played a significant role in shaping contemporary GAC. The Standards of Care 8 (2022) emphasises patient-centered care and guideline flexibility. While challenges have marked the historical trajectory of GAC, it has also witnessed significant evolution which we review in this article.

Gender affirming surgeries are procedures that are used by transgender and gender diverse individuals to align their bodies to their gender identities. These have been shown to improve the mental health and wellbeing of those individuals who choose to access them. Rates of regret associated with gender affirming surgeries are low, and in addition to improving mental health and quality of life, these procedures have the potential to make it safer for transgender and gender diverse people to move through the world. This article provides a narrative review that places gender affirming surgeries in the current sociopolitical context of the United States. It describes common types of gender affirming surgery, protocols for surgical assessment, and the risks and benefits of surgery.

Having addressed the nature and complexity of intersexuality including commonalities with and differences from the transgender condition, we now address major legal challenges to the bisexual status quo through the legal advancement of rights for intersexual persons. Identified here are four domains in which the rights of intersex individuals are being advanced through litigation and legislation: (a) Sex assignment at birth and in early childhood, including the individual's right to consent and self-determination and to be spared from surgery that is not needed for medical reasons; (b) the right to change one's legal sex on legal documents such as birth certificates and passports, (c) the right of intersex persons to marry, and (d) the right not to be discriminated against. Within this legal framework, we identify commonalities with and differences from the struggle for rights within the transgender community.

The Pareto principle is based on the concept that roughly 80% of outcomes are generated by 20% of inputs, efforts, or contributors within a group. Using a national sample of U.S. prison inmates, we examined various percentile rankings of self-reported institutional misconduct to determine how much disorder is created behind bars by the most prolific offenders. Findings revealed that, regardless of sex, the top 20% of inmates were responsible for approximately 90% of all rule violations and write-ups received. These general patterns remained similar even after adjusting infractions for time served in prison. Further analyses indicated that membership within these high-rate groups was often significantly predicted by those who were younger, black, had more extensive criminal histories, committed violent crimes, resided in state facilities, anticipated being released, used drugs prior to their arrest, were diagnosed with a personality disorder or ADHD, and exhibited worse negative affect. Some sex-specific effects were also observed. The disproportionate impact these chronic offenders have on the prison environment is detrimental to all individuals who live and work around them. Future research should investigate specific types of misconduct, distinct time intervals of incarceration, and facility effects such as management style, security levels, or offender composition.

Sexual recidivism rates based on arrests or convictions underestimate actual reoffending due to underreporting. A previous Monte Carlo simulation estimated actual recidivism rates under various reporting and conviction assumptions but did not account for desistance-the decreasing likelihood of reoffending over time. This study addresses that gap by incorporating a 12.3% annual desistance rate (from a well-known empirical study) and exploring its impact alongside varying charge rates (100%-5%). The results showed that reductions in charge rates lead to disproportionately large increases in recidivism. For instance, lowering the charge rate from 50% to 25% results in a much larger increase in actual recidivism than reducing it from 100% to 75%, despite both being 25% reductions. This indicates that as charge rates decrease, actual recidivism grows more sharply. A sensitivity analysis also examined desistance rates of 0%, 5%, 12.3%, and 20%. Higher desistance rates cause reoffending to occur earlier but have little impact on long-term totals. Over 25 years, reoffending rates remain similar across desistance rates, suggesting desistance affects the timing, but not the overall amount of reoffending.

Transgender experiences have been attested since the dawn of civilization. Long before gender was reinterpreted as socially constructed and non-binary by 20th-century Western scholarship, concepts such as not belonging to the gender assigned at birth, transitioning, and being "neither a man nor a woman" integrated the belief systems and practices of various societies worldwide. This review examines anthropological and historical records of trans, non-binary, and gender-nonconforming behavior spanning six continents and five millennia. Moreover, we investigate how trans experiences interact with local traditions, family structures, laws, religions, and other social institutions. Finally, we explore trans-inclusive historiographical trends and discuss the relevance of transgender history awareness for professional and academic endeavors beyond the social sciences.

Existing within hierarchical kinship networks, requiring patronage of gurus, hijras, a 'third' gender community, undergo mandatory apprenticeship to a commune life through a discipleship-lineage system where castration is seen as a necessary truth and final rite of passage to achieve a virtuous hijra identity. This article examines the subjectivities of hijras from working-class backgrounds and narrows its focus to analyse how individual hijras develop an understanding of themselves from their occupied subject positions in the larger hijra community shaped by internal hijra cultural traditions (parampara) manifested through rituals of harm. Based on long-term ethnographic fieldwork of 10 years in New Delhi and its neighbouring states, this article discusses the genealogies of wound cultures through castration in the hijra community acquired through their experiential and vernacular knowledge systems of self-flagellation as a practice of ethical self-making for their sacred rebirth in a nirvana (a state of freedom from all suffering) body.

Identification of the dead is of utmost importance in mass disasters, war crimes, and forensic examinations. The biological profile, established by a forensic anthropologist is one the necessary steps involved in the identification of the dead. Several parameters can be estimated such as sex, age, stature, biogeographical affinity, and DNA profile of the unknown person. It is crucial to estimate these parameters of identification which may narrow down the investigation process. On the other hand, Artificial Intelligence (AI) in the modern world is showing magical uses in different fields. This communication aims to highlight the uses of AI tools for predicting parameters such as sex, age, stature, biogeographical affinity, and DNA profile of unknown persons with more accuracy and in less time. A literature search was conducted using databases PubMed, Scopus, Web of Science, and ScienceDirect for analyzing the use of artificial intelligence, machine learning, and deep learning algorithms for establishing the biological profile in disaster victim identification (DVI) and forensic casework. Moreover, this research foresees a paradigm shift in investigative techniques as technology advances, highlighting the convergence of AI and anthropological ideas for an improved understanding of the biological profiles of unknown deceased individuals.

Despite increases in online child sexual exploitation (OCSE) internationally, no study has examined risk factors for re-offending among females who perpetrate OCSE, resulting in limited knowledge regarding the idiosyncratic needs of this cohort. This study explored factors predictive of further police contact among 116 females known to police for OCSE offenses in Victoria, Australia. Four binary regressions were run for each of Any, Violent, and Non-Violent re-offending, with one regression each focusing on characteristics related to offending history, index offending, co-offending, and victimization. Predicted probabilities from each model were then input as predictors into a final binary regression for each recidivism type. Offending history emerged as the most robust predictor across re-offending types, even when controlling for other domains. Victimization and index offending also predicted Non-Violent re-offending, while co-offending was not predictive across any analysis. These preliminary findings have implications for the unique management needs of females who perpetrate OCSE.

Confessions are an important evidentiary part of the legal process, and false confessions have been notable contributors to wrongful convictions. However, academic research in the psychology and law field primarily relies on student or volunteer samples in staged exercises, methodological features that lack ecological validity for replicating police interrogation or the pressures distinctive to high stakes crime investigations. Here, we provide an integrative review of research and data on false confessions during police interrogations with distinctions of key concepts, relevant case law pertaining to confessions including several U.S. Supreme Court decisions, updating the typology of false confessions, the quantification of false confessions, risk factors for false confessions, interrogation risk factors for false confessions, validity threats to false confessions research, and recommended directions for informing courts and the law.

Victims of sexual homicide may be deceived by perpetrators who use a friendly approach to gain access to them, making it difficult for the victim to assess the danger posed by the stranger. When investigating sexual homicides committed by strangers, investigators often lack direct information, including how the perpetrator gained access to the victim. To identify potential predictors of the approach method used in sexual homicides, this study analyzed the preferences and behaviors of sexual murderers who target strangers based on their approach method. The results of the logistic regression analysis showed that in comparison to offenders using "blitz" or "surprise" attacks, those using a deceptive "con" approach tended to have more male victims, exploit vulnerability, and exhibit post-crime organization by relocating the victim's body and successfully disposing of the weapon used in the crime. Their crimes also more frequently involved oral sex and had lower rates of victim beating. This study discusses the investigative implications of these findings.

Best practice in violent extremist risk assessment and management recommends adopting a Structured Professional Judgement (SPJ) approach. The SPJ approach identifies relevant, evidence-based risk and protective factors and requires experts to articulate hypotheses about a) what the person might do (risk of what), and b) how they've come to engage in the concerning behaviour (and why) (Logan 2021) to inform who, needs to do what, and when. Whilst the field continues to move towards adopting an SPJ approach, there remains a gap between what is known empirically and what is needed in practice. We apply psychometric network modelling to a sample of 485 individuals entered into Channel, the UK's preventing and countering violent extremism (P/CVE) program. We model the system of interactions from which susceptibility to violent extremism emerges, providing data driven evidence which speaks to risk of what and why. Our research highlights a way to generate evidence which captures the multifactorial nature of susceptibility to violent extremism, to support professional decision making in the context of an SPJ approach.

Research on sexual homicides has primarily focused on male offenders, and thus little is known about female offenders who perpetrated sexual homicides. This study aimed to develop the first statistical classification of female single-victim (SV) sexual homicide offenders (SHOs) using the U.S. FBI's Supplementary Homicide Reports database that spanned over a 47-year period (1976-2022). A latent class analysis (LCA) was computed to detect subtypes of female SHOs in a sample of 158 offenders. Findings of the LCA identified two unique classes of female SHOs exist within the data: White intra-familial offenders and Black extra-familial offenders. The distinguishing features of these two classes were the offender's racial group, the victim's age and racial groups, the offender-victim relationship, the geographical urbanness level of crime location, and weapon use. This empirically-derived offender classification can be informative to law enforcement agents and security professionals in their investigative strategies.

Individuals housed in prisons or forensic hospitals experience significant restrictions on their sexual rights. There is a lack of data on how sexual behavior and sexual health of institutionalized persons are managed and to what extent they are based on shared guidelines or decisions of the individual staff. Using a standardized online questionnaire, the heads of 35 prisons and 32 forensic psychiatric hospitals across 14 German federal states were surveyed, reflecting the situation of 16,902 inmates and patients. The findings reveal an absence of shared guidelines as well as an institution-specific approach to sexual behavior and sexual health. Exploratory multiple linear regression identified four variables that predict differences in the regulation of individual's sexual behavior and sexual health: type of institution (prison or forensic hospital), percentage of institutionalized sex offenders, number of housed individuals, and an item concerning the sexuality-related attitudes of the respondent. Respondents, particularly in the field of forensic psychiatry, expressed a general desire for guidelines. Our study shows that possibilities for sexual expression and sexual health vary strongly, depending on the institution. Therefore, it appears useful and desirable to develop guidelines on how to regulate sexual behavior and sexual health of institutionalized individuals.

As the nature of transgender condition becomes better understood and the legal rights of transgender individuals are defined through court decisions and legislation, intersexuality ought not be overlooked. Potential commonalities as well as differences between intersexual and transgender individuals, clinically and psychosexually, may be mutually informing and relevant to their legal rights in ways that could implicate mental health services. In this review, the concepts of intersexuality and Disorders of Sexual Development are defined followed by a brief synopsis of the evolution of ancient conception of hermaphroditism into the vastly heterogenous biological conditions of today referred to as DSDs. A growing corpus of scholarly literature today argues that intersex persons should be regarded as having diverse sexual characteristics and as not disordered. Nonetheless, various conditions require understanding if the intersex person is to make informed decisions and if health providers are to recognize those conditions that constitute medical emergencies. This review and analysis compares intersex with transgender persons and provides current clinical and scientific knowledge as essential background for Part II, our following article on the advancement of legal rights of intersex persons.

School violence and bullying, cyberbullying, and cyber-deviance have become subject matters of great concern for various disciplines, such as social work, criminology, psychology, education, medicine, public health, and nursing. In the past years, scholars in different countries have adopted the theoretical perspectives developed in their respective disciplines to separately examine issues of school violence and bullying, cyberbullying, and cyber deviance. For example, researchers in the field of social sciences tend to adopt psychosocial theories and perspectives, while public health scholars tend to adopt medical- or health-related theories. There is a call for the international and interdisciplinary perspectives to examine these topics and their potential interconnectedness. There is also an urgent need to systematic strategies, policies, and intervention to tackle school violence and bullying, cyberbullying, and cyber deviance. The purpose of this special issue is to deepen our understanding of issues related to school violence and bullying, cyberbullying, and cyber-deviance, to expand our cross-disciplinary and integrated perspectives on these topics, and to provide potential legal strategies, policy, and intervention to tackle these social problems.

The primary aim of this study was to determine whether perceptions of criminal sanctioning and school punishment predict students' willingness to report different types of bullying (material, physical, sexual, verbal, relational, and cyberbullying). An online survey was conducted with secondary school students (n = 1092) as participants. Traditionally included predictors (trust toward school staff, cost of reporting bullying, gender, and school agency) were also incorporated into a multiple linear regression analysis. The perception of criminal sanctioning for a particular type of bullying was a significant predictor of the willingness to report a given type of bullying, whereas anticipation of school punishment was relevant only in the case of cyberbullying. Trust toward school staff and gender were also significant predictors of willingness to report any type of bullying. School agency helped predict the willingness to report any kind of bullying except cyberbullying. Surprisingly, the costs of reporting bullying were relevant only in the case of material bullying. These results have important implications for stakeholders and school administration in identifying unreported bullying, developing and implementing anti-bullying policies, and introducing programs aimed at improving students' legal awareness.

The current changes to the treatment recommendations and the diagnostic categorization of trans* identities in the ICD-11 require a new consideration of past therapeutic methods and approaches. The depathologization of trans* lives in the ICD-11 finally enables trans* people to access psychotherapeutic services more freely, as the compulsory therapy that has thus far been required for access to transition-related treatments, as well as the so-called "diagnosis" and "treatment" of "transsexuality", have been removed. Trans* people will nevertheless be interested in qualified psychotherapeutic treatment options. Due to the decades-long discrimination and treatment in the health system that has disregarded the human rights of trans* people, a trans*-affirmative approach is necessary, one that takes into account the context of the treatment and critically reflects upon one's own position as a health professional. This affirmative and self-reflective approach provides the basis upon which therapeutic concerns and topics related to a life lived in accordance with a self-determined (gender) identity, related needs, and the fulfillment of those needs, can be discussed. The consequences of experiences of discrimination, violence and exclusion are, moreover, important elements of therapy that require a structural and social contextualization in order to address internalized trans*-negativity and to empower trans* people in their self-assertion.

Bullying remains a pervasive issue in educational settings worldwide. This study examined the effect of teacher training and self-efficacy on teachers' responses to school bullying with the moderating effect of age. Drawing on data from 585 Taiwanese primary and secondary school teachers, the study revealed six distinct response patterns to bullying among Taiwanese teachers. The results underscore the critical role of self-efficacy in enabling proactive responses to bullying, highlighting that training programs that boost teachers' self-efficacy can be effective across different age groups. Furthermore, the research points to the necessity of differentiated training approaches that consider teachers' age to enhance responses of mediating involvers. This study contributes to the broader discourse on bullying prevention, emphasizing the importance of teacher training and the need for further research into the nuanced relationships between teacher characteristics, self-efficacy, and intervention strategies in diverse cultural settings.

A link between parental involvement in school and student victimization in school is often assumed, but empirical studies have shown inconsistent results. Research suggests that the quality of student-teacher relationships could potentially serve as a crucial mediating factor in the link between parental school involvement and student victimization in school. However, the proposition in question lacks sufficient empirical evidence to substantiate it. This paper examines how parental school involvement indirectly influences student victimization by peers and teachers in school mediated via the quality of student-teacher relationships. Additionally, it further investigates sex differences in the patterns of relationships among parental school involvement, quality of student-teacher relationships, and student victimization by peers and teachers in school. Data were derived from a nationally representative sample of 934 junior high school students and their parents/caregivers in Taiwan. The results revealed that parental school involvement had a nonsignificant direct association with school victimization by peers and teachers, but a significant indirect association with both types of school victimization mediated via the quality of student-teacher relationships. These findings are applicable to both boys and girls. To reduce school victimization, policies and intervention programs could consider promoting parental school involvement and the quality of student-teacher relationships.

Sexual assault affects many people of all gender identities, yet most cases do not result in conviction. This may be due to common, inaccurate misperceptions juries hold about how sexual assault is perpetrated and how victims respond to sexual assault. Research has examined misperceptions relating to cisgender victims, yet little is known about the unique misconceptions and stereotypes that may unfairly disadvantage transgender victims or whether courts are attempting to safeguard against them. This article presents a literature review of empirical research on (mock) jurors' perceptions of transgender victims and a review of judicial instructions about gender identity. We find that empirical research is extremely limited with mixed findings, but many jurisdictions allow for judicial instructions warning jurors against prejudice based on gender identity. Further research is urgently needed to identify common misperceptions jurors may have that are specific to transgender victims to inform legal safeguards and improve justice outcomes.

This study utilized a large-scale representative sample to explore the prevalence of sexting and its associated factors among adolescents in Taiwan. A total of 12,954 students in grade 5-12 countrywide were randomly selected to answer the sexting module of an online survey. 13.7% of the respondents reported having ever received sexts on cellphone, and 2.0% had sent sexts to others. The prevalence was higher among older adolescents. Gender differences were also found, in which female students were more likely to receive sexts (15.8% vs. 11.7%), while male students were at higher risk of sending sexts to others (2.9% vs. 1.1%). A series of hierarchical logistic regression were further performed to examine the associations between potential factors and receiving/sending sexts as the outcome variables. Age, gender, and time spending on texting were significantly associated with receiving and ending sexts. Online respect was found positively associated with receiving sexts but negatively associated with sending them. Privacy awareness was found not significantly associated with sexting. As the first national survey on this growing issue in Taiwan, the results of the present study highlighted the existence of sexting among local youth. Practice and policy implications were discussed.

There is a need for updated survey literature collected from correctional mental health professionals working within prison settings. Up to date research can add to the literature addressing the best practices for mental health treatment of the transgender incarcerated population in order to provide health care professionals and correctional staff with more effective, efficient, and widely understood intervention practices to facilitate the well-being and safety of this population. Guided by three research aims, 50 mental health professionals from 21 states throughout the United States were surveyed in this quantitative survey regarding their work with the transgender incarcerated population. Results are discussed in terms of implications for the type of care and coordination of care provided by correctional mental health professionals.

We conducted a pre-registered meta-analysis of studies that directly compared the predictive validity of risk assessment tools to unstructured judgments of risk for violent, any, or sexual offending. A total of 31 studies, containing 169 effect sizes from 45,673 risk judgments, met inclusion criteria. Based on the results of three-level mixed-effects meta-regression models, the predictive validity of total scores on risk assessment tools was significantly higher than that of unstructured judgments for predictions of violent, any, and sexual offending. Tools continued to outperform unstructured judgments after accounting for risk of bias. This finding was also robust to variations in population, assessment context, and outcome measurement. Although this meta-analysis provides support for the use of risk assessment tools, it also highlights limitations and gaps that future research should address.

Research on bullying in Indonesia remains limited, revealing significant gaps in understanding its prevalence and underlying factors specific to the Indonesian context. This study addresses these gaps through a three-pronged approach: (a) assessing the prevalence of poly-bullying victimisation, (b) identifying factors associated with poly-bullying experiences, and (c) evaluating subjective well-being (SWB) in cases of poly-bullying by comparing it with uninvolved children. Cummins' theory of SWB homeostasis was employed to interpret the findings. The study included 10,051 children aged 10 and 12 years (50% girls) who reported experiencing poly-bullying in the past month. Data were analysed using descriptive statistics and linear regression. Poly-bullying was measured across five indicators: physical, verbal, and emotional bullying by siblings and other children at school. The analysis considered five independent variables: sociodemographic factors, perceptions of family, friends, and school, and reported fights among students. The results were statistically significant (p < 0.000), though the model explained only 5.1% of the variance in poly-bullying victimisation. Poly-bullying was prevalent in both public and non-religious schools. Significant contributors included the frequency of fights among students (β = 0.129) and the belief that friends would help (β = 0.045). The study's implications for preventing poly-bullying victimisation were also discussed.

A court may move the location of the trial to another jurisdiction if the jury pool is deemed biased by the judge, a legal maneuver based on a "Change of Venue" motion (CoVm). We surveyed the frequency and the factors associated with granting the motion at the state level when the defendant was charged with murder. We reviewed court transcripts of appealed murder convictions during the 2000-2020 years from Nexis. We complied a sample of 832 CoVm and conducted a nested regression analysis. We repeated the procedure with a subset of 360 CoVm for which we could identify the race of the defendant and victim. Overall, the success rate of CoVm was 23.5% but varied widely between the states. The motion was more likely to be granted in jurisdictions with smaller populations and a policeman was the victim. It was also found that Black and Latino defendants were less successful than Whites in winning CoVm. The racial disparity in CoVm decisions is especially concerning given past findings that people of color suffer heightened negative local pretrial publicity. In light of the findings, we advocate for a more uniform state legislation.

The legal recognition of the gender status of transgender people in Europe (and indeed worldwide) is undoubtedly a complex and multifaceted issue, which has prompted academics and legal practitioners to raise numerous scientific questions and seek answers thereto. The gravity of this issue is heightened by the fact that the daily functioning of a transgender person in society as a person of registered (assigned at birth) sex that is incongruent with their self-perception exposes them to constant and conspicuous distress (the so-called gender dysphoria), often manifested in various forms of discrimination. The role of every European state should be to eliminate, or at least minimize, such distress and the risk of discrimination. One of the ways to attain these specified objectives may very well be the eponymous procedure of legal gender recognition for transgender people. This article was conceived with the perspective of human rights in mind. Consequently, its primary assertion is that the aim of every proceeding (be it judicial or administrative) concerning gender recognition is the realization of comprehensive protection of rights and freedoms for a transgender person. An additional aim of the present article is to attempt to facilitate the task of judges who adjudicate cases involving gender recognition, officials who process applications for changes in civil status records, and attorneys who represent transgender people in matters pertaining to changing a person's name and gender marker on identity documents.

The purpose of this study was to develop and validate a new measurement tool designed to capture endorsement of myths surrounding female perpetrated sexual violence against men, specifically in 'forced-to-penetrate' cases. Data were collected among a sample of 4152 UK adults aged 18-55+ (52% female). Dimensionality and construct validity of the Forced-to-Penetrate Myth Acceptance Scale (FTP-MAS) was investigated using traditional Confirmatory Factor Analysis (CFA) techniques separately for the complete sample, males only, and females only. CFA results indicated that FTP-MAS scores are best captured by a three-factor model (1. Distorted Sex and Gender Roles; 2. Harm Minimisation; 3. Offence Denial) across all samples tested. Excellent composite reliability and differential predictive validity were observed for all three subscales. The validated 22-item FTP-MAS constitutes the first measurement tool which allows for the assessment and evaluation of public attitudes towards female perpetrators who force men to penetrate them without consent. As such, this tool enables researchers to better understand the multi-faceted nature of these myths, assess prevalence in different contexts, and can also be used as an outcome measure in research seeking to evaluate the effectiveness of interventions that aim to debunk endorsement of such myths and stereotypes.