@article{BeckerMoellerSchweizer2013, author = {Becker, Inga and M{\"o}ller, Birgit and Schweizer, Katinka}, title = {Entwicklungsverl{\"a}ufe von Kindern und Jugendlichen mit Geschlechtsdysphorie}, series = {Zeitschrift f{\"u}r Sexualforschung}, volume = {26}, journal = {Zeitschrift f{\"u}r Sexualforschung}, issn = {0932-8114}, doi = {10.1055/s-0033-1350541}, pages = {266 -- 273}, year = {2013}, language = {de} } @article{BeckerGjergjiLamaRomeretal.2014, author = {Becker, Inga and Gjergji-Lama, Voltisa and Romer, Georg and M{\"o}ller, Birgit}, title = {Merkmale von Kindern und Jugendlichen mit Geschlechtsdysphorie in der Hamburger Spezialsprechstunde}, series = {Praxis der Kinderpsychologie und Kinderpsychiatrie}, volume = {63}, journal = {Praxis der Kinderpsychologie und Kinderpsychiatrie}, issn = {0032-7034}, pages = {486 -- 509}, year = {2014}, abstract = {Given the increasing demand for counselling in gender dysphoria in childhood in Germany, there is a definite need for empirical data on characteristics and developmental trajectories of this clinical group. This study aimed to provide a first overview by assessing demographic characteristics and developmental trajectories of a group of gender variant boys and girls referred to the specialised Gender Identity Clinic in Hamburg. Data were extracted from medical charts, transcribed and analysed using qualitative content analysis methods. Categories were set up by inductive-deductive reasoning based on the patients' parents' and clinicians' information in the files. Between 2006 and 2010, 45 gender variant children and adolescents were seen by clinicians; 88.9\% (n = 40) of these were diagnosed with gender identity disorder (ICD-10). Within this group, the referral rates for girls were higher than for boys (1:1.5). Gender dysphoric girls were on average older than the boys and a higher percentage of girls was referred to the clinic at the beginning of adolescence (> 12 years of age). At the same time, more girls reported an early onset age. More girls made statements about their (same-sex) sexual orientation during adolescence and wishes for gender confirming medical interventions. More girls than boys revealed self-mutilation in the past or present as well as suicidal thoughts and/or attempts. Results indicate that the presentation of clinically referred gender dysphoric girls differs from the characteristics boys present in Germany; especially with respect to the most salient age differences. Therefore, these two groups require different awareness and individual treatment approaches.}, subject = {Adolescent}, language = {de} } @article{BeckerAuerBarkmannetal.2018, author = {Becker, Inga and Auer, Matthias and Barkmann, Claus and Fuss, Johannes and M{\"o}ller, Birgit and Nieder, Timo O. and Fahrenkrug, Saskia and Hildebrandt, Thomas and Richter-Appelt, Hertha}, title = {A Cross-Sectional Multicenter Study of Multidimensional Body Image in Adolescents and Adults with Gender Dysphoria Before and After Transition-Related Medical Interventions}, series = {Archives of sexual behavior}, volume = {47}, journal = {Archives of sexual behavior}, doi = {10.1007/s10508-018-1278-4}, pages = {2335 -- 2347}, year = {2018}, abstract = {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 multidimensional body image across clinically referred adolescents and adults undergoing different transition-related medical interventions. Two clinical samples of adolescents (n = 82) and adults (n = 120) referred to specialized departments of four different transgender health services in Germany participated in the study. In total, 202 individuals from the female-to-male (FtM individuals) and male-to-female (MtF individuals) spectrum aged 14-74 years were included at different stages of their transition. Four scales assessing multidimensional aspects of body image (measured by the Body Image Assessment Questionnaire, FBeK) were compared across three groups: sample, gender, and medical interventions (while controlling for age and treatment duration). The results indicated less favorable body image scores compared with the norm in both adolescents and adults with GD. Individuals who had undergone transition-related medical interventions presented a significantly better body image on two of the four scales. Differences according to gender and age were also present. These findings suggest that medical interventions, especially gender-affirming hormones and surgery, are generally beneficial to the body image in individuals with GD. However, not all of the less favorable outcomes in multidimensional body image were positively influenced by the treatment conditions and may thus benefit from additional integrative counseling before and during transition.}, subject = {Adolescent}, language = {en} } @article{MoellerNiederPreussetal.2014, author = {M{\"o}ller, Birgit and Nieder, Timo Ole and Preuss, Wilhelm F. and Becker, Inga and Fahrenkrug, Saskia and W{\"u}sthof, Achim and Briken, Peer and Romer, Georg and Richter-Appelt, Hertha}, title = {Versorgung von Kindern und Jugendlichen mit Geschlechtsdysphorie im Rahmen einer interdisziplin{\"a}ren Spezialsprechstunde}, series = {Praxis der Kinderpsychologie und Kinderpsychiatrie}, volume = {63}, journal = {Praxis der Kinderpsychologie und Kinderpsychiatrie}, issn = {0032-7034}, pages = {465 -- 485}, year = {2014}, abstract = {In Germany, the situation of health care services for children and adolescents with gender dysphoria is insufficient. In 2006 a specialized multiprofessional outpatient clinic was founded at the University Medical Center Hamburg-Eppendorf. Goals were improvement of health services for gender dysphoric children, development of treatment concepts, and gain of knowledge through research. After finishing a thorough interdisciplinary assessment an individualized, case-by-case treatment starts. Besides psychotherapy an interdisciplinary treatment (e. g. puberty suppression and cross-sex hormones) is provided if indicated. During childhood a watchful waiting and carefully observing attitude is necessary. If a marked increase of gender dysphoria occurs during the first phases of puberty development, puberty suppression and later cross sex-hormones might be indicated.}, subject = {Adolescent}, language = {de} } @book{AuelBeckerBrantsetal.2025, author = {Auel, Christian and Becker, Anne and Brants, Susanne and Braun, Anke and Broesi, Robert and Carstensen, Dirk and Dickhaut, Wolfgang and Giga, Andreas and Gr{\"u}ning, Helmut and Haberkamp, Jens and Helmecke, Manuela and Henrichs, Malte and Hilbrands, Eske and H{\"o}rnschemeyer, Birgitta and Hoppe, Holger and Janssen, Hendrik and Kemper, Svenja and Kleckers, Jonas and Klerx, Claudia and Kopietz, Ingo and Kuttler, Wilhelm and Lakes, Inga and Maaß, Anna-Lisa and Lieske, Christian and Miehe, Ulf and Netzel, Fabian and Niewerth, Stefan and Pauwels, Marc and Schlenkhoff, Andreas and Teichgr{\"a}ber, Burkhard and Weltecke, Katharina and zur Strassen, Georg}, title = {D{\"u}rre und Flut in Stadt und Raum. Tagungsband der 8. Wassertage M{\"u}nster 2025}, editor = {IWARU Institut f{\"u}r Infrastruktur·Wasser·Ressourcen·Umwelt (Hrsg.),}, publisher = {FH M{\"u}nster}, address = {M{\"u}nster}, isbn = {978-3-947263-41-7}, doi = {10.25974/fhms-18796}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-187964}, publisher = {FH M{\"u}nster - University of Applied Sciences}, pages = {182}, year = {2025}, abstract = {Die klimabedingte Zunahme extremer Wetterereignisse ist eine der Herausforderungen in der gegenw{\"a}rtig durch Krisen gepr{\"a}gten Zeit. Gefahren gehen sowohl von ausgepr{\"a}gten Extremniederschl{\"a}gen als auch langanhaltenden D{\"u}rreperioden aus. Das Schadpotenzial h{\"a}ngt maßgeblich von den lokalen Bedingungen in Stadt und Raum ab. Ein Starkregen richtet im Flachland mit versickerungsf{\"a}higen B{\"o}den wesentlich weniger Sch{\"a}den an als in einem engen Tal, wenn dort die Hochwasserwelle auf bebaute Talbereiche trifft. Auch sind die Folgen einer als urbane Sturzflut bezeichneten {\"U}berflutung in dicht besiedelten R{\"a}umen in der Regel dramatischer als bei l{\"a}ndlich gepr{\"a}gten Siedlungsstrukturen. Neben Starkregen f{\"u}hren auch Trockenheit und Hitze vor allem in Innenst{\"a}dten immer h{\"a}ufiger zu Bedingungen, in denen das Leben und Arbeiten zur Belastung wird. Vielerorts sinkende Grundwasserspiegel stellen die Bewirtschaftung nat{\"u}rlicher Wasserressourcen und damit einhergehend sowohl die Bew{\"a}sserung in der Landwirtschaft als auch die {\"o}ffentliche Wasserversorgung in Deutschland vor bislang weitgehend unbekannte Herausforderungen. Einen absoluten Schutz gegen {\"U}berflutungen und vor Hitzeperioden gibt es nicht, aber wir m{\"u}ssen Vorsorge betreiben, um die Belastungen zu begrenzen und die eigene Resilienz zu erh{\"o}hen. Dazu erforderliche Konzepte greifen die Wassertage M{\"u}nster 2025 auf. Zur nachhaltigen Bewirtschaftung der Ressource Wasser dienen in hohem Maße die Talsperren, auf die ein Blick sowohl weltweit als auch in NRW geworfen wird. Thematisiert werden weiterhin die neuesten Entwicklungen der Wasserwiederverwendung und des Abwassers als alternative Wasserressource. Die wasserbewusste Stadtentwicklung bildet den Rahmen f{\"u}r weitere aktuelle Diskussionen zu blau-gr{\"u}ner Infrastruktur, Starkregen und Sturzfluten, D{\"u}rre und Hitze sowie der Niederschlagswasserbehandlung.}, language = {de} }