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Susan W. Coates (born 1940) is an American
psychoanalyst PsychoanalysisFrom Greek: and is a set of theories and techniques of research to discover unconscious processes and their influence on conscious thought, emotion and behaviour. Based on dream interpretation, psychoanalysis is also a talk th ...
, who has worked on gender dysphoria in children and early childhood trauma.Bryant K (2006). Making Gender Identity Disorder of Childhood: Historical Lessons for Contemporary Debates. ''Sexuality Research & Social Policy'', 3(3), 23–39.


Career


Overview

Coates was Director of the Childhood Gender Identity Service at St. Luke's–Roosevelt Hospital Center from 1980 to 1997. In 1997, Coates was founding co-director of the Parent-Infant Program at the Columbia University Center for Psychoanalytic Training and Research. Coates is on the teaching faculty as a Clinical Professor of Medical Psychology in Psychiatry at the Columbia University Center for Psychoanalytic Training and Research. Coates is also on the faculty of the
Columbia University Columbia University in the City of New York, commonly referred to as Columbia University, is a Private university, private Ivy League research university in New York City. Established in 1754 as King's College on the grounds of Trinity Churc ...
Department of Psychiatry. After the
September 11, 2001 attacks The September 11 attacks, also known as 9/11, were four coordinated Islamist terrorist suicide attacks by al-Qaeda against the United States in 2001. Nineteen terrorists hijacked four commercial airliners, crashing the first two into ...
, Coates provided mental health services to children and their parents at the Family Assistance Center set up by Disaster Psychiatry Outreach at Pier 94 in
New York City New York, often called New York City (NYC), is the most populous city in the United States, located at the southern tip of New York State on one of the world's largest natural harbors. The city comprises five boroughs, each coextensive w ...
.


Work on gender dysphoria

Coates was among a small number of psychiatrists and psychologists who were instrumental in establishing a pathologizing and reparative approach to childhood gender non-conformity. Coates considered gender non-conforming children to be suffering from a severe
mental disorder A mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is ...
. Coates and Kenneth Zucker described the mothers of
feminine Femininity (also called womanliness) is a set of attributes, behaviors, and Gender roles, roles generally associated with women and girls. Femininity can be understood as Social construction of gender, socially constructed, and there is also s ...
boys as being overbearing, and transferring unresolved
psychological trauma Psychological trauma (also known as mental trauma, psychiatric trauma, emotional damage, or psychotrauma) is an emotional response caused by severe distressing events, such as Major trauma, bodily injury, Sexual assault, sexual violence, or ot ...
to their children. Coates described the mothers as anxious, controlling, and intrusive. In this psychoanalytic model, the child experiences
separation anxiety Separation anxiety disorder (SAD) is an anxiety disorder in which an individual experiences excessive anxiety regarding separation from home and/or from people to whom the individual has a strong emotional attachment (e.g., a parent, caregive ...
, and creates a fantasy of reuniting with the mother who was physically or emotionally absent. These ideas echoed early theories on
homosexuality Homosexuality is romantic attraction, sexual attraction, or Human sexual activity, sexual behavior between people of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexu ...
that blamed mothers for the gender non-conformity of their children. Coates served on the
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 39,200 members who are in ...
DSM-IV Subcommittee on Gender Identity Disorders. Bradley SJ, Blanchard R, Coates SW, Green R, Levine SB, Meyer-Bahlburg HFL, Pauly IB, Zucker KJ (1991). Interim report of the DSM-IV Subcommittee on Gender Identity Disorders. '' Archives of Sexual Behavior'' Volume 20, Number 4 / August, 1991


Role in Woody Allen custody trial

Coates provided therapy to Ronan Farrow between 1990 and 1992. In 1993, in relation to the Woody Allen sexual abuse allegation, Coates testified in court that the behavior of
Mia Farrow Maria de Lourdes Villiers "Mia" Farrow ( ; born February 9, 1945) is an American actress. She first gained notice for her role as Allison MacKenzie in the television soap opera ''Peyton Place (TV series), Peyton Place'' and gained further recogn ...
had become increasingly erratic.


Selected publications

*Coates SW (1985). Extreme boyhood femininity: Overview and new research findings. In Ruth Corn, Zira DeFries, Richard C. Friedman, eds. ''Sexuality: New perspectives''. Greenwood Press *Coates SW, Person ES (1986). Extreme Boyhood Femininity: Isolated Behavior or Pervasive Disorder? ''J Am Acad Child Psychiatry''. 1985 Nov;24(6):702–9. *Coates SW (1990). Ontogenesis of Boyhood Gender Identity Disorder. ''J. Amer. Acad. Psychoanal.'', 18:414–438. *Coates SW, Friedman RC, Wolfe S (1991). The Etiology of Boyhood Gender Identity Disorder: A Model for Integrating Temperament, Development, and Psychodynamics. ''Psychoanal. Dial.'', 1:481–523. *Zucker KJ, Green R, Coates S, Zuger B, Cohen-Kettenis PT, Zecca GM, Lertora V, Money J, Hahn-Burke S, Bradley SJ, Blanchard R. Sibling sex ratio of boys with gender identity disorder. ''J Child Psychol Psychiatry''. 1997 Jul;38(5):543–51. *Coates SW, Wolfe S. Boyhood Gender Identity Disorder: The interface of constitution and early experience. ''Psychoanalytic Inquiry'', 1995, 51:6–38. *Coates SW, Moore MS. The complexity of early trauma: Representation and transformation. Psychoanalytic Inquiry, 1997, 17:286–311. *Coates SW, Rosenthal J, Schechter DS, eds. (2003). ''September 11: Trauma and Human Bonds''. Hillside, NJ : The Analytic Press. *Coates SW, Schechter DS. 2004. Preschoolers' Traumatic Stress Post-9/11: Relational and Developmental Perspectives. In. Psychiatric Clinics of North America. Disaster Psychiatry: A Closer Look. Edited by Craig Katz, M.D. and Anand Pandya, M.D. 27, 3, 473–489. *Coates SW (2005). Having a Mind of One's Own and Holding the Other in Mind: Commentary on Paper by Peter Fonagy and Mary Target (1998). Mahwah, NJ: Analytic Press. *Coates SW, Gaensbauer TJ. 2009. Event Trauma in Early Childhood: Symptoms, Assessment, Intervention. Child and Adolescent Psychiatric Clinics of North America Infant and Early Childhood Mental Health. Editors are Mary Margaret Gleason and Daniel S. Schechter. 18(3):611–26.


References


External links


Susan Coates, PhD
faculty page at the Columbia University Center for Psychoanalytic Training and Research
Trauma in Children; Considerations for Care After Hurricane Katrina: An Expert Interview With Susan Coates, PhD
via MedScape {{DEFAULTSORT:Coates, Susan American women psychologists 21st-century American psychologists Sarah Lawrence College alumni Vassar College alumni New York University alumni 1940 births Living people 21st-century American women 20th-century American psychologists