Gender identity disorder in adults

2012 ◽  
pp. 842-846 ◽  
Author(s):  
Richard Green
Keyword(s):  
Gender Identity ◽  
Gender Identity Disorder ◽  
Legal Issues ◽  
Family Management ◽  
Historical Overview ◽  
Sex Reassignment ◽  
Hormonal Effects ◽  
The Third ◽  
Patient Subgroups ◽  
Treatment Surgery

The behavioural phenomenon of transsexualism (now gender identity disorder) is ancient. It has been recorded for centuries and in a broad range of cultures. The historic behavioural picture is comparable to that seen clinically. After a brief historical overview, this chapter covers epidemiology, diagnosis, origins, hormonal effects, treatment, surgery, sex reassignment outcome, family management, those with a transgendered identity, popularly known as ‘the third sex’, transsexual patient subgroups, gender identity as a disorder, and finally legal issues.

scholarly journals Hysterectomy and Bilateral Salpingoovariectomy in a Transsexual Subject without Visible Scaring

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Myriam Perrone ◽  
Maria Cristina Scifo ◽  
Valentina Martelli ◽  
Paolo Casadio ◽  
Paolo Giovanni Morselli ◽  
...  
Keyword(s):  
Gender Identity ◽  
Gender Identity Disorder ◽  
Outcome Measure ◽  
Single Site ◽  
University Hospital ◽  
Sex Reassignment ◽  
Laparoendoscopic Single Site ◽  
Trocar Placement ◽  
Laparoendoscopic Single Site Surgery ◽  
Single Site Surgery

Objective. To report on the use of laparoendoscopic single-site surgery (LESS) for the management of total hysterectomy (TH) with bilateral salpingoovariectomy (BSO) in a subject affected by gender identity disorder. Design. Case report. Setting. University Hospital. Patient(s). A 27-year-old affected by Gender Identity Disorder underwent a hysterectomy and BSO as part of surgical sex reassignment. Intervention(s). Laparoendoscopic single-site surgery access for TH and BSO. Main Outcome Measure(s). The procedure was performed without incident. The trocar placement was easy and safe, without inadvertent port removal. No vascular or visceral injuries, loss of pneumoperitoneum, or intraoperative port site bleeding occurred. Result(s). A detailed description of the technique of a single-site surgery for management of hysterectomy and BSO. Conclusion. Our case presents the first report of single-site surgery for surgical treatment of subjects affected by GID.

scholarly journals Personality Disorders in Persons with Gender Identity Disorder

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Dragana Duišin ◽  
Borjanka Batinić ◽  
Jasmina Barišić ◽  
Miroslav L. Djordjevic ◽  
Svetlana Vujović ◽  
...  
Keyword(s):  
Gender Identity ◽  
Personality Disorders ◽  
Gender Identity Disorder ◽  
Psychiatric Comorbidity ◽  
Treatment Plan ◽  
Sex Reassignment Surgery ◽  
Sex Reassignment ◽  
Axis Ii ◽  
Biological Sex ◽  
Dsm Iv

Background.Investigations in the field of gender identity disorder (GID) have been mostly related to psychiatric comorbidity and severe psychiatric disorders, but have focused less on personality and personality disorders (PDs).Aims.The aim of the study was to assess the presence of PDs in persons with GID as compared to cisgendered (a cisgender person is a person who is content to remain the gender they were assigned at birth) heterosexuals, as well as to biological sex.Methods.The study sample consisted of 30 persons with GID and 30 cisgendered heterosexuals from the general population. The assessment of PDs was conducted by application of the self-administered Structured Clinical Interview for DSM-IV Axis II PDs (SCID-II).Results.Persons with GID compared to cisgender heterosexuals have higher presence of PDs, particularly Paranoid PD, avoidant PDs, and comorbid PDs. In addition, MtF (transwomen are people assigned male at birth who identify as women) persons are characterized by a more severe psychopathological profile.Conclusions.Assessment of PDs in persons with GID is of great importance as it comprises a key part of personalized treatment plan tailoring, as well as a prognostic factor for sex-reassignment surgery (SRS) outcome.

scholarly journals Using the Defensive Style Questionnaire to evaluate the impact of sex reassignment surgery on defensive mechanisms in transsexual patients

2009 ◽  
Vol 31 (4) ◽  
pp. 303-306 ◽  
Author(s):  
Maria Inês Lobato ◽  
Walter José Koff ◽  
Tiago Crestana ◽  
Camila Chaves ◽  
Jaqueline Salvador ◽  
...  
Keyword(s):  
Gender Identity ◽  
Defense Mechanisms ◽  
Gender Identity Disorder ◽  
Sex Reassignment Surgery ◽  
Sex Reassignment ◽  
Core Symptom ◽  
Defensive Structure ◽  
Defensive Style ◽  
Questionnaire Method ◽  
The Impact

Objective: To evaluate the impact of sex reassignment surgery on the defense mechanisms of 32 transsexual patients at two different points in time using the Defensive Style Questionnaire. Method: The Defensive Style Questionnaire was applied to 32 patients upon their admission to the Gender Identity Disorder Program, and 12 months after they had undergone sex reassignment surgery. Results: There were changes in two defense mechanisms: anticipation and idealization. However, no significant differences were observed in terms of the mature, neurotic and immature categories. Discussion: One possible explanation for this result is the fact that the procedure does not resolve gender dysphoria, which is a core symptom in such patients. Another aspect is related to the early onset of the gender identity disorder, which determines a more regressive defensive structure in these patients. Conclusion: Sex reassignment surgery did not improve the defensive profile as measured by the Defensive Style Questionnaire.

scholarly journals Trans-Action Fees: Public Insurance, Medical Necessity, and Sex Reassignment Surgery

Elements ◽  
2008 ◽  
Vol 4 (2) ◽  
Author(s):  
Caitlin Peterson
Keyword(s):  
Gender Identity ◽  
Medical Treatment ◽  
Gender Identity Disorder ◽  
Insurance Coverage ◽  
Sex Reassignment Surgery ◽  
Sex Reassignment ◽  
Public Insurance ◽  
Medical Necessity ◽  
Transgender Persons ◽  
Medicaid Policy

Due to a general lack of understanding regarding transgender persons, this group of individuals is put at particular risk of discrimination in the area of law and medicine. The question of public insurance coverage for medical treatment of gender identity disorder is one of the most pressing issues in this field. This paper will provide an overview of transgenderism and treatments of gender identity disorder in order to assess the medical necessity of sex reassignment surgery and other procedures provided to transgender persons. While Medicaid guidelines do allow for the denial of medically necessary services, these denied services must fit certain criteria. Specific cases in which state insurance coverage was permitted or denied to transgender Medicaid patients will be examined in order to assess the overall ethicality of Medicaid policy towards transgender persons.

scholarly journals PROBLEMS OF MEDICAL CARE IN PEOPLE WITH GENDER IDENTITY DISORDER

2018 ◽  
Vol 19 (2) ◽  
pp. 96-100
Author(s):  
N. D. Kibrik ◽  
M. I. Yagubov ◽  
V. I. Shigapova
Keyword(s):  
Differential Diagnosis ◽  
Gender Identity ◽  
Medical Care ◽  
Gender Identity Disorder ◽  
Diagnostic Errors ◽  
Sex Reassignment ◽  
Treatment Principles ◽  
Gender Reassignment

In the article, a clinical example demonstrating problems of differential diagnosis of gender identity disorder is considered. The main examination and treatment principles currently used for patients seeking sex reassignment are described. The necessity of optimization of diagnostic, treatment, and rehabilitation approaches is demonstrated. Inadvisability of simplification of the gender reassignment procedure which due to diagnostic errors can worsen a patient’s maladaptation is noted.

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