The gender identity disorder: analysis and discussion of "perfect" single case

Author/s Sonia Rossetti, Dora Chiloiro
Publishing Year 2015 Issue 2015/2
Language Italian Pages 14 P. 83-96 File size 86 KB
DOI 10.3280/RSC2015-002004
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The Gender Identity Disorder is a clinical condition characterized by a lack integration between the biological sex genetically determined and the representation of their sexual identity. In this condition person not recognize in their sexual role experiencing a series of emotional experiences contrasting and characterized by a desire to change their appearance. The objective of this work is to provide a general overview about the disorder and legal procedures for surgical reconstruction of sex. The authors discuss the clinical case of a patient evaluated at the S.C. of Clinical Psychology and Psychotherapy Adult and Developmental Ages’ to the ASL of Taranto. The focus will be on the psychodiagnostic survey used to arrive at the diagnosis. The aim is to portray the perfect psychological conditions that a person with such clinical condition should possess in order to receive authorization for surgical reconstruction of sex.

Keywords: Gender identity disorder, transgender, transsexual, psychodiagnostic examination, diagnosis, surgical sex reassignment.

  1. American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorder, Fourth edition TR, Washington DC: American Psychiatric Association.
  2. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorder, 5 ed. Washington DC: American Psychiatric Association.
  3. Bender L. (1938). A Visual Motor Gestalt Test and its Clinical Use. Research Monographs n.3. New York: American Orthopsychiatric Association.
  4. Blosnich J.R., Brown G.R., Shipherd J.C., Kauth M., Piegari R.I., Bossarte R.M. (2013). Prevalence of Gender Identity Disorder and Suicide Risk Among Transgender Veterans Utilizing Veterans Health Administration Care. American Journal of Public Health, 103(10): 27-32. DOI: 10.2105/AJPH.2013.301507
  5. Bockting W.O., Knudson G., Goldberg J.M. (2006). Counselling and mental health care of transgender adults and loved ones. International Journal of Transgenderism, 9(3-4): 35-82. DOI: 10.1300/J485v09n03_03
  6. Bockting W.O., Miner M.H., Swinburne Romine R., Hamilton A., Coleman E. (2013). Stigma, mental health, and resilience among an online sample of the US transgender population. American Journal of Public Health. 103(5): 943-51. DOI: 10.2105/AJPH.2013.301241
  7. Madeddu F., Prunas A., Hartmann D. (2009). Prevalence of Axis II disorders in a sample of clients undertaking psychiatric evaluation for sex reassignment surgery.
  8. Bodlund O., Kullgren G. (1996). Transsexualism- General outcome and prognostic factors: a five-years follow-up study of nineteen transsexuals in the process of changing sex. Archives of Sexual Behavior. 25(3): 303-16.
  9. Cohen-Kettenis P.T., Gooren L. (1999). Transsexualism: a review of etiology, diagnosis and treatment. Jornal of Psychosomatic Research. 46(4): 315-33.
  10. D’Acquisto V. (2014). Report del Simposio “Ai confini delle diagnosi: la Disforia di Genere. State of mind. 18° Congresso SOPSI (Società Italiana di Psicopatologia). Torino. 12-15 Febbraio 2014.
  11. Drescher, J. (2015). Queer diagnoses revisited: The past and future of homosexuality and gender diagnoses in DSM and ICD. International Review Psychiatry. 4: 1-10.
  12. First M.B., Spitzer R.L., Gibbon M., Williams J.B.W., Benjamin L. (1994). Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II), Version 2.0. New York: Biometrics Research Department. New York State Psychiatric Institute.
  13. Greenberg R.P., Laurence L. (1981). A comparison of the MMPI results for psychiatric patients and male applicants for transsexual surgery. Journal of Nervous and Mental Disease. 169: 320-3. DOI: 10.1097/00005053-198105000-00010
  14. Herbst J.H., Jacobs E.D., Finlayson T.J., McKleroy V.S., Neumann M.S., Crepaz N. (2008). The HIV/AIDS Prevention Research Synthesis Team. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: A systematic review. AIDS and Behavior. 12(1): 1-17. DOI: 10.1007/s10461-007-9299-3
  15. Horvath K.J., Iantaffi A., Grey J.A., Bockting W. (2012). A Review of the Content and Format of Transgender-Related Webpages. Health Communication. 27(5): 457-66. DOI: 10.1080/10410236.2011.610256
  16. Hutt M.L. (1969). The Hutt Adaptation of the Bender Gestalt Test. New York: Grune & Stratton. Kenagy G.P. (2005). Transgender health: Findings from two needs assessment studies in Philadelphia. Health & Social Work. 30: 19-26.
  17. 10.1093/hsw/30.1.19 King M., Semlyen J., Tai S.S., Killaspy H., Osborn D., Popelyuk D., Nazareth I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay, and bisexual people. BMC Psychiatry. 8(1): 70. DOI: 10.1186/1471-244X-8-70
  18. King R.S., Brown G.R., McCrea C.R. (2012). Voice parameters that result in identification or misidentification of biological gender in male-to-female transgender veterans. International Journal of Transgenderism. 13(3): 117-30. DOI: 10.1080/15532739.2011.664464
  19. Klopfer B., Davidson H. (1994). La tecnica di Rorschach. Un manuale introduttivo. Firenze: Giunti O.S. Organizzazioni Speciali.
  20. Kuiper A.J., Cohen-Kettenis P.T. (1998). Gender role reversal among postoperative transsexuals. International Journal of Transgenderism. 2(3).
  21. Landén M., Wålinder J., Lundström B. (1996). Prevalence, incidence and sex ratio of transsexualism. Acta Psychiatrica Scandinavica. 93(4): 221-3. DOI: 10.1111/j.1600-0447.1996.tb10638.x
  22. Lawrence A.A. (2003). Factors associated with satisfaction or regret following Male-to-Female sex reassignment surgery. Archives of Sexual Behavior, 32(4): 299-315. DOI: 10.1023/A:1024086814364
  23. Levine S.B., Brown G.R., Coleman E., Cohen-Kettenis P.T., Hage J.J., Van Maasdam J., Petersen M., Pfäfflin F., Schaefer L.C. (1999). The standards of care for gender identity disorders. Journalof Psychology and Human Sexuality. 11(2): 1-34. DOI: 10.1300/J056v11n02_01
  24. Lingiardi V., Nardelli N. (2014). Sesso, genere e orientamento sessuale. In Lingiardi V., Gazzillo F. La personalità e i suoi disturbi. Milano: Raffaello Cortina.
  25. Psychiatric Quarterly. 80(4), 261-7. DOI: 10.1007/s11126-009-9114-6
  26. Magioncalda P. Vassallo L. (2012). Il Disturbo dell’Identità di Genere. Psychiatry on line. Testo disponibile al sito
  27. Meyer I.H. (2001). Why lesbian, gay, bisexual, and transgender public health? American Journal of Public Health. 91: 856-9. DOI: 10.2105/AJPH.91.6.856
  28. Michel A., Ansseau M., Legros J.J., Pitchot W., Mormont C. (2002). The transsexual: what about the future? European Psychiatry, 17 (6): 353-62.
  29. Pancheri P., Sirigatti S. (2011). Minnesota Multiphasic Personality Inventory-2. Firenze: Giunti O.S. Organizzazioni Speciali.
  30. Reitz J.D. (1998). Combined Gender Identity And Transexual Inventory. Download libero.
  31. Rorschach H. (1952) Tavole psicodiagnostiche. Roma: Astrolabio.
  32. Sanchez N.F., Sanchez J.P., Danoff A. (2009). Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City. American Journal of Public Health. 99(4): 713-9. DOI: 10.2105/AJPH.2007.132035.
  33. Sperber J., Landers S., Lawrence S. (2005). Access to health care for transgendered persons: results of a needs assess- ment inBoston. International Journal of Transgenderism. 8(2-3): 75-91. DOI: 10.1300/J485v08n02_08
  34. Turan S., Aksoy Poiraz C., İnce E., Sakalli Kani A., Emul H.M., Duran A. (2015). Sociodemographic and Clinical Characteristics of Transsexual Individuals Who Presented to a Psychiatry Clinic For Sex Reassignment Surgery. Turkish Journal of Psychiatry. 26(3):153-60.
  35. Zucker K.J. (2010). The DSM diagnostic criteria for gender identity disorder in children. Archives of Sexual Behavior. 39(2), 477-98. DOI: 10.1007/s10508-009-9540-4
  36. Zucker K.J., & Lawrence A.A. (2009). Epidemiology of gender identity disorder: Recommendations for the standards of care of The World Professional Association for Transgender Health. International Journal of Transgenderism. 11(1), 8-18. DOI: 10.1080/15532730902799946

Sonia Rossetti, Dora Chiloiro, Il disturbo dell’identità di genere: analisi e discussione di un "perfetto" caso singolo in "RIVISTA DI SESSUOLOGIA CLINICA" 2/2015, pp 83-96, DOI: 10.3280/RSC2015-002004