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 Psychiatric characteristics in transsexual individuals: multicentre study in four European countries

2014 ◽  
Vol 204 (2) ◽  
pp. 151-156 ◽  
Author(s):  
Gunter Heylens ◽  
Els Elaut ◽  
Baudewijntje P. C. Kreukels ◽  
Muirne C. S. Paap ◽  
Susanne Cerwenka ◽  
...  
Keyword(s):  
General Population ◽  
Gender Identity ◽  
Anxiety Disorders ◽  
Gender Identity Disorder ◽  
Late Onset ◽  
Axis Ii ◽  
Axis I ◽  
Dsm Iv ◽  
Psychiatric Problems ◽  
A Current

BackgroundResearch into the relationship between gender identity disorder and psychiatric problems has shown contradictory results.AimsTo investigate psychiatric problems in adults fulfilling DSM-IVTR criteria for a diagnosis of gender identity disorder.MethodData were collected within the European Network for the Investigation of Gender Incongruence using the Mini International Neuropsychiatric Interview – Plus and the Structured Clinical Interview for DSM-IV Axis II Disorders (n = 305).ResultsIn 38% of the individuals with gender identity disorder a current DSM-IV-TR Axis I diagnosis was found, mainly affective disorders and anxiety disorders. Furthermore, almost 70% had a current and lifetime diagnosis. All four countries showed a similar prevalence, except for affective and anxiety disorders, and no difference was found between individuals with early-onset and late-onset disorder. An Axis II diagnosis was found in 15% of all individuals with gender identity disorder, which is comparable to the general population.ConclusionsPeople with gender identity disorder show more psychiatric problems than the general population; mostly affective and anxiety problems are found.

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