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Symptomatic trans-sexualism.

M Commander1, C Dean

  • 1Highcroft Hospital, Birmingham.

The British Journal of Psychiatry : the Journal of Mental Science
|June 1, 1990
PubMed
Summary
This summary is machine-generated.

A male schizophrenic experienced a delusion of being female for two years. This symptomatic transsexualism resolved with effective schizophrenia treatment, unlike previous cases.

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Area of Science:

  • Psychiatry
  • Neuroscience
  • Gender Studies

Background:

  • Schizophrenia is a severe mental disorder characterized by delusions, hallucinations, and impaired cognition.
  • Delusions of gender identity are rare in schizophrenia, with limited documented cases.
  • Symptomatic transsexualism, a delusion of being the opposite gender, presents a unique diagnostic challenge.

Observation:

  • A 24-year-old male diagnosed with schizophrenia presented with a persistent delusion of being female.
  • The patient reported living as a woman for nearly two years, experiencing significant distress.
  • This case is unique due to the specific nature of the delusion and its response to treatment.

Findings:

  • The patient's delusion of being female, termed 'symptomatic transsexualism,' was directly linked to his underlying schizophrenia.

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  • Effective treatment targeting the core symptoms of schizophrenia led to the complete resolution of the gender-related delusion.
  • This contrasts with the only other reported case where the delusion persisted despite treatment.

    • Implications:

    • This case highlights the importance of addressing underlying psychotic disorders in patients presenting with gender-related delusions.
    • It suggests that 'symptomatic transsexualism' may be a treatable manifestation of schizophrenia, responsive to antipsychotic medication.
    • Further research is warranted to understand the neurobiological underpinnings of such delusions and their treatment.