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Area of Science:

  • Psychology
  • Gender Studies
  • Psychiatry

Background:

  • Defense mechanisms are crucial in assessing gender identity disorder patients for sex reassignment surgery.
  • Limited research exists on the defensive profiles of transsexual individuals undergoing surgical transition.
  • Understanding defense mechanisms may offer insights into psychological functioning and potential psychopathology.

Purpose of the Study:

  • To investigate whether the defense mechanisms of male-to-female (MtF) and female-to-male (FtM) transsexuals are more primitive, immature, and maladaptive than those of control groups.
  • To compare the defensive profiles of transsexual individuals seeking sex reassignment surgery with general population samples.

Main Methods:

  • A comparative study utilizing the REM-71 (Defense Mechanisms Rating Scale) was conducted.
  • Participants included 104 MtF transsexuals, 46 FtM transsexuals, and two control groups (males and females).
  • Defensive profiles were assessed and compared across all groups.

Main Results:

  • MtF transsexuals demonstrated a significantly more primitive defensive array compared to both control groups.
  • FtM transsexuals' defensive profiles were not significantly different from those of the control groups.
  • These findings suggest MtF transsexuals may have a higher propensity for psychopathology and immaturity.

Conclusions:

  • MtF transsexuals seeking sex reassignment surgery exhibit a more immature level of psychological functioning than FtM transsexuals and the general population.
  • The results support the hypothesis that MtF transsexuals are characterized by a higher proneness to psychopathology.
  • Defense mechanism assessment may be a valuable tool in the clinical evaluation of individuals considering gender reassignment surgery.