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Transsexualism: syndrome or symptom?
1Department of Psychiatry, University of Toronto, Ontario.
Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|November 1, 1987
Summary
This study reviews transsexualism classifications and proposes a new model for gender dysphoria. Subdividing the condition into primary and secondary transsexualism improves understanding and guides treatment for gender dysphoric patients.
Area of Science:
- Psychiatry
- Endocrinology
- Gender Studies
Background:
- Gender identity and cross-gender identification have historical roots.
- Current diagnostic criteria, like DSM-III, may broadly categorize individuals seeking gender transition.
- This can lead to interventions for those not clearly indicated for gender reassignment.
Purpose of the Study:
- To review existing classifications of transsexualism.
- To propose a novel classification model for individuals experiencing Gender Dysphoria.
- To enhance the understanding and management of gender dysphoria.
Main Methods:
- Review of major historical and current classifications of transsexualism.
- Development of a new conceptual model distinguishing primary (true) and secondary transsexualism.
- Outline of a management/treatment protocol based on the proposed classification.
Main Results:
- The current broad definition of transsexualism may include individuals not requiring gender reassignment.
- A proposed subdivision into primary (hypothesized syndrome) and secondary (symptom) transsexualism offers a refined understanding.
- This new classification facilitates a more targeted approach to patient care.
Conclusions:
- A nuanced classification system for gender dysphoria is essential for accurate diagnosis.
- Distinguishing between primary and secondary transsexualism aids in developing appropriate treatment strategies.
- The proposed model supports a structured approach to managing gender dysphoric patients.