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Transsexualism and physical deformity.
The Journal of Nervous and Mental Disease
|October 1, 1984
Summary
This case study explores a male transsexual individual with a rare orthopedic condition, progressive pseudorheumatoid arthrotropy. His gender identity evolved as a coping mechanism for severe physical disability and social challenges.
Area of Science:
- Orthopedics
- Psychiatry
- Gender Studies
Background:
- Presents the first case study of a male transsexual individual with progressive pseudorheumatoid arthrotropy.
- Details a 28-year-old male diagnosed in 1976 with this rare, disabling orthopedic condition affecting multiple family members.
Observation:
- The patient exhibited significant skeletal deformities, requiring braces, multiple surgeries, and hip replacements.
- Childhood experiences of ridicule due to his appearance contrasted with his sister's social acceptance, influencing his gender identity development.
Findings:
- Psychological testing indicated a desire for sexual transformation as an escape from physical deformity and pain.
- Suggests the patient's transsexualism developed as an adaptation to profound physical disability and perceived male handicap status.
Implications:
- Highlights the complex interplay between severe physical disability, psychological adaptation, and gender identity.
- Underscores the need for holistic patient care addressing both physical and psychosocial aspects in rare orthopedic conditions.