Anamnestic-epidemiological aspects in gender identity disorders: review
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ZLOI, Carolina. Anamnestic-epidemiological aspects in gender identity disorders: review. In: MedEsperaInternational Medical Congress for Students and Young Doctors. 7, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, pp. 70-71.
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MedEspera
7, 2018
Congresul "International Medical Congress for Students and Young Doctors"
7th edition, Chişinău, Moldova, 3-5 mai 2018

Anamnestic-epidemiological aspects in gender identity disorders: review


Pag. 70-71

Zloi Carolina
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
Disponibil în IBN: 3 noiembrie 2020


Rezumat

Introduction. Transgender is an umbrella term for people whose gender identity, gender expression or behavior is not in accordance with the sex assigned at birth. Categories of transgender include cross dresser, female to male, male to female, drag queens, androgynous, gender queer, multigendered, gender nonconforming, third gender, and two spirit people. It is very difficult to estimate accurately the number of transgender people, especially because there are no population studies that take into account the range of ge nder identity and gender expression. The ways in which transgender people are discussed in folk culture, academic environment and science are constantly changing, especially depending on the awareness, knowledge and openness of individuals for transgender people and their experiences. The group of people presenting gender dysphoria is quite heterogeneous. Aim of the study. To highlight the importance of comprehensive psychological/psychiatric assessment in transgender patients. Materials and methods. This study is based on a review of different articles from the open access data base https://www.ncbi.nlm.nih.gov/pubmed Results. Recent studies suggest that the prevalence of self reported transgender identity in children, adolescents and adults ranges from 0 .5 to 1.3%, significantly higher than prevalence rates based on clinically referenced samples of adults. On average, men are diagnosed with gender dysphoria five times more often than women. Although, biological factors such as genetic influences and prena tal hormonal levels can contribute to the development of transgender identity, also social factors (early experiences and late experiences in adolescence or adulthood) influence gender role. The results of some studies show that psychological and psychosoc ial vulnerability of young people diagnosed with gender dysphoria is overlooked. The majority of children with transgenderism will not remain gender disphoric after puberty. For a person to be diagnosed with gender dysphoria, there must be a marked differe nce between the individual’s expressed/experienced gender and his or her assigned gender, and it must continue for at least 6 months. Differential diagnosis of gender dysphoria with other mental disorders remains poorly elucidated, gender identity disorder s being present in schizophrenia, nonconformity to stereotypical sex role behaviors, transvestic fetishism and concurrent congenital intersex conditions. Conclusions. Should gender dysphoria be considered a mental disorder or not remains a debatable topic Many transgender people do not experience their genre as distressing or disabiliting. The significant problem for them is finding accessible resources such as counseling, hormone therapy, medical and social procedures, necessary support for free expressi on of gender identity and minimization of discrimination. Transition in gender dysphoria may improve comorbid psychosis.

Cuvinte-cheie
gender identity, transgender, Diagnosis, psychology, psychiatric evaluation