La thérapie familiale en francophonie (serveur d'exploration)

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Gender identity disorders as a secondary symptom of psychosis

Identifieur interne : 000C41 ( Main/Exploration ); précédent : 000C40; suivant : 000C42

Gender identity disorders as a secondary symptom of psychosis

Auteurs : J. M. L. G. Campo ; H. Nijman ; C. Evers ; H. L. G. J. Merckelbach [Pays-Bas] ; I. Decker

Source :

RBID : ISTEX:AFEBA2B358D6D20A0D5A5445BA0AF5620180A704

Abstract

In The Netherlands it has recently become possible for transsexual patients to receive hormonal treatment from the onset of puberty to prevent pubertal development. From 16 years of age onwards, gender adjustment can be initiated by administration of hormones of the opposite sex. Surgical treatment can be offered once the patient reaches 18 years of age. Although such treatment will only be initiated with reticence and after a long phase of intense diagnostic screening, the question arises whether a clear differentiation can be made between pure gender identity disorders and secondary transsexual feelings that are part of an ongoing psychopathological development, such as schizophrenia. The potential diagnostic confusion is illustrated by a case history of a male schizophrenic patient. This patient had been treated hormonally for transsexualism for years before acute psychotic decompensation occurred. Neuroleptic treatment of the psychosis rapidly reduced the psych‐otic symptoms. In retrospect, the patient regards his transsexual period as a ‘mistake’. Delusions about one's physical appearance and the urge to drastically change the way one looks appear to be relatively common in patients suffering from schizophrenia.

Url:
DOI: 10.1034/j.1600-0447.106.s413.1_135.x


Affiliations:


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