The article discusses ways in-depth analysis of self-image in individuals with disorders of sexual identity, applied for examination of disputable sexual States. The comparative analysis of the image I, the specifics of the gender role internalization on emotional and logical level. Examples of the four different nosological groups conducted a study of the Central concepts of identity – image of "I'm real" and image "I am perfect". With the help of additional factors in the assessment are the attempt to formalize the data conduct of differentiatie between issues of sexual identity and problems of integrative identity that affect including sexual identity, as well as for a more accurate assessment of possible development of sexual identity and of belonging to a particular type of violations of identity. The study presents an attempt to identify the psychological characteristics of gender identity and to identify possible predictive criterion – the criterion of adaptability. Objective data are complemented by attempts to explicitate intuitive experience and make it available for an objective assessment during examination of the disputable sexual States. The results can be used by specialists in various fields, first and foremost, clinical psychologists, involved in conducting surveys of individuals with FIR in the examination of disputable sexual states.