Ambiguous genitalia, gender-identity problems, and sex reassignment

Rw, Dittmann

doi:10.1080/00926239808403961

Cited by 15 publications

(4 citation statements)

References 31 publications

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“…Reiner and Gearhart (2004) and Reiner and Kropp (2004) emphasize, albeit without detailed data, that their older 46,XY subjects with cloacal exstrophy who were male assigned or re-assigned reported heterosexual dating and, at least some of them, heterosexual activity, but the ones living in the female gender role seemed sexually inexperienced. Also, other investigators have provided a number of positive statements concerning the sexual activity of individual male-raised or male-reassigned patients (e.g., for penile agenesis: Attie, 1961;Dittmann, 1998;Rosenblum & Turner, 1973; for cloacal bladder exstrophy: Husmann et al, 1989; for penile ablation: Colapinto, 2000, pp. 194-195).…”

Section: Discussionmentioning

confidence: 99%

Gender Identity Outcome in Female-Raised 46,XY Persons with Penile Agenesis, Cloacal Exstrophy of the Bladder, or Penile Ablation

Meyer‐Bahlburg

2005

Arch Sex Behav

226

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This review addresses the long-term gender outcome of gender assignment of persons with intersexuality and related conditions. The gender assignment to female of 46,XY newborns with severe genital abnormalities despite a presumably normal-male prenatal sex-hormone milieu is highly controversial because of variations in assumptions about the role of biological factors in gender identity formation. This article presents a literature review of gender outcome in three pertinent conditions (penile agenesis, cloacal exstrophy of the bladder, and penile ablation) in infancy or early childhood. The findings clearly indicate an increased risk of later patient-initiated gender re-assignment to male after female assignment in infancy or early childhood, but are nevertheless incompatible with the notion of a full determination of core gender identity by prenatal androgens.

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Section: Discussionmentioning

confidence: 99%

Gender Identity Outcome in Female-Raised 46,XY Persons with Penile Agenesis, Cloacal Exstrophy of the Bladder, or Penile Ablation

Meyer‐Bahlburg

2005

Arch Sex Behav

226

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“…Gender assignment remains a vexed question in those children surviving 14,15 . Previous cases have had female gender assignment in eight of 14 babies.…”

Section: Discussionmentioning

confidence: 99%

When is ‘intersex’ not intersex? A case of penile agenesis demonstrates how to distinguish non‐endocrine disorders in neonates with genital anomaly

Srinivasan

McDougall²,

Hutson³

2003

J Paediatrics Child Health

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“…This interdisciplinary project was focussing, e.g., on gender-related and sexual behaviour, cognitive aspects, and body movements. Core findings were published in book format (Psychology PhD theses: [9,10]) and in a series of peer-reviewed international publications [11][12][13][14][15][16].…”

Section: -1987: Specialist Training and First Steps In Cap Researchmentioning

confidence: 99%

Child & Adolescent Psychiatry in Development - A Personal Retrospective Account Across Five Decades

Dittmann¹

2019

Int J Psychiatr Res

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This personal account covers first steps and the individual development of the author within the-then in Germany newly established-field of ,child and adolescent psychiatry (CAP)', across a five-decade period, both in national and international environments, in clinical, academic, and pharmaceutical industry settings. Early years in medical school, practical experience, and psychology studies, succeeded by theses and examinations, were all directed to successfully gain adequate knowledge/skills to become a well-trained CAP clinician. Specialist residencies followed, in CAP/psychosomatics, paediatrics and adult psychiatry. In parallel to broad clinical responsibilities, soon, first research activities, successful grant applications, and intensive collaborations with publicly funded research consortia were strongly stimulated, to start an academic career. Clinical research in CAP areas of, e.g., psychoendocrinology/intersexuality, psychophysiology, psychopharmacology, migrant psychiatry, coping and compliance in somatic disease were pursued, including a 2-year research assignment abroad (USA). Unexpectedly, back in Germany, the author joined clinical CNS research in an international pharmaceutical company for several years, finally focussing on studies in juveniles. Over the last decade of his professional life, he became endowed chair, professor and director of a research group for ‚paediatric psychopharmacology' in a university department, the first of its kind in Europe. Currently open questions and challenges in this field conclude the report.

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Ambiguous genitalia, gender-identity problems, and sex reassignment

Cited by 15 publications

References 31 publications

Gender Identity Outcome in Female-Raised 46,XY Persons with Penile Agenesis, Cloacal Exstrophy of the Bladder, or Penile Ablation

Gender Identity Outcome in Female-Raised 46,XY Persons with Penile Agenesis, Cloacal Exstrophy of the Bladder, or Penile Ablation

When is ‘intersex’ not intersex? A case of penile agenesis demonstrates how to distinguish non‐endocrine disorders in neonates with genital anomaly

Child & Adolescent Psychiatry in Development - A Personal Retrospective Account Across Five Decades

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