Borderline-Persönlichkeitsstörung und Transsexualität

Seikowski, Kurt; Gollek, Sabine; Harth, W.; Reinhardt, Michaela

doi:10.1055/s-2007-970925

Cited by 13 publications

(10 citation statements)

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“…High percentages of psychiatric comorbidity, however, are not always found. In many studies, transsexuals were found to generally function well psychologically in the nonclinical range (e.g., Cole, O'Boyle, Emory, & Meyer, 1997;Gómez-Gil, Trilla, Salamero, Godás, & Valdés, 2009;Haraldsen & Dahl, 2000;Mate-Kole, Freschi, & Robin, 1990;Miach, Berah, Butcher, & Rouse, 2000;Seikowski, Gollek, Harth, & Reinhardt, 2008;Smith, van Goozen, & CohenKettenis, 2001;Smith et al, 2005). Indeed, clinically, one may see applicants who are employed, have relationships, and function socially without any problems, yet very strongly desire sex reassignment.…”

Section: The Necessity Of the D Criterion For A Gid Diagnosismentioning

confidence: 99%

The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescents and Adults

2009

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Apart from some general issues related to the Gender Identity Disorder (GID) diagnosis, such as whether it should stay in the DSM-V or not, a number of problems specifically relate to the current criteria of the GID diagnosis for adolescents and adults. These problems concern the confusion caused by similarities and differences of the terms transsexualism and GID, the inability of the current criteria to capture the whole spectrum of gender variance phenomena, the potential risk of unnecessary physically invasive examinations to rule out intersex conditions (disorders of sex development), the necessity of the D criterion (distress and impairment), and the fact that the diagnosis still applies to those who already had hormonal and surgical treatment. If the diagnosis should not be deleted from the DSM, most of the criticism could be addressed in the DSM-V if the diagnosis would be renamed, the criteria would be adjusted in wording, and made more stringent. However, this would imply that the diagnosis would still be dichotomous and similar to earlier DSM versions. Another option is to follow a more dimensional approach, allowing for different degrees of gender dysphoria depending on the number of indicators. Considering the strong resistance against sexuality related specifiers, and the relative difficulty assessing sexual orientation in individuals pursuing hormonal and surgical interventions to change physical sex characteristics, it should be investigated whether other potentially relevant specifiers (e.g., onset age) are more appropriate.

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Section: The Necessity Of the D Criterion For A Gid Diagnosismentioning

confidence: 99%

The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescents and Adults

2009

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“…For example, Madeddu, Prunas, and Hartmann [33] identified no case of BPD using the Structured Clinical Interview for DSM-IV (SCID) in a sample of 16 female-to-male transsexuals (see also Lobato et al [34]). Although other studies have identified modest elevations of BPD traits among female-to-male transsexuals [35,36], there is little indication that the association is specific to GID because many of these studies failed to include clinical control comparison groups. In the present study, starting with a sample of BPD women, there was clearly no evidence at all for GID caseness.…”

Section: Discussionmentioning

confidence: 99%

Gender Identity and Sexual Orientation in Women with Borderline Personality Disorder

Singh

McMain

Zucker

2011

The Journal of Sexual Medicine

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Introduction In the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, text revision (DSM-IV-TR) (and earlier editions), a disturbance in “identity” is one of the defining features of borderline personality disorder (BPD). Gender identity, a person’s sense of self as a male or a female, constitutes an important aspect of identity formation, but this construct has rarely been examined in patients with BPD. Aims In the present study, the presence of gender identity disorder or confusion was examined in women diagnosed with BPD. Main Outcome Measures We used a validated dimensional measure of gender dysphoria. Recalled gender identity and gender role behavior from childhood was also assessed with a validated dimensional measure, and current sexual orientation was assessed by two self-report measures. Methods A consecutive series of 100 clinic-referred women (mean age, 34 years) with BPD participated in the study. The women were diagnosed with BPD using the International Personality Disorder Exam-BPD Section. Results None of the women with BPD met the criterion for caseness on the dimensional measure of gender dysphoria. Women who self-reported either a bisexual or a homosexual sexual orientation had a significantly higher score on the dimensional measure of gender dysphoria than the women who self-reported a heterosexual sexual orientation, and they also recalled significantly more cross-gender behavior during childhood. Results were compared with a previous study on a diagnostically heterogeneous group of women with other clinical problems. Conclusion The importance of psychosexual assessment in the clinical evaluation of patients with BPD is discussed.

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“…Most of the sexologists did not refer to aetiology at all (e. g. Clement/Senf 1996;Gauruder-Burmester/Popken/Beier 2006;Seikowski 2007), since hypotheses on biological causes have so far been either falsified or proven unverifiable, and psychosocial causes have turned out not to be generalisable (Bosinski 2000: 72;Rauchfleisch 2006: 20). Second, the debate in sexology from the 1990s to 2010 placed more emphasis on pragmatic issues, such as aspects related to the overall concept of treatment (e. g. Clement/Senf 1996;Kockott 1996;Becker et al 1997; Beier/Bosinski/Loewit 2005; Gauruder-Burmester/Popken /Beier 2006;Sigusch 1996;, specific aspects in psychotherapy (e. g. Meyenburg 1992;Bosinski 1994;Laszig/Knauss/Clement 1995;Clement/Senf 1996a;Pfäfflin 1996;Eicher 1996;Rauchfleisch 2006;Seikowski 2007;Seikowski et al 2008) and on conceptual aspects, such as the issue of depathologisation (Sigusch 1991;1991a;1995a;Hirschauer 1992;Lindemann 1992;Augstein 1992;Langer 1995). 3 | For a comprehensive discussion of somatic approaches to transsexuality in Western countries, see Nieder/Jordan/Richter-Appelt 2011).…”

Section: Critical Approachmentioning

confidence: 99%

“…While pathologising concepts generally classified transsexuality as a ›gender identity disorder‹, sexologists in Germany, unlike their U.S. colleagues, clung to the term ›transsexuality‹ or variations of the term. Moreover, despite the fact that the majority of sexologists employed the terms ›transsexuality‹ (e. g. Sigusch 1991a;Clement/Senf 1996;Becker et al 1997;Seikowski 2007;Seikowski et al 2008) or ›transsexualism‹ (e. g. Langer 1995), the meanings were not necessarily identical.…”

Section: Terminolog Y Definitions and Concepts From The 1990s To 2010mentioning

confidence: 99%

Negotiating the Borders of the Gender Regime

Silva¹

2018

Gender Studies

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as a doctoral thesis in 2015.The publication of this book was funded by the Faculty of Language and Literature, Humanities, Arts and Education at the University of Luxembourg.An electronic version of this book is freely available, thanks to the support of libraries working with Knowledge Unlatched. KU is a collaborative initiative designed to make high quality books Open Access for the public good. The Open Access ISBN for this book is 978-3-8394-4441-2. More information about the initiative and links to the Open Access version can be found at www.knowledgeunlatched.org. Bibliographic information published by the Deutsche NationalbibliothekThe Deutsche Nationalbibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data are available in the Internet at http:// dnb.d-nb.de This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 (BY-NC-ND) which means that the text may be used for non-commercial purposes, provided credit is given to the author.

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Borderline-Persönlichkeitsstörung und Transsexualität

Cited by 13 publications

References 1 publication

The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescents and Adults

The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescents and Adults

Gender Identity and Sexual Orientation in Women with Borderline Personality Disorder

Negotiating the Borders of the Gender Regime

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