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Psychiatry

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Question
18 out of 22
 

An attractive and well-dressed 22-yrs-old woman is arrested for prostitution, but on being booked at the jail, she is found to actually be a male. The patient tells the consulting physician that he is a female trapped in a male body and he has felt that way since he was a child. He has been taking female hormones and is attempting to find a surgeon who would remove his male genitals and create a vagina. Which of the following is the most likely diagnosis?



A Homosexuality
B Gender identity disorder

C Transvestite fetishism
D Delusional disorder

Ans. B Gender identity disorder

a. In adolescents and young adults, gender identity disorder is characterized by a strong cross-gender identification, a persistent discomfort with one’s sex, and clinically significant distress or impairment.

b. Such patients usually trace their conviction to early childhood, often live as the opposite sex, and seek sex reassignment surgery and endocrine treatment.

c. These patients feel a sense of relief and appropriateness when they are wearing opposite-sex clothing. In contrast, patients with transvestic fetishism are sexually aroused by this behavior.

d. Homosexuality is not a diagnosis in DSM-IV While some homosexuals cross-dress to seek a same-sex partner, they do not feel that they belong to the opposite sex, nor do they seek sex reassignment surgery.

Miscellaneous Flashcard List

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