Biological Male "Gender Identity Disorder" Is Composed of Essentially Distinguishable Core and Periphery Groups

Furuhashi, Tadaaki
March 2011
Ethical Human Psychology & Psychiatry;2011, Vol. 13 Issue 1, p64
Academic Journal
In Japan, greater numbers of people with gender identity disorders (GID) are seeking professional help. The aim of our study is to show the clinical significance of classifying them into two subgroups when we address biological males with GID. From January 2001 to August 2009, 27 biological male patients with GID were consecutively examined at a university hospital in a major city in Japan. We formulated patients' own past history concerning their gender identity on the basis of their narratives presented in several interviews. The present study suggested that Japanese biological male patients with GID who have, since childhood, manifested a special longing for feminine clothes and behaviors, could be positioned as a "core group;" and, patients with an uncomfortable feeling about their own sex that did not appear until adolescence could be positioned as a "periphery group." As a result of psychotherapy in our samples, while the "core group" patients did not waver in their conviction that "I am a woman," the cross-gender identification eventually disappeared in the "periphery group." Identifying these two subgroups proved to be of great importance in deciding the management strategy for biological males with GID.


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