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Sunday 2 20 #2
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Sunday 2 20 #2 Transsexual The spectrum of analyses delivered by S.A.G.E. for the "Transsexual" catagory are: in doubt about ability to successfully transition a serious candidate for Gender Reassignment who has not begun transition in earnest in transition, living in-role, or even post-operative. Again, from the ICD-: Transsexualism (F64.0) has criteria: The desire to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the preferred sex through surgery and hormone treatment; The transsexual identity has been present persistently for at least years; The disorder is not a symptom of another mental disorder or a chromosomal abnormality. The S.A.G.E. has no way to directly check the last point. However, if there is sufficient reason for the program to assess that the person is Intersexed (i.e., a chromosomal abnormality), the numbers for gender conflict are subsequently lowered and the persons "score" would theoretically be too low to place them in the "Transsexual" category. So in that respect, theoretically, this program should be able to accommodate the ICD- diagnostic criteria. It also places greater weight on the conflict if the answers indicate it was present in childhood, which satisfies criteria number . Other questions determine if the person is contemplating or has begun physical alteration to make their body "as congruent as possible witht he preferred sex." The term "transsexual" was removed from the DSM-IV in favor of the broader Gender Idenity Dysphoria classification. The criteria of which are: A strong persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex). In , the disturbance is manifested by (or more) of the following: Repeatedly stated desire to be, or insistence that he or she is, the other sex. In boys, preference for cross-dressing or simulating female attire; In girls, insistence on wearing stereotypical masculine clothing. Strong and persistent preferences for cross-sex roles in make believe play or persistent fantasies of being the other sex. Intense desire to participate in the stereotypical games and pastimes of the other sex. Strong preference for playmates of the other sex. In adolescents and adults, the disturbance is manifested by symptoms such as a stated desire to be the other sex, frequent passing as the other sex, desire to live or be treated as the other sex, or the conviction that he or she has the typical feelings and reactions of the other sex. Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex. In , the disturbance is manifested by any of the following: In boys, assertion that his penis or testes are disgusting or will disappear or assertion that it would be better not to have a penis, or aversion toward rough-and-tumble play and rejection of stereotypical toys, games, and activities. In girls, rejection of urinating in a sitting position, assertion that she has or will grow a penis, or assertion that she does not want to grow breasts or menstruate, or marked aversion toward normative feminine clothing. In adolescents and adults, the disturbance is manifested by symptoms such as preoccupation with getting rid of primary and secondary sex characteristics (e.g., request for hormones, surgery, or other procedures to physically alter sexual characteristics to simulate the other sex) or belief that he or she was born the wrong sex. The disturbance is not concurrent with physical intersex condition. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The bulk of the questions S.A.G.E. considers for a "Transsexual" diagnosis are based on these diagnostic criteria. According to the DSM-IV, 302.6 Gender Identity Disorder Not Otherwise Specified This category is included for coding disorders in gender identity that are not classifiable as a specific Gender Identity Disorder. Examples include: Intersex conditions (e.g., androgen insensitivity syndrome or congenital adrenal hyperplasia) and accompanying gender dysphoria Transient, stress-related cross-dressing behavior Persistent preoccupation with castration or penectomy without a desire to acquire the sex characteristics of the other sex S.A.G.E. may be able to identify some of these individuals, since it can theoretically identify Intersexed people. The does not do any specific checks for stress-motivated behaviors or other "flavors" of gender conflict Teri  |
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