Archives of Sexual Behavior

, Volume 23, Issue 1, pp 21–40

Intersexuality and the diagnosis of gender identity disorder

  • Heino F. L. Meyer-Bahlburg

DOI: 10.1007/BF01541616

Cite this article as:
Meyer-Bahlburg, H.F.L. Arch Sex Behav (1994) 23: 21. doi:10.1007/BF01541616


Problems of gender identity development are the core concern in the psychosocial management of medical conditions involving ambiguous genitalia. This report discusses the difficulties encountered in applying the DSM category and criteria of Gender Identity Disorder (GID) to such patients. Data on prevalence, age of onset or presentation, sex ratio, and associated or predictive factors also suggest marked differences between intersex patients with gender identity problems and nonintersex patients with GID. Patients with intersexuality or similar medical conditions should be excluded from the GID diagnosis.

Key words

gender identity disorderhermaphroditismintersexualityDSM-IV

Copyright information

© Plenum Publishing Corporation 1994

Authors and Affiliations

  • Heino F. L. Meyer-Bahlburg
    • 1
  1. 1.Program of Developmental Psychoendocrinology, New York State Psychiatric Institute, and Department of PsychiatryCollege of Physicians and Surgeons of Columbia UniversityNew YorkUSA