Gender identity disorder in a girl with autism —a case report
Case Report
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Abstract
A girl with high functioning autism who developed transsexualism is described. The literature to date has, to the authors' knowledge, not documented any similar case. The diagnosis of a coexisting psychiatric disorder in transsexualism has implications for the evaluation, prognosis, and appropriate management of the patient. The question of a possible relationship between autism and transsexualism and whether there is a predisposition to gender dysphoria in autism, is discussed.
Key words
Autism gender identity disorder transsexualism case reportPreview
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References
- 1.Alin-Åkerman B, Nordberg L (1980) Griffiths' developmental scales I och Il (in Swedish). Manual för administrering och utvärdering. Eskilstuna: Psykologiförlaget ABGoogle Scholar
- 2.American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders. Third Edition. Revised. APA, WashingtonGoogle Scholar
- 3.American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition. APA, WashingtonGoogle Scholar
- 4.Björck Å, Åstrand G (1988) Frostig test of visual perception (in Swedish): Manual. Third Edition. Stockholm: Psykologiförlaget ABGoogle Scholar
- 5.Caldwell C, Keshavan MS (1991) Schizophrenia with secondary transsexualism. Canadian Journal of Psychiatry 36:300–301Google Scholar
- 6.Coleman E, Cesnik J (1990) Skoptic syndrome: the treatment of an obsessional gender dysphoria with lithium carbonate and psychotherapy. American Journal of Psychotherapy 44:204–217Google Scholar
- 7.Commander M, Dean C (1990) Symptomatic trans-sexualism. British Journal of Psychiatry 156:894–896Google Scholar
- 8.Cryan EMJ, O'Donoghue FP (1992) Transsexualism in a Klinefelter male: A case report. Irish Journal of Psychological Medicine 9:45–46Google Scholar
- 9.De Cuypere G (1993) Schizophrenia and symptomatic trans-sexualism: Two case reports. European Psychiatry 8:153–167Google Scholar
- 10.Fisk NM (1978) Transsexualism. Five spectacular results. Archives of Sexual Behavior 7:351–369Google Scholar
- 11.Gillberg C (1984) Autistic children growing up: problems during puberty and adolescence. Developmental Medicine and Child Neurology 26:125–129Google Scholar
- 12.Gillberg C, Coleman M (1992) The biology of the autistic syndromes. Second Edition (pp 60–73). Mac Keith Press, LondonGoogle Scholar
- 13.Gillberg C, Svennerholm L (1987) CSF monoamines in autistic syndromes and other pervasive developmental disorders of early childhood. British Journal of Psychiatry 151:89–94Google Scholar
- 14.Haberman M, Hollingsworth F, Falek A, Michael RP (1975) Gender identity confusion, schizophrenia and a 47 XYY karyotype: a case report. Psychoneuroendocrinology 1:207–209Google Scholar
- 15.Haracopos D, Pedersen L. (1992) Sexuality and autism. A nationwide survey in Denmark. Copenhagen. Preliminary reportGoogle Scholar
- 16.Hashimoto M (1992) Therapy of a case of psychotic personality organization manifesting gender identity disorder. Tokai Journal of Experimental and Clinical Medicine 17:205–212Google Scholar
- 17.Hyde C, Kenna JC (1977) A male MZ twin pair, concordant for transsexualism, discordant for schizophrenia. Acta Psychiatrica Scandinavica 56:265–275Google Scholar
- 18.Krug DA, Arick J, Almond P (1980) Autism Behavior Checklist for identifying severely handicapped individuals with high levels of autistic behavior. Journal of Child Psychology and Psychiatry 21:221–229Google Scholar
- 19.Leiter RG (1979) Leiter International Performance Scale: Instruction manual. Stoelting, IllinoisGoogle Scholar
- 20.Lothstein LM, Roback H (1984) Black female transsexuals and schizophrenia: A serendipitous finding? Archives of Sexual Behavior 13:371–386Google Scholar
- 21.Macvicar K (1978) The transsexual wish in a psychotic character. International Journal of Psychoanalysis and Psychotherapy 7:354–365Google Scholar
- 22.Melone MB, Lettick AL (1983) Sex education at Benhaven. In: Schopler E, Mesibov GM (Eds) Autism in Adolescents and Adults. Plenum, New YorkGoogle Scholar
- 23.Ousley OU, Mesibov GB (1991) Sexual attitudes and knowledge of high-functioning adolescents and adults with autism. Journal of Autism and Developmental Disorders 21:471–481Google Scholar
- 24.Snaith RP, Penhale S, Horsfield P (1991) Male-to-female transsexual with XYY karyotype. Lancet 337:557–558Google Scholar
- 25.Taneja N, Ammini AC, Mohapatra I, Saxena S, Kucheria K (1992) A transsexual male with 47,XYY karyotype. British Journal of Psychiatry 161:698–699Google Scholar
- 26.Walker PA, Berge JC, Green R, Laub DR, Reynolds CL, Wollmann L (1985) Standards of care. The hormonal and surgical sex reassignment of gender dysphoric persons. Archives of Sexual Behavior 14:79–90Google Scholar
- 27.Wing L (1989) Autistic adults. In: Gillberg C (Ed) Diagnosis and treatment of autism. (pp 419–432). New York: Plenum PressGoogle Scholar
- 28.Wing L (1993) The definition and prevalence of autism: A review. European Child & Adolescent Psychiatry 2:61–74Google Scholar
- 29.World Health Organization (1993) The ICD-10 Classification of Mental and Behavioural Disorders. Diagnostic criteria for research. GenevaGoogle Scholar
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