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Archives of Sexual Behavior

, Volume 40, Issue 4, pp 655–657 | Cite as

Do Some Men Who Desire Sex Reassignment Have A Mental Disorder? Response to Lawrence (2011)

  • Heino F. L. Meyer-BahlburgEmail author
Letter to the Editor

It is always an intellectual pleasure to be challenged by Anne Lawrence, because of her thorough scrutiny of logic and data in the course of scientific arguments. Yet, the title of Lawrence’s (2011) comment here, “Do Some Men Who Desire Sex Reassignment Have A Mental Disorder?”, is misleading. Posed that way, the question yields trivial answers, because humans of almost any category include individuals with “a mental disorder,” provided the sample is large enough. As her comment shows, however, the question Lawrence really addresses is a different one, namely: “Is the desire for sex reassignment in some men to be understood as a mental disorder in terms of a particular classification system of psychiatric conditions?”

From a nosological perspective, “sex reassignment” is a treatment or management procedure, whereas psychiatric diagnosis classifies mental conditions; for the latter purpose, a procedural term is not appropriate nor is the term of a desire for such a procedure....

Keywords

Gender Identity Gender Identity Disorder Transsexualism Gender Identity Disorder Psychological Gender 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.Google Scholar
  2. Del Giudice, M., Manera, V., & Keysers, C. (2009). Programmed to learn? The ontogeny of mirror neurons. Developmental Science, 12, 350–363.PubMedCrossRefGoogle Scholar
  3. Egan, S. K., & Perry, D. G. (2001). Gender identity: A multidimensional analysis with implications for psychosocial adjustment. Developmental Psychology, 37, 451–463.PubMedCrossRefGoogle Scholar
  4. Freund, K., & Blanchard, R. (1993). Erotic target location errors in male gender dysphorics, paedophiles, and fetishists. British Journal of Psychiatry, 162, 558–563.PubMedCrossRefGoogle Scholar
  5. Lawrence, A. A. (2009). Erotic target location errors: An underappreciated paraphilic dimension. Journal of Sex Research, 46, 194–215.PubMedCrossRefGoogle Scholar
  6. Lawrence, A. A. (2011). Do some men who desire sex reassignment have a mental disorder? Comment on Meyer-Bahlburg (2010) [Letter to the Editor]. Archives of Sexual Behavior. doi: 10.1007/s10508-010-9720-2.
  7. McConaghy, M. J. (1979). Gender permanence and the genital basis of gender: Stages in the development of constancy of gender identity. Child Development, 50, 1223–1226.CrossRefGoogle Scholar
  8. Meyer-Bahlburg, H. F. L. (2005). Gender identity outcome in female-raised 46,XY persons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation. Archives of Sexual Behavior, 34, 423–438.PubMedCrossRefGoogle Scholar
  9. Meyer-Bahlburg, H. F. L. (2010). From mental disorder to iatrogenic hypogonadism: Dilemmas in conceptualizing gender identity variants as psychiatric conditions. Archives of Sexual Behavior, 39, 461–476.PubMedCrossRefGoogle Scholar
  10. Meyer-Bahlburg, H. F. L. (in press). Transsexualism (“Gender Identity Disorder”)—A CNS-limited form of intersexuality? In M. I. New (Ed.), Hormonal and genetic basis of sexual differentiation disorders and hot topics in endocrinology: Proceedings of the 2nd World conference. New York: Springer.Google Scholar
  11. Nuttbrock, L., Bockting, W., Mason, M., Hwahng, S., Rosenblum, A., Macri, M., et al. (2011). A further assessment of Blanchard’s typology of homosexual versus non-homosexual or autogynephilic gender dysphoria. Archives of Sexual Behavior, 40, 247–257.PubMedCrossRefGoogle Scholar
  12. Ramachandran, V. S. (2011). The tell-tale brain: A neuroscientist’s quest for what makes us human. New York: W. W. Norton & Company.Google Scholar
  13. Ramachandran, V. S., & McGeoch, P. D. (2007). Occurrence of phantom genitalia after gender reassignment surgery. Medical Hypotheses, 69, 1001–1003.PubMedCrossRefGoogle Scholar
  14. Volbert, R. (2000). Sexual knowledge of preschool children. Journal of Psychology and Human Sexuality, 12, 5–26.CrossRefGoogle Scholar
  15. Wakefield, J. C., & First, M. B. (2003). Clarifying the distinction between disorder and nondisorder: Confronting the overdiagnosis (false positives) problem in DSM-V. In K. A. Phillips, M. B. First, & H. A. Pincus (Eds.), Advancing DSM dilemmas in psychiatric diagnosis (pp. 23–55). Arlington, VA: American Psychiatric Association.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.New York State Psychiatric Institute and Department of PsychiatryColumbia UniversityNew YorkUSA

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