Abstract
This study is the first experimental demonstration of sex-typed play behavior change in a young girl with sexual identity disturbance. The 8-year-old child was treated with a self-monitoring procedure combined with a behavioral prompting technique that was gradually faded out. Self-monitoring in the clinic resulted in a high, stable rate of appropriate sex-typed play, and this effect generalized to a different set of sex-typed toys over time. The treatment effects did not generalize to the home environment. The self-regulation intervention was subsequently adapted to the home setting, resulting in a replication of the treatment effects across settings. After the removal of the self-monitoring interventions, a high level of feminine sex-typed play persisted. Pretreatment, posttreatment, and follow-up psychological testing demonstrated a reversal of a pronounced cross-gender identity to a normal female sexual identity.
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Barlow, D. H., Reynolds, E. J., & Agras, W. S. Gender identity change in a transsexual.Archives of General Psychiatry, 1973,28, 560–576.
Bates, J. E., Skilbeck, W. M., Smith, K. V. R., & Bentler, P. M. Intervention with families of gender-disturbed boys.American Journal of Orthopsychiatry, 1975,45, 150–157.
Benjamin, H. Clinical aspects of transsexualism in male and female.American Journal of Psychotherapy, 1964,18, 458–469.
Brown, D. G. Sex-role preference in young children.Psychological Monographs: General and Applied, 1956,70 (14, Whole No. 421).
Glynn, E. L., & Thomas, J. D. Effect of cueing on self-control of classroom behavior.Journal of Applied Behavior Analysis, 1974,7, 299–306.
Hartley, R. E., & Hardesty, F. P. Children's perceptions of sex roles in childhood.Journal of Genetic Psychology, 1964,105, 43–51.
Lefkowitz, M. M. Some relationships between sex role preferences of children and other parent and children variables.Psychological Reports, 1962,10, 43–53.
Maccoby, E. E., & Jacklin, C. N.The psychology of sex differences. Stanford: Stanford University Press, 1974.
Money, J., & Brennan, J. G. Sexual dimorphism in the psychology of female transsexuals. In R. Green & J. Money (Eds.),Transsexualism and sex reassignment. Baltimore: Johns Hopkins Press, 1969.
Pauly, I. B. Female transsexualism.Archives of Sexual Behavior, 1974,3, 487–526.
Qualls, C. B., Wincze, J. P., & Barlow, D. H. (Eds.).The prevention of sexual disorders: Issues and approaches. New York: Plenum, 1978.
Rabban, M. Sex-role identification in young children in two diverse social groups.Genetic Psychology Monographs, 1950,42, 81–158.
Rekers, G. A. Stimulus control over sex-typed play in cross-gender identified boys.Journal of Experimental Child Psychology, 1975,20, 136–148.
Rekers, G. A. Assessment and treatment of childhood gender problems. In B. B. Lahey & A. E. Kazdin (Eds.),Advances in clinical child psychology (Vol. 1). New York: Plenum, 1977. Chap. 7. (a)
Rekers, G. A. Atypical gender development and psychosocial adjustment.Journal of Applied Behavior Analysis, 1977,10(3), 559–571. (b)
Rekers, G. A., Bentler, P. M., Rosen, A. C., & Lovaas, O. I. Child gender disturbances: A clinical rationale for intervention.Psychotherapy: Theory, Research, and Practice, 1977,14, 2–11.
Rekers, G. A., Lovaas, O. I., & Low, B. P. The behavioral treatment of a “transsexual” preadolescent boy.Journal of Abnormal Child Psychology, 1974,2, 99–116.
Rekers, G. A., Rosen, A. C., Lovaas, O. I., & Bentler, P. M. Sex-role stereotypy and professional intervention of childhood gender disturbances.Professional Psychology, 1978,9, 127–136.
Rekers, G. A., & Varni, J. W. Self-monitoring and self-reinforcement processes in a pretranssexual boy.Behaviour Research and Therapy, 1977,15, 177–180. (a)
Rekers, G. A., & Varni, J. W. Self-regulation of gender role behaviors: A case study.Journal of Behavior Therapy and Experimental Psychiatry, 1977,8, 427–432. (b)
Rekers, G. A., & Yates, C. E. Sex-typed play in feminoid boys versus normal boys and girls.Journal of Abnormal Child Psychology, 1976,4, 1–8.
Rosen, A. C., Rekers, G. A., & Bentler, P. M. Ethical issues in the treatment of children.Journal of Social Issues, 1978,34, 122–136.
Rosenberg, B. G., & Sutton-Smith, B. The measurements of masculinity and femininity in children.Child Development, 1959,30, 373–380.
Saghir, M. T., & Robins, E.Male and female homosexuality: A comprehensive investigation. Baltimore: Williams & Wilkins, 1973.
Simon, R. A case of female transsexualism.American Journal of Psychiatry, 1967,123, 1598–1601.
Stoller, R. J. Male childhood transsexualism.Journal of the American Academy of Child Psychiatry, 1968,7, 193–209.
Stoller, R. J. Psychotherapy of extremely feminine boys.International Journal of Psychiatry, 1970–1971,9, 278–280.
Sutton-Smith, B., Rosenberg, B. G., & Morgan, E. R. Development of sex differences in play choices during preadolescence.Child Development, 1963,34, 119–126.
Vogt, J. H. Five cases of transsexualism in females.Acta Psychiatrica Scandinavica, 1968,44, 62–88.
Walker, R. N. Measuring masculinity and femininity by children's game choices.Child Development, 1964,35, 961–971.
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This study was supported by United States Public Health Service research grant MH29945 awarded to Dr. Rekers at the Logos Research Institute, Inc., by the National Institute of Mental Health. Appreciation is expressed to Dr. Vernon Van de Riet for his independent clinical psychological diagnosis.
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Rekers, G.A., Mead, S. Early intervention for female sexual identity disturbance: Self-monitoring of play behavior. J Abnorm Child Psychol 7, 405–423 (1979). https://doi.org/10.1007/BF00917612
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DOI: https://doi.org/10.1007/BF00917612