Traits of Autism Spectrum Disorders in Adults with Gender Dysphoria
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The literature examining the co-occurrence of gender dysphoria (GD) and autistic traits has so far been limited to a series of small case studies and two systematic studies, one looking at autistic traits in gender dysphoric children and the other set within the context of the extreme male brain hypothesis and looking at adults. The current study examined this co-occurrence of GD and autistic traits in an adult population, to see whether this heightened prevalence persisted from childhood as well as to provide further comparison of MtF versus FtM transsexuals and homosexual versus nonhomosexual individuals. Using the Autistic Spectrum Quotient (AQ), 91 GD adults (63 male-to-female [MtF] and 28 female-to-male [FtM]) undertaking treatment at a gender clinic completed the AQ. The prevalence of autistic traits consistent with a clinical diagnosis for an autism spectrum disorder (ASD) was 5.5 % (n = 3 MtF and n = 2 FtM) compared to reports of clinical diagnoses of 0.5–2.0 % in the general population. In contrast to the single previous report in adults, there was no significant difference between MtF and FtM on AQ scores; however, all of those who scored above the clinical cut-off were classified as nonhomosexual with respect to natal sex. Results were considered in the context of emerging theories for the observed co-occurrence of GD and autistic traits.
KeywordsAutism spectrum disorder Asperger’s Disorder Comorbidity Gender dysphoria Transsexualism
This research was supported by the UK Gender Identity Research and Education Society (GIRES).
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.Google Scholar
- Auyeung, B., Baron-Cohen, S., Ashwin, E., Knickmeyer, R., Taylor, K., Hackett, G., & Hines, M. (2009). Fetal testosterone predicts sexually differentiated childhood behaviour in girls and in boys. Psychological Science, 20, 144–148.Google Scholar
- Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The Autism Spectrum Quotient (AQ): Evidence from Asperger syndrome/high functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31, 5–17.CrossRefPubMedGoogle Scholar
- Jones, R. M., Wheelwright, S., Farrell, K., Martin, E., Green, R., Di Ceglie, D., & Baron-Cohen, S. (2012). Female-to-male transsexual people and autistic traits. Journal of Autism and Developmental Disorders, 42, 301–306.Google Scholar
- Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. Philadelphia: W. B. Saunders.Google Scholar
- Mukaddes, N. M. (2002). Gender identity problems in autistic children. Child: Care, Health and Development, 28, 529–532.Google Scholar
- Pasterski, V., Golombok, S., & Hines, M. (2011) Sex differences in social behaviour. In P. Smith & C. Hart (Eds.), Blackwell handbook of childhood social development (2nd ed.) (pp. 117–136). Oxford: Blackwell.Google Scholar
- Robinow, O., & Knudson, G. A. (2005, April). Asperger’s disorder and GID. Paper presented at the meeting of the Harry Benjamin International Gender Dysphoria Association, Bologna, Italy.Google Scholar
- Tateno, M., Ikeda, J., & Saito, T. (2011). Gender dysphoria in pervasive developmental disorders. Shishin Shinkeigaku Zasshi, 113, 1173–1183.Google Scholar