2.4

Question 1

What is transsexualism?

Answer 1

condition in which a person with apparently normal somatic sexual differentiation of 1 gender is convinced that he or she is actually a member of the opposite gender

Question 2

Why is transsexualism now considered sexual differentiation rather than a psychological phenomenon?

Answer 2

It’s been found that sexual differentiation of the brain is not consistent with chromosomal pattern and gonadal sex in male-to-female transsexuals

Question 3

What have we learned about sexual differentiation from studies in rats?

Answer 3

Differentiation is based on the presence of androgens. Female rate treatment with androgens causes male copulatory behavior

Question 4

In addition to androgen levels for sexual differentiation, what is also a significant factor in the development of gender identity?

Answer 4

Postnatal rearing

Question 5

At what age does gender identity get fixed (typically)?

Answer 5

3 y/o

Question 6

Which androgen enzymes might be deficient in early development and might lead to female gender identities?

Answer 6

17b-hydroxysteroid dehydrogenase 3 or 5a-reductase 2

Question 7

What are homosexuals?

Answer 7

people who are erotically attracted to persons of the same genital morphology

Question 8

What are transsexuals?

Answer 8

experience the physical function of the sex organs as estranged from their selves and seek reassignment to the desired sex

Question 9

What is transgenderism?

Answer 9

people seek to have an in-between sex status, where they want to rid themselves of the natal sex without seeking reassignment to the opposite sex

Question 10

What is juvenile gender dysphoria?

Answer 10

these are children with gender identity problems

Question 11

True or False: All children with gender dysphoria become transsexuals later in life.

Answer 11

False

Question 12

Why might juvenile gendere dysphoria cause problems at puberty?

Answer 12

it’s a problem when the kid hits puberty and starts growing secondary sex parts that they don’t do not view as their own

Question 13

What can clinicians use in depot to prolong the onset of puberty to correctly address juvenile gender dysphoria?

Answer 13

Clinicians can use depot forms of antagonists/agonists of GRH to delay puberty until an age when a balanced and reasonable decision can be made

Question 14

What can clinicians use to diagnose transsexualism?

Answer 14

DSM-IV and ICD for diagnostic guidelines for transsexualism and other gender identity disorders