Class 10

Question 1

Dimensions of sexual orientation

Answer 1

sexual attraction, sexual behavior, emotional connection, sexual fantasies.

Question 2

Gender identity

Answer 2

A person’s internal sense of gender, which may or may not be the same as one’s gender assigned at birth

Question 3

Gender role

Answer 3

Norms determined by societies regarding how male and female persons should behave, expecting people to have personality characteristics and/or behaviours based on their assigned gender.

Question 4

Gender presentation/expression

Answer 4

The way in which a person expresses their gender identity through clothing, behavior, posture, mannerisms, speech patterns, activities, etc.

Question 5

Gender Creative or Non-Conforming

Answer 5

Behaviors, presentations and interests that fit outside of what society expects based on an individual’s biological sex

Question 6

Cis-gender

Answer 6

A person in which gender identity corresponds to biological sex

Question 7

Transgender

Answer 7

An umbrella term that describes individuals whose gender identity does not match their biological sex

Question 8

Affirmed Gender

Answer 8

The gender by which an individual wishes to be known

Question 9

DSM 5:
Gender Dysphoria 
in Children

Answer 9

A. A marked incongruence of one’s experienced gender and assigned gender of at least 6 month’s duration; six of following criteria of which one must be A1

1. A strong desire to be of the other gender or an insistence that one is the other gender (or an alternative gender from the assigned gender). Some have always know, some puberty, some 12-16 yo
2. Cross gender dressing or resistance to wearing gender typical clothing
3. Cross gender roles in make-believe or fantasy play
4. Cross-gender toys, games or activities
5. Cross-gender playmates
6. A strong rejection of toys, games and activities typical of their assigned gender
7. A strong dislike of one’s sexual anatomy
8. A strong desire for the primary and/or secondary sex characteristics that match one’s experienced gender

B. Associated with clinically significant distress or impairment in social occupational, or other important areas of functioning

Question 10

Comorbidity in GD children

Answer 10

Internalizing disorders (anxiety and depression) are common, but not the rule

Autistic spectrum disorders more prevalent in clinically referred GD children

Question 11

Interventions in 
GD children

Answer 11

Social transitioning:
Generally child-motivated
Different types: Context-dependent, Androgynous, Complete
Assist parents in identifying potential in-between solutions or compromises that allow gender exploration in a safe environment

In order to avoid distress or postponement of a potential second social transition:
Parents should present social transition as an exploration
Parents should explicitly let the child know there is a way back

Question 12

DSM 5:
Gender Dysphoria in Adolescents and Adults

Answer 12

A. A marked incongruence between one’s experienced gender and assigned gender, of at least 6 months’ duration, as manifested by at least two of the following:

1. A marked incongruence between one’s experienced gender and primary and/or secondary sex characteristics (or as anticipated in young adolescents)
2. A strong desire to be rid of (or prevent) one’s primary and/or secondary sex characteristics because of #1
3. A strong desire for cross-gender primary and/or secondary sex characteristics
4. A strong desire to be of the other gender (or alternative gender)
5. A strong desire to be treated as the other gender (or alternative gender)
6. A strong conviction that one has the typical feelings and reactions of the other gender (or alternative gender)

B. Associated with clinically significant distress or impairment

Question 13

Differential diagnosis

Answer 13

Transvestic fetishism

Personality disorder (esp. with Identity diffusion)
Dissociative identity disorder
Psychosis / mania
Body dysmorphic disorder / OCD

Desire for male privilege
Desire for heterosexual privilege / intern’d homophobia

Question 14

Transgender identity in adolescence associated with

Answer 14

School bullying
Depressive symptoms
Suicide attempts
The perception that a parent cared about them
Depressive symptoms and Victimization are the major predictors of suicidal ideation in trans teens

Question 15

Ethical conflict
around GD interventions

Answer 15

Principle of non-maleficence :
Interventions can lead to side effects, complications and/or sterility
Acting quickly may cause regret
Waiting may cause harm

VS.

Principle of beneficience:
Interventions can alleviate gender dysphoria
Acting quickly may avoid poor mental health outcomes
Waiting may improve certainty

Question 16

True or false Psychotherapy is highly recommended

but not compulsory

Answer 16

True

Question 17

Surgeries

Answer 17

Breast augmentation
Facial feminization
Tracheal shave
Vaginoplasty

Only that are covered:
Mastectomy & Chest reconstruction
Hysterectomy/oophorectomy
Phalloplasty

Question 18

Intervention physical transition non surgical

Answer 18

Hair removal
waxing, electrolysis, laser
Breast binding or padding, genital tucking or penile prostheses, padding of hips or buttocks

Question 19

Lupron

Answer 19

pubertal blockers, buying time to make sure of gender. May improve mental well-being, social integration and interaction, eliminate need for future surgeries, diminish self-harm. Given monthly. Suppress body’s release of sex hormones. For boys and girls.