GENDER IDENTITY DISORDER - GENDER IDENTITY DISORDER DSM-IV...

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GENDER IDENTITY DISORDER DSM-IV GENDER IDENTITY DISORDERS 302.6 Gender identity disorder in children 302.85 Gender identity disorder in adolescents and adults (specify: sexually attracted to males/females/both/neither) 302.6 Gender identity disorder not otherwise specified (intersex conditions, androgen insensitivity syndrome, or congenital adrenal hyperplasia and gender dysphoria) 313.82 Identity problem (specific to sexual orientation and behavior) Sexuality is a product of one’s genetic identity, gender identity, gender role and sexual orientation. As  all of these are independent components, there is a 4 3 4 interaction that can result in 16 distinct  possibilities of sexual identity. In a society in which clear differences between the sexes is the expected  norm, any individual challenging this dichotomy is deemed problematic. However, in the mental health  arena, sexual orientation is a concern only when the individual experiences persistent and marked distress  regarding  uncertainty  about issues relating  to personal  identity—in this case,  sexual  orientation and  behavior. Consensual  homosexuality   in  adults  is  no  longer  viewed   as  a mental   disturbance.   Homosexual  individuals in general have no more psychopathology than heterosexuals, and when they do seek treatment  it  is   for  the  same  reasons   as   heterosexuals—psychiatric   disorders   (e.g.,   bipolar  disorder,   borderline  personality), relationship problems, and stress. Therefore, it is important to avoid mistakenly attributing  psychiatric symptoms to the individual’s sexual orientation. In gender identity disorder, the individual does not view himself or herself as homosexual; rather,  there is a strong and persistent cross-gender identification and discomfort with one’s gender or a sense of  inappropriateness in the assigned gender role exists (e.g., a male “trapped” in a female’s body). This  perception results in clinically significant distress / functional impairments (e.g., social, occupational). In addition, this plan of care also addresses the diagnosis of Identity Problem for homosexuals who are  uncertain about multiple issues relating to their identity, such as sexual orientation and behavior, moral  values, friendship patterns, and group loyalties. ETIOLOGICAL THEORIES Psychodynamics The libido is seen as the force that expresses sexual instinct and develops gradually during the oral  stage, which focuses on the mouth and lips. The central concern of the anal stage is the anus and the  elimination / retention of feces. During the phallic stage, the male is concerned with love of his mother, is  jealous of his father, and has castration anxiety (Oedipus complex). The female has penis envy, loves her 
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GENDER IDENTITY DISORDER - GENDER IDENTITY DISORDER DSM-IV...

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