The theory of gender identity disorders

Experience with more than 500 patients over the last decade has led to the conclusion that the quest for sex reassignment is a symptomatic compromise formation serving defensive and expressive functions. The symptoms are the outgrowth of developmental trauma affecting body ego and archaic sense of self and caused by peculiar symbiotic and separation-individuation phase relationships. The child exists in the pathogenic (and reparative) maternal fantasy in order to repair her body image and to demonstrate the interconvertability of the sexes. Gender identity exists not as a primary phenomenon, but in a sense as a tertiary one. There is, no doubt, a tendency to gender-differentiate in a way concordant with biological endowment. Nevertheless, gender formation is seriously compromised by earlier psychological difficulty. Gender identity is a fundamental acquisition in the developing personality, but it is part of a hierarchical series beginning with archaic body ego, early body image, and primitive selfness, representing their extension into sexual and reproductive spheres. Gender identity consolidates during separation-individuation and gender pathology bears common features with other preoedipal syndromes. Transsexualism is closely linked to perversions, and the clinical syndromes may shade from one into another. However, what is kept at the symbolic level in the perversions must be made concrete in transsexualism. In this regard there is a close relation to psychosis. The clinical complaint of the transsexual is a condensation of remarkable proportions. When the transsexual says that he is a girl trapped in a man's body, he sincerely means what he says. As with other symptoms, however, it takes a long time before he begins to say what he means.     

Assessing multiple facets of gender identity: the gender identity questionnaire.

314 men and 451 women participated in a study to assess the reliability and validity of the multifaceted Gender Identity Questionnaire. Reliability coefficients of the (sub)scales varied between .67 and .80; content, criterion, and construct validity were satisfactory.     

The evolution of paternal identity in late adulthood

The experience of fatherhood in late adulthood has received little attention in the psychoanalytic literature. After a presentation of the literature on fatherhood and a consideration of the developmental tasks of late adulthood in which the experience of fatherhood is embedded, the dynamically charged, developmentally conflicted nature of the relationships between late-life fathers and their children is explored. A basic premise is that the changing nature of these relationships inevitably confronts the elderly patriarch with considerable intra-psychic turmoil, reflection, and conflict that must be engaged and mastered if these most significant relationships are to be maintained and sustained for both generations. Clinical examples illustrate the theoretical points presented.     

Emotion,gender, and gender typical identity in autobiographical memory

Gender differences in the emotional intensity and content of autobiographical memory (AM) are inconsistent across studies, and may be influenced as much by gender identity as by categorical gender. To explore this question, data were collected from 196 participants (age 18–40), split evenly between men and women. Participants narrated four memories, a neutral event, high point event, low point event, and self-defining memory, completed ratings of emotional intensity for each event, and completed four measures of gender typical identity. For self-reported emotional intensity, gender differences in AM were mediated by identification with stereotypical feminine gender norms. For narrative use of affect terms, both gender and gender typical identity predicted affective expression. The results confirm contextual models of gender identity (e.g., Diamond, 2012 Diamond, L. M. (2012). The desire disorder in research on sexual orientation in women: Contributions of dynamical systems theory. Archives of Sexual Behavior, 41, 73–83. doi: 10.1007/s10508-012-9909-7[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]. The desire disorder in research on sexual orientation in women: Contributions of dynamical systems theory. Archives of Sexual Behavior, 41, 73–83) and underscore the dynamic interplay between gender and gender identity in the emotional expression of autobiographical memories.     

Male gender identity: early developmental roots

The purpose of this paper has been to bring together a wide variety of ideas about male gender and sexual development into a broader and updated view. Toward that end, I have suggested that we view the concept of gender identity along three intertwining strands; core gender identity, gender role identity, and choice of love object. I have also suggested some important contributions made to each of these strands at various phases of development. I have concentrated upon the early childhood roots of gender identity, particularly as the earliest years are the time when important internal structures are established and consolidated. Later manifestations, although not the same as the early ones, have their roots in the early childhood configurations. However, the contributions to an overall broad sense of gender identity made during the latency and adolescent years must not be overlooked. The final outcome of any position along any of the strands is not finally consolidated until the end of adolescence. Indeed, adult experiences may also make important contributions.     

Taxometric analyses of sexual orientation and gender identity

Taxa are nonarbitrary classes whose existence is an empirical question and not a matter of mere semantic convenience. Taxometric procedures detect whether numerical relations between purported indicators of conjectured taxa bear the hallmarks of true taxa. On the basis of theoretical considerations, the current study tested whether taxa underlie sexual orientation and related measures of gender identity. Two taxometric procedures, maximum covariance, making hits maximum (MAXCOV) and mean above minus below a cut (MAMBAC), were applied to Kinsey Scales and measures of childhood gender nonconformity and adult gender identity in a sample of nearly 5,000 members of the Australian Twin Registry. Results suggest that latent taxa underlie these measures. About 12-15% of men and 5-10% of women belong to latent taxa associated with homosexual preference. These percentages are greater than those of individuals who report homosexual preference, however, and hence it appears that an appreciable proportion of individuals in these taxa have heterosexual preference. An understanding of the origins of these latent taxa may be important to understanding the development of sexual orientation and gender identity.     

The psychoanalytic treatment of a preschool boy with a gender identity disorder

A three-year, nine-month-old boy began analysis by wishing he was a girl and pretending he was a superheroine. Over the course of almost five years, the cross-gender defense against fear of loss of the object, anal loss, and castration by the object reorganized in all libidinal phases through early latency. Developmental arrests seemed to occur during the anal rapprochement and oedipal phases that led to observable cross-gender strivings by two and a half years of age. The role of early childhood illness, narcissistic vulnerability, mother's childhood wish for a sister, the mother's adult wish for a daughter, a shared fantasy between mother and child, identification with the perceived power and beauty of mother and grandmother, pathological sibling rivalry that influenced identification with his sister, were demonstrated in his play during sessions. Interwoven in the background was the impact of an emotionally absent father, a dying grandfather, and an accident-prone uncle. This paternal matrix seemed to discourage budding masculinity and encourage feminine identifications. The analyst's approach and the child's responses to interpretation of the transference manifestations, cross-gender behavior, fantasies, and play are presented. Finally, the gradual resolution of the conflicted wish to be a girl was supplanted by the emergence of appropriate gender identification. A two-year followup appeared to confirm his postanalytic gender stance and continuing consolidation of stable gender development.     

The relationship between conformity to gender norms,sexual orientation,and gender identity for sexual minorities

The current study examined how dimensions of masculinity and femininity were expressed for sexual minorities. Cluster analysis was used to determine the number of latent classes for conformity to masculine and feminine norms for sexual minorities. A four-class solution was the best fit to the data. Cluster 1 (labeled Relating to others through equality and caring, n = 41) was characterized by low dominance and power over women and high involvement with kids and have nice relationships norms. Cluster 2 (labeled Relating to others through avoidance and misogyny, n = 38) was characterized by low risk-taking and have nice relationships and high power over women and disdain for homosexuality. Cluster 3 (labeled Relating to others through power, n = 34) was characterized by high winning, pursuit of status, and appearance and low modesty. Cluster 4 (labeled Relating to others through sex, n = 27) was characterized by low involvement in romantic relationships and sexual fidelity while endorsing high playboy attitudes. Results indicate that conforming to gender norms tends to follow categories of interpersonal beliefs and behaviors rather than being based in gender identity or sexual orientation. Implications of the results for future research and clinical practice are examined.     

Reducing gender identity bias through imagined intergroup contact

Transgender individuals face high levels of stereotyping, prejudice, discrimination, and violence. However, there is a paucity of research (particularly experimental work) investigating the magnitude of gender identity bias (GIB) targeting transgender individuals, as well as interventions designed to ameliorate it. To address this gap, we conducted experimental investigations of reactions to identical, highly qualified men or women job applicants described as either transgender or cisgender (Experiments 1a, 1b), and tested the efficacy of an imagined intergroup contact (IIC) intervention (relative to a control condition) in ameliorating GIB against transgender women (Experiment 2). As expected, all applicants were perceived as equally highly competent, adding to the literature suggesting that clearly demonstrating excellent qualifications can prevent biased judgments of candidate competence. However, revealing GIB, transgender men and women were rated as less likeable and hirable than the identical cisgender applicants, despite the fact that they were viewed as equally competent (Experiments 1a, 1b). Providing additional evidence of GIB, in the absence of IIC, participants rated a transgender female applicant as less likeable and hirable than the identical cisgender applicant, and also reported less self‐other overlap and perspective taking for the transgender applicant (Experiment 2). However, these target gender identity differences were reduced (for likeability) or fully eliminated (for the remaining outcomes) in the IIC condition. Put another way, while reactions to the cisgender applicant were unaffected by intervention condition, IIC elevated perceptions of the transgender applicant, suggesting that it may function as an effective GIB intervention.     

Sexual identification and gender identity among father-absent males

The present study used multiple measures of sexual identification and of gender identity to determine discriminant functions in order to classify 100 college males and 100 females. These functions were then applied in classification of a separate sample of 50 father-absent and 50 father-present males as masculine or feminine for sexual identification and for gender identity. True similarity to response patterns of a female sample, as reflected in differences in classification rates for father-present and -absent groups, was not observed for either variable. However, substantial support was obtained for a positive association between father absence for male subjects and less masculine gender identity. Different elements of family structure were observed to be associated with the development of sexual identification among father-absent and father-present males. Sons of mothers who remained single after the father's absence were more frequently classified female in sexual identification than were sons of mothers who remarried. Within intact families, a positive father-son relationship was associated with masculine sexual identification.