Case Study Analysis of Phil
Phil is a 35 year-old
male suffering from gender identity disorder. This condition exists when an
individual displays symptoms of distress related to his or her physical gender.
In his early years, the patient suggested that his male features would fall fo
and reveal his feminine body, and when he entered adolescence, he began having
sexual encounters with other males. The patient indicates that he never felt
comfortable with his sexual identity and became intimately involved with women
that he either admired or envied (Hansell, & Damour, 2008). Phil obviously
suffers from a conflict between his physical gender and the gender he
identifies as , and is very uncomfortable with his male body.
Gender Identity Disorder
Gender identity disorder,
also referred to as transsexualism is a condition referenced and cataloged in
the DSM IV-TR, but does not focus on the individuals’ sexual symptoms. Gender
identity disorder involves a disruption in an individual’s gender identity,
which is directly related to his or her sexuality (Hansell, & Damour,
2008). Defining gender identity disorder is done via two individual variables;
sex, or the individual’s biological body, and gender, or the individual’s
psychological sense of being male or female (Hansell, & Damour, 2008).
Individuals suffering from gender identity disorder may act and present
themselves as members of the opposite sex, and may display symptoms like
altered choice of sexual partners, mannerisms, behavior, choice of attire, and
self-concept (PubMedHealth, 2012).
According to
PubMedHealth (2012) “identity conflicts need to continue over time to be a
gender identity disorder” (p. 1). Symptoms of gender identity disorder can vary
depending on the subject’s age and social environment. Children suffering from
gender identity disorder can display symptoms ranging from a disgust for his or
her genitals, rejection from peers, a belief that he or she will grow up to
become the opposite sex, and state that he or she wants to be the opposite sex
(PubMedHealth, 2012). Adults suffering from the disorder may dress like the
opposite sex, feel alone and isolated, suffer from anxiety or depression, show
a desire to live as a member of the opposite sex, and show a desire to
eliminate his or her genitals (PubMedHealth, 2012).
In order for a proper
diagnosis to be made, the individual must show an expression of being in the
body of the wrong gender for a period no less than two years (PubMedHealth,
2012). This helps clinicians determine if the individual is actually suffering
from gender identity disorder, or another disorder that has similar desires
(PubMedHealth, 2012). Gender identity disorder also has little to no relevance
in the individual’s choice of sexual partners, meaning a man who feels he is
truly a woman may still be physically attracted to women. The cause of gender
identity disorder are not known, but hormones in the womb, genetics, and social
and environmental factors are suspected (PubMedHealth, 2012).
Patient History
The patient is a highly educated and successful professor of
anthropology. As a child he found himself more interested in playing with girls
and dolls. He had a very close relationship with his mother, and found it
easier to make friends with girls than boys. His father was an abusive
alcoholic who regularly abused Phil’s mother. Phil expressed to his parents in
early childhood that his male genitals would fall off, and spent time with a
child therapist because his parents were alarmed by his belief. In his early
teen years, Phil expressed his attraction of other males to his mother. She was
very supportive of the possibility that Phil was a homosexual. When he came out
as a homosexual, he experimented with same-sex relationships, but never felt
full comfortable with his own male body. He experimented with cross-dressing,
and portraying a feminine role with his sexual partners, but continued to lack
internal happiness with his gender.
Components of Phil’s Gender Identity Disorder
The primary component of Phil’s gender identity disorder is his
life-long belief that he was a female born in the body of a male. Phil often
displayed dissatisfaction or distress with his male genitals, and showed signs
of distress and anxiety over believing that something in his life was wrong.
Phil experimented with cross-dressing, and taking on more feminine roles with
sexual partners, and found himself researching the concept of sexual
reassignment surgery.
Conclusion
Gender identity disorder is not the same as homosexuality. It is
a disorder that occurs when an individual strongly believes that he or she was
born with the body of the wrong sex. People suffering from gender identity
disorder are prone to serious symptoms ranging from emotional distress,
depression, isolation, and in worst cases, become suicidal. Gender identity
disorder is not age specific, and affects both children and adults. An
individual that has displayed signs of gender identity disorder for more than
two years should receive proper treatment base don his or her age. Children and
adults suffering form identity gender disorder require a supportive
environment, and may want to consider the option of gender reassignment surgery
once he or she has reached adult age. He or she must weigh all the options of
treatment available, including therapy before making the decision to perform
gender reassignment. People who do complete gender reassignment surgery may
continue to need therapy as the procedure may not cure the identity problems
the individual has experienced.
References
Hansell,
J. & Damour, L. (2008). Abnormal psychology (2nd ed.). Hoboken, NJ: Wiley.