Differenze di genere ed identità di genere: considerazioni cliniche

摘要

The Gender Identity Disorder is a psychopathology characterized by two components, whose presence is necessary and indispensable in order to make a diagnosis.Specifically, there must be evidence of an intense and persistent identification with the opposite sex, or the manifest desire to be, or insistence of being and belonging to the opposite sex. The identification with the opposite sex, of course, must not only be a wish for some supposed cultural advantage deriving from membership in the opposite sex.In addition, there must be evidence of persistent discomfort about their assigned sex or a sense of alienation with respect to the gender role of their own sex, and diagnosis is not made if the patient has a concurrent physical intersex condition.The Gender Identity Disorder can be seen as the testimony of how much gender can affect human life and as expression of psychopathology: the tenacity and persistence with which the individual with GID pursues its reassignment is also testimony of a gender-related auto-therapic dimension.The survey presents a preliminary and partial evaluation of 42 patients with Gender Identity Disorder (GID) related to the Day Hospital of Clinical Endocrinology of the University Hospital S. Martino in Genoa, who have decided to undertake or are going through the medical and legal process of reassignment of Identity, and it is a heterogeneous sample, made of "naive" subjects (at the first visit, without previous hormonal treatment), subjects in hormonal treatment, and subjects who have done reassignment surgery.