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Abstract

Transsexualism and gender dysphoria

The sexual binary - man or woman - influences the diagnosis and treatment of transsexual people in many respects. In the past few years, however, the clinical and scientific perspective on transsexual phenomena has changed considerably. It is no longer transsexualism as a part of the affected person's identity that is seen as being in need of treatment; instead the symptoms of gender dysphoria are the central concern. The goal of treatment within the framework of an overall treatment plan is the sustained reduction of individual gender dysphoria. Therefore, alongside introductory considerations regarding etiological factors, the following contribution presents current as well as likely future diagnostic criteria, outlines the principles of care, and identifies further implications for work within the clinical context.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2012; 8(1): 60-71

Keywords
Gender identity disorder, gender dysphoria, transsexualism, gender binary, health care

Timo O. Nieder, Hertha Richter-Appelt
Institut und Poliklinik für Sexualforschung und Forensische
Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Hamburg
Reviewer: Hans-Joachim Ahrendt, Magdeburg
und Knut Hoffmann, Karlsruhe-Mühlburg

Nieder TO., Richter-Appelt H. Transsexualität ... Gynakol Geburtsmed Gynakol Endokrinol 2012; 8(1): 60-71 publiziert 31.03.2012 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2012 ISSN 1614-8533