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Psychotherapy for gender identity disorders

  • Az Hakeem

Summary

This article describes a special adaptation of group psychotherapy as a psychological treatment for people with a variety of gender identity disorders. It can be used as an alternative to or concurrently with hormonal and/or surgical interventions for transgender people. It is also suitable for individuals whose gender identity disorder remains after physical interventions. The article draws from a UK specialist pilot for such a treatment service and describes the explicit aims of the psychotherapy, the specialist adaptation of therapeutic technique required and observed thematic features relevant to working in this specific field.

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Copyright

Corresponding author

Dr Az Hakeem, Highgate Mental Health Centre, Dartmouth Park Hill, London N19 5NX, UK. Email: az@drazhakeem.com

Footnotes

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See also pp. 2–11 and 12–16, this issue.

Declaration of Interest

A.H. runs the gender identity disorder service described in this article.

Footnotes

References

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Althof, SE, Keller, AC (1980) Group therapy with gender identity patients. International Journal of Group Psychotherapy 30: 481–9.
Bateman, A, Fonagy, P (2004) Psychotherapy for Borderline Personality Disorder: Mentalization-Based Treatment. Oxford University Press.
Blanchard, R (2005) Early history of the concept of autogynephilia. Archives of Sexual Behavior 34: 439446.
Butler, J (1990) Gender Trouble: Feminism and the Subversion of Identity. Routledge.
Eden, K, Wylie, K, Watson, E (2012) Gender dysphoria: recognition and assessment. Advances in Psychiatric Treatment 18: 211.
Foulkes, SH (1964) Therapeutic Group Analysis. George Allen and Unwin.
Foulkes, SH (1975) Group Analytic Psychotherapy: Method and Principles. Reprinted (1986) by Karnac Classics: 99–156.
Green, R, Fuller, M (1973) Group therapy with feminine boys and their parents. International Journal of Group Psychotherapy 23: 5468.
Greenson, RR (1968) Dis-identifying from mother. International Journal of Psychoanalysis 49: 370–4.
Hakeem, A (2007) Trans-sexuality: a case of the emperor's new clothes? In Lectures on Violence, Perversion and Delinquency: The Portman Papers (eds Ruszczynsky, S, Morgan, D) 179–92. Karnac.
Hakeem, A (2008) Changing sex or changing minds: specialist psychotherapy and transsexuality. Group Analysis 41: 182–96.
Hakeem, A (2010a) Deconstructing gender in trans-gender identities. Group Analysis 43: 141–54.
Hakeem, A (2010b) ‘Parallel processes’: observed in the patient, therapy and organization. Group Analysis 43: 523–38.
Limentani, A (1989) Between Freud and Klein: The Psychoanalytic Quest for Knowledge and Truth. Karnac.
Lothstein, LM (1977a) Psychotherapy with patients with gender dysphoria syndromes. Bulletin of the Menninger Clinic 41: 563–82.
Lothstein, LM (1977b) Countertransference reactions to gender dysphoric patients: implications for psychotherapy. Psychotherapy: Theory Research and Practice 14: 2131.
Lothstein, LM (1979) Group therapy with gender-dysphoric patients. American Journal of Psychotherapy 33: 6781.
Lothstein, LM, Levine, SB (1981) Expressive psychotherapy with gender dysphoric patients. Archives of General Psychiatry 38: 924–9.
Stoller, R (1968) Sex and Gender: The Development of Masculinity and Femininity. Karnac.
Stoller, R (1975) Sex and Gender. Vol. II: The Transsexual Experiment. Hogarth Press and Institute of Psychoanalysis.
Watson, K (2005) Queer theory. Group Analysis 38: 6781.
World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO.
Wright, J (2006) The remains of the day: transsexuality, psychodynamics and the modern NHS. Psychoanalytic Psychotherapy 20: 140–56.
Wylie, K, Eden, K, Watson, E (2012) Gender dysphoria: treatment and outcomes. Advances in Psychiatric Treatment 18: 1216.

Psychotherapy for gender identity disorders

  • Az Hakeem

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Psychotherapy for gender identity disorders

  • Az Hakeem
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