Just from browsing the web, I found 0.8% of the US population is afflicted Schizophrenia (2.2 million people). In a 1968 study it showed that 1 in every 100,000 people had some form of GID.
GID.info | Gender Identity Disorder Information
Schizophrenia.com - Schizophrenia Fact and Schizophrenia Statistics
I don't want to use these figures, as I do find them suspect. I'll look for better sources, later.
Yes, as I have already noted. GID can cause mood disorders. This, I believe, has to do with the social pressures that are placed upon the transsexual, the mental stress leading to depression and/or other mood disorders. And NOT because of brain structure or brain activity.This is the part that is interesting and what should give one pause IMO:
Psychiatric Comorbidity of Gender Identity Disorders: A Survey Among Dutch Psychiatrists -- à Campo et al. 160 (7): 1332 -- Am J Psychiatry
[I]In 225 (39%) of the 584 reported cases, gender identity disorder was regarded as the primary diagnosis. For the remaining 359 patients (61%), cross-gender confusion occurred along with other psychiatric disorders, and in 270 (75%) of these 359 cases, it was interpreted as secondary to other psychiatric illnesses.
Yep, that's why I think it would be unprofessional to make a conclusion.It seems that 61% of people that present with GID have some "comorbitity"--and 77% of psychiatrists either can't make up their mind or think SRT would be unwise for those patients.
It seems you also agree.
I hear the DSM V is coming out. Not sure when, but maybe they'll have this section improved. Hopefully.This seems appropriate.
Our findings also underline the need for articulated diagnostic rules in this area. A nontrivial proportion of our respondents felt that the current DSM-IV gender identity disorder criteria are not strict enough. These respondents indicated that other psychiatric disorders that may explain the cross-gender symptoms should be ruled out before considering a diagnosis of gender identity disorder. There is evidence suggesting that persistent cross-gender identification may occur in psychotic patients. In such cases, the cross-gender confusion appears to be entirely attributable to the misperception of reality that is typical for psychotic disorders (12–18).
Our results, together with anecdotal reports about gender identity disorder misdiagnoses, indicate that it may be fruitful to consider reinstatement of an exclusion criterion that cross-gender symptoms should not be attributable to other psychiatric disorders such as schizophrenia.
I know it's other dissociative disorders too. What I'm pointing out is the difference when GID is the primary diagnoses versus the secondary. If Schizophrenia is the cause of the GID (a symptom) then SRT is inappropriate. In this case, antipsychotic drugs should be the treatment. However, if GID the primary, and depression or bipolar is the secondary, then you can't rule out SRT. Though the comorbidity may make you be more cautious about suggesting SRT. That is why extensive counseling is important. The psychologist must be careful in the diagnosis.It's not just Schizophrenia--it's other dissociative disorders also. I can see why you thought I was confused--I had only read what I thought was the abstract...
This would depend on how valid their identity is. It may seem that people with GID is delusional, but there are measures to identify femaleness and maleness. There are measures to test their consistency of their beliefs, so that we can know that this isn't a fleeting feeling. The testing is exhaustive. However, I'm not so quite convinced with the brain evaluations of GID. There are a lot of explanations that I find suspect, not just in GID, but for attributing behavior in general. This is because I do not think the brain is the "command center." Believe it or not, I am actually pretty radical in my thinking compared to some of my peers.What I'm getting is that Dissociative Identity Disorders are hard to differentiate from Gender Identity Disorder. My question is: What makes the "gender identity" somehow distinct from a general "identity" disorder at all? And what about "gender" makes surgery on healthy tissue appropriate or medically ethical?
As for other identity disorders, it's pragmatically different depending on the type of disorder. Multiple personality? Bipolar? Mania? Dissociative? Each has their own type exhaustive testing. Tests that can rule out other disorders, or it may determine comorbidity.
I can't give you a definitive opinion on BIID, I just don't know enough about it.It seems that the conclusion Captain and you are pointing to is that male and female are common "normal" states whereas things like BIID aims for a "dysfunctional" state. Why would it be fine to treat an identity disorder in one instance with complying with the identity perception and not in another case? As one respondent in the study stated, "We don’t do liposuction on anorexics. So why amputate the genitals of these patients?"
SRT would only be appropriate if the client understands the entire procedure. It is likely to be permanent. That there are risks of complications. They must also address the fact that their family and social network must come to terms with it, just as much as they have come to terms with their decision to go thru with SRT. And this is all comes after the exhaustive testing. This would be the requirement for me.
The comment about liposuction and anorexics is a bit absurd... Anorexics don't have any fat to lipo to begin with The behavior that Anorexics exhibit can become debilitating, and may certainly lead to death or serious injury to health. Remember the insanity argument?
After SRT, the client improves in health and mood. After liposuction, the anorexic wants another liposuction, which will cause health to not improve. The anorexic now crosses the line of insanity because of the debilitative behavior. Whereas the transsexual has not.