Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-10T21:24:35.376Z Has data issue: false hasContentIssue false

Transsexualism in a Klinefelter male: a case report

Published online by Cambridge University Press:  13 June 2014

Elizabeth M J Cryan
Affiliation:
St. Vincent's Hospital, Elm Park, Dublin 4
Frank P O'Donoghue
Affiliation:
St. Patrick's Hospital, James's Street. Dublin 8

Abstract

We report a Klinefelter male who presents requesting gender reassignment surgery. There may be a predisposition to gender dysphoria in Klinefelter's Syndrome, and in the case we describe, the perception of his symptoms as being of biological origin coupled with the unavailability of gender reassignment surgery in the Republic of Ireland has had a negative therapeutic effect.

Type
Clinical & Brief Reports
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Klinefelter's syndrome [editorial]. Lancet 1988; 1: 13161317.Google Scholar
2.Caldwell, P. & Smith, D.The XXY (Klinefelter's) Syndrome In Childhood: Detection and Treatment. J Pediatr 1972: 80; 2: 250258.CrossRefGoogle ScholarPubMed
3a.Theilgaard, A. A psychological study of the personalities of XYY and XXY men. Acta Psychiatr Scand 1984; 69 Suppl 315: 15.Google Scholar
3b.Theilgaard, A. A psychological study of the personalities of XYY and XXY men. Acta Psychiatr Scand 1984; 69 Suppl 315: 8286.Google Scholar
4.Nielsen, J, Pelsen, B. Follow-up 20 years later of 34 Klinefelter males with karyotype 47, XXY and 16 hypogonadal males with karyotype 46, XY. Hum Genet 1987; 77: 188192.CrossRefGoogle ScholarPubMed
5.Nielsen, J, Johnsen, S, Sorensen, K. Follow-up 10 years later of 34 Klinefelter males with karyotype 47 XXY and 16 hypogonadal males with karyotype 46 XY. Psychol Med 1980; 10: 345352.CrossRefGoogle ScholarPubMed
6.Pomeroy, J. Klinefelter's Syndrome and schizophrenia. Br J Psychiatry 1980; 136: 597599.CrossRefGoogle ScholarPubMed
7.Roy, A. Schizophrenia and Klinefelter's syndrome. Can J Psychiatry 1981; 26: 262264.CrossRefGoogle ScholarPubMed
8.Cameron, O, Landau, S. Lithium carbonate treatment of mania associated with Klinefelter's syndrome. JAMA 1980; 243 (17): 1712.CrossRefGoogle ScholarPubMed
9.Hindler, C, Norris, D. A case of anorexia nervosa with Klinefelter's syndrome. Br J Psychiatry 1986; 149: 659660.CrossRefGoogle ScholarPubMed
10.Stein, M, Siddiqui, A. Acute paranoid disorder and Klinefelter's syndrome. Can J Psychiatry 1986; 31: 434435.CrossRefGoogle ScholarPubMed
11.Ross, MW. Gender identity. Male, female or a third gender. In: Walters, W, Ross, M, editors. Transsexualism and sex reassignment. Oxford: Oxford University Press, 1986.Google Scholar
12.Dolan, J. Transsexualism: syndrome or symptom? Can J Psychiatry 1987; 32: 666673.CrossRefGoogle ScholarPubMed
13.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd rev ed (DSM IIIR). Washington DC: American Psychiatric Association, 1987.Google Scholar
14.Christie-Brown, J. Paraphilias. Sadomasochism, fetishism, transvestism and transsexuality. Br J Psychiatry 1983: 143: 227230.CrossRefGoogle Scholar
15.Bower, H. Diagnosis and differential diagnosis. Homosexual, transvestite or transsexual. In: Walters, W, Ross, M, editors. Transsexualism and sex reassignment. Oxford: Oxford University Press, 1986.Google Scholar
16.Mate-Kole, C, Freschi, M, Robin, A. A controlled study of psychological and social change after surgical gender reassignment in selected male transsexuals. Br J Psychiatry 1990; 157: 261264.CrossRefGoogle ScholarPubMed