Gender identity disorder and anorexia nervosa in male monozygotic twins

被引:31
作者
Hepp, U
Milos, G
Braun-Scharm, H
机构
[1] Univ Zurich Hosp, Psychiat Poliklin, Dept Psychiat, CH-8091 Zurich, Switzerland
[2] Univ Zurich Hosp, Eating Disorders Unit, Dept Psychiat, CH-8091 Zurich, Switzerland
[3] Univ Zurich, Dept Child & Adolescent Psychiat, Zurich, Switzerland
关键词
eating disorder; anorexia nervosa; gender identity disorder; transsexualism; twins;
D O I
10.1002/eat.10247
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Male identical twins with gender identity disorder (GID) in childhood and anorexia nervosa (AN) are presented. Etiologic aspects and the relationship among gender identity, sexual orientation, body dissatisfaction, and AN are discussed. Method: Case reports and a review of the literature are reported. Results: In childhood, both twins showed an atypical gender behavior. Whereas one of the twins later developed a transsexual gender identity and asked for sex reassignment, the other developed a male identity but his appearance and clothing are effeminate. According to their biologic sex, they are concordant in regard to their homosexual orientation. In adolescence, both developed AN. Monozygotism was proved by DNA analysis. Discussion: GID in childhood could be at least partly hereditary, whereas the development of the later phenotype of the gender identification is more determined by environmental factors. GID might be a risk factor for the development of AN. (C) 2004 by Wiley Periodicals, Inc.
引用
收藏
页码:239 / 243
页数:5
相关论文
共 28 条
[1]  
ANCHERSEN P, 1956, Acta Psychiatr Neurol Scand Suppl, V106, P249
[2]  
Andersen AE, 1997, PSYCHOPHARMACOL BULL, V33, P391
[3]  
Bulik CM, 2000, INT J EAT DISORDER, V27, P1
[4]   Transsexualism: A review of etiology, diagnosis and treatment [J].
Cohen-Kettenis, PT ;
Gooren, LJG .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 1999, 46 (04) :315-333
[5]   SYMPTOMATOLOGY, PSYCHOSEXUAL DEVELOPMENT AND GENDER IDENTITY IN 42 ANOREXIC MALES [J].
FICHTER, MM ;
DASER, C .
PSYCHOLOGICAL MEDICINE, 1987, 17 (02) :409-418
[6]  
French SA, 1996, INT J EAT DISORDER, V19, P119, DOI 10.1002/(SICI)1098-108X(199603)19:2&lt
[7]  
119::AID-EAT2&gt
[8]  
3.0.CO
[9]  
2-Q
[10]   A FEMALE MONOZYGOTIC TWIN PAIR DISCORDANT FOR TRANSSEXUALISM - SOME THEORETICAL IMPLICATIONS [J].
GARDEN, GMF ;
ROTHERY, DJ .
BRITISH JOURNAL OF PSYCHIATRY, 1992, 161 :852-854