Clinical and dynamic characteristics of transsexual-like states in schizotypal disorder in adolescents
Suggested citation:
D'yachenko AV, Bukhanovskaya OA, Soldatkin VA, et al. [Clinical and dynamic characteristics of transsexual-like states in schizotypal disorder in adolescents]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2022;(2):77-93. Russian
In a controlled experiment, 121 patients were examined to describe the mechanism of the formation of transsexual-like states (TSLS) in schizotypal disorder (SHD) in adolescents. The main group (A) consisted of 60 adolescents with TSLS, the comparison group (B) – 61 patients without TSPS. 3 stages of TSLS formation were identified. At the stage of predisposition, specific and non-specific predisposition factors were formed from the clinical features of the SHD, sexual, personal and social spheres. At the initiation stage, patients were influenced by the pathoplastic background. At the stage of transformation, there was a change in the identification, appearance and behavior of patients according to their idea of transgender people. In adolescents with SHR, there was no true disturbance of sexual identification; only its imitation was observed. The emergence of TSLS was caused by pathological reactions of grouping and imitation, overvalued hobbies and overvalued dysmorphic idea.
Keywords transsexual-like states; schizophrenia; schizophrenic spectrum disorders; schizotypal disorder; transsexualism; sexual identification disorders; gender dysphoria
1. Vvedensky GE, Matevosyan SN. [Sexual disorders in the ICD-11 project: methodological and clinical problems]. Social and clinical psychiatry. 2017;27(3):102–5. (In Russ.) 2. Kibrik ND, Yagubov MI. [Clinical features of sexual identification disorders and patient management tactics]. Andrology and genital surgery. 2018;19(3):35–41. DOI: https://doi.org/10.17650/2070-9781-2018-19-3-35-41 (In Russ.) 3. Kraft-Ebing R. Polovaja psihopatija, s obrashheniem osobogo vnimanija na izvrashhenie polovogo chuvstva. Translation from German. Moscow; 1994. 334 p. (In Russ.) 4. Kulish SB. [Syndrome of sexual dysphoria in men with schizophrenic spectrum diseases]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2009;(4):52–8. (In Russ.) 5. Matevosyan SN, Vvedensky GE. Polovaja disforija (kliniko-fenomenologicheskie osobennosti i lechebno-reabilitacionnye aspekty sindroma “otverganija” pola). Moscow: Medical Information Agency; 2012. 400 p. (In Russ.) 6. Popova GA. [Disorders of gender self-identification with non-psychotic forms of endogenous diseases and personality disorders (clinical and psychopathological aspect)]. Psychiatry, 2020;18(2):13–21. (In Russ.) 7. Starostina EA, Yagubov MI. [Clinical and phenomenological features of the formation of gender reassignment ideas in schizophrenia spectrum disorders]. Zh Nevrol Psihiatr Im SS Korsakova. 2021;121(3):18–23. DOI: https://doi.org/10.17116/jnevro202112103118 (In Russ.) 8. Dyachenko AV, Bukhanovskaya OA, Soldatkin VA, Perekhov AY. [Who Submits a Request to the Psychiatrist for a Gender Change: Results of a 30-Year Study]. Psikhiatriya. 2020;18(3):32–41. DOI: https://doi.org/10.30629/2618-6667-2020-18-3-32-41 (In Russ.) 9. Dyachenko AV, Bukhanovskaya OA, Soldatkin VA, Perekhov AY. [The case of erroneous diagnosis of transsexualism in a patient with schizotypal disorder]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2021;(2):73–83. DOI: https://doi.org/10.47877/1560-957Х-2021-10208 (In Russ.) 10. Dyachenko AV, Bukhanovskaya OA, Soldatkin VA, Perekhov AY. [Gender identity disorder, autoaggression and homicidomania in a teenage girl. A clinical case]. Mental health issues of children and adolescents. 2021;3(21):74–88. (In Russ.) 11. Zhmurov VA. Psychiatry of childhood and adolescence. Moscow: Medical book; 2016. 552 p. (In Russ.) 12. Kovalev VV. Semiotics and diagnostics of mental diseases in children and adolescents. Moscow: Medicine; 1985. 288 p. (In Russ.) 13. Petinova TM, Gridina VV. Discursive practices of attitudes towards sexual minorities in the youth environment. Education and problems of society development. 2018;2(6):64–71. (In Russ.) 14. Chudinova NA. [Stigmatization of LGBT among Perm students]. Social and humanitarian sciences: theory and practice. 2018;1(2):459–67. (In Russ.) 15. Vasilchenko GS, Agarkova TE, Agarkov ST, et al. Sexopathology: A Reference book. GS Vasilchenko, editor. Moscow: Medicine; 1990. 576 p. (In Russ.) 16. Lichko AE. Psychopathy and accentuation of character in adolescents. 2nd supplement and revision. L.: Medicine: Leningrad deparnament; 1983. 255 p. (In Russ.) 17. Skordis N, Butler G, de Vries MC, et al. ESPE and PES International Survey of Centers and Clinicians Delivering Specialist Care for Children and Adolescents with Gender Dysphoria. Horm. Res. Paediatr. 2018;90(5):326–31. DOI: https://doi.org/10.1159/000496115 18. Handler T, Hojilla JC, Varghese R, et al. Trends in Referrals to a Pediatric Transgender Clinic. Pediatrics. 2019;144(5):e20191368. DOI: https://doi.org/10.1542/peds.2019-1368 19. Berli JU. Discussion: Genital Gender-Affirming Surgery in Transgender Men in The Netherlands From 1989 to 2018: The Evolution of Surgical Care. Plast Reconstr Surg. 2020;145(1):162–3. DOI: https://doi.org/10.1097/PRS.0000000000006387 20. Dubnitsky LB. [Clinical typology of states of “metaphysical intoxication” in adolescence]. Zh Nevrol Psihiatr Im SS Korsakova. 1977;77(1):432–9. (In Russ.) 21. Tsutsulkovskaya MY, Kopeyko GI. Schizophrenia, occurring in the form of an atypical prolonged pubertal attack: Handbook of Psychiatry. AS Tiganov, editor. Moscow: Medicine; 2012. p. 533–49. (In Russ.) 22. Panteleeva GP, Tsutsulkovskaya MY, Belyaev BS. Heboid schizophrenia. Moscow: Medicine; 1986. 192 p. (In Russ.)
DOI: http://dx.doi.org/10.47877/1560-957Х-2022-10209
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