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Gender Dysphoria I. Changes in DSM-5 to Sexual and Gender Identity Disorder DSM-IV  The overall category was called sexual and gender identity disorders and it included gender identity, sexual dysfunctions, and paraphilia DSM-5  Divided into 3: Each disorder has its own category  Name was changed from gender identity to gender dysphoria  Name was changed from paraphilia to paraphilic II. Biological Sex Versus Gender A. What determines biological sex Sex (biological condition) Sex chromosomes Internal genitalia External genitalia Gender (psychosocial condition) Behaviors Traits Interests B. Physical Intersex Condition A disconnect between the components that define one’s biological sex Hermaphrodite Typically XX Typically 1 ovary and 1 testis External genitalia ambiguous Psuedohermaphrodite (a little more common) XY with testes and female/ambiguous external genitalia XX with ovaries and male/ambiguous external genitalia C. Transsexualism A disconnect between one’s biological sex and one’s gender  Views themselves as being the opposite sex to their biological sex  Cross-dressing  Not all transsexuals have a psychological disorder (must cause stress/impairment in order to get diagnosed) -Some transsexuals feel comfortable living as members of the opposite sex and have no desire to alter their biological sex. -Some transsexuals experience significant distress or impairment in functioning as a result of their disconnect between their biological sex and gender. These individuals may be diagnosed with Gender Dysphoria III. What are the Characteristics of Gender Dysphoria  Strong desire to get rid of primary biological genitalia  Stress IV. Transsexualism vs. Transvestim Transvestism is a paraphilic disorder where the individual becomes sexually aroused by wearing clothing of the opposite sex (Both transsexuals and transvestites cross-dress, but for 2 different reasons)