From Homosexinfo

Psychiatry: The Association between Transgenderism, Nonheterosexuality and Mental Anomalies

Homosexuals are considerably overrepresented among mentally ill people known as transsexuals, and hence some correlates of transsexualism and related phenomena should be considered. Also note that this association cannot be explained in terms of the usual suspects, i.e., stigma, prejudice, discrimination and victimization.

Some definitions will help:

Note: Transvestic fetishism and autogynephilia are paraphilias.

Homosexuality, bisexuality and transgenderism

One comes across several GLBT (Gay, Lesbian, Bisexual and Transgender) organizations. Since gays, lesbians, and bisexuals experience same-sex attraction and [usually] engage in homosexual behavior, it makes sense that these groups are lumped together by homosexual activists, but why also include the transgendered in light of the fact that seeking mainstream acceptance is not facilitated by associating with people that many if not most in the general population regard as freaks? The answer is simple; a substantial number of transgendered individuals are homosexual or bisexual:

A number of transsexuals do not like being labeled homosexual. To address this issue, one should distinguish sex from gender identity. A person with male sex who has a female gender identity and is attracted to men would self-classify as a heterosexual because he believes that he is a woman. However, the standard conceptualization of a homosexual is based on biological sex, not gender identity. If this person seeks to look like a woman, then at best he can be made to look more feminine via sex reassignment surgery (SRS) and cross-hormone treatment, not become a woman as in someone with a female sex. This person's legal sex may change, but the biological sex doesn't. Hence, the person described is a homosexual.

Various considerations are consistent with the notion that male-to-female transsexuals attracted to men are a type of homosexual men:

There is a strong association between sex-atypical childhood behaviors and adult homosexuality:

Average effect size (Cohen's d, mean ± standard deviation) obtained in a meta-analysis: men = 1.31 ± 0.43, women = 0.96 ± 0.35; these effect sizes have been corrected for biases by the use of Hedges’s correction.11

Homosexuals and bisexuals are more likely to experience sex-atypical feelings of masculinity and femininity in adulthood compared to heterosexuals.12 An association between homosexuality and transvestism is readily observed in any gay pride parade. Men who have sex with men have also been shown to be relatively overrepresented among transvestic fetishists in a random, population-based sample of Swedes.13 Therefore, there is little doubt as to an association between homosexuality/bisexuality and transgenderism.

Transgenderism and its association with psychiatric morbidity and other anomalies

Psychiatric morbidity, specifically of personality, mood, dissociative, and psychotic disorders is especially elevated among individuals with sex-identity disorders, and sex-identity disorders often occur as secondary to some other mental disorder.14 For instance, delusions about one’s physical appearance and a desire to drastically alter one’s looks are not unusual among schizophrenics;15, 16 about 25% of schizophrenics experience cross-sex identification at some point in their life.17, 18, 19, 20 The association between schizophrenia and increased odds of homosexuals interests is well-documented.

About half of boys with feminine behavior and three-fourths of boys with highly feminine behavior develop into homosexuals.21 Behaviorally feminine boys manifest an elevated incidence of anomalous outcomes such as enuresis (involuntary urination), inguinal hernia, imperfect descent of testes, speech impairment, and possibly other minor physical anomalies.22, 23, 24, 25 Genes influence such defects.26, 27 In an examination of 43 behaviorally feminine boys, 2 (4.7%) had undescended testes and 5 others had some delay in fixation in the scrotal sac of one or both testicles vs. 0.78% in the general population; 32.6% had speech impairment, which is remarkable; 34.9% displayed enuresis at age 5 years or later vs. 9% at age 5 years or later in the general population; 18.6% had inguinal hernia vs. 1.9% in the general population, and the behaviorally feminine boys were also worse off than ambulant psychiatric controls on these measures.28

In reference to the association between behavioral femininity among boys and enuresis, as mentioned above, elevated left-handedness has been reported among individuals with primary nocturnal enuresis.29 Left-handedness is associated with prenatal developmental disturbances, as evidenced by a higher incidence of first trimester-originating minor physical defects among left-handers.30 Behaviorally feminine boys who wish to be girls manifest elevated left-handedness/non-right-handedness.31 Both homosexuals32 and transsexuals33, 34 manifest elevated left-handedness/non-right-handedness.

In reference to the association between schizophrenia (which results from prenatal developmental disturbances), homosexual interests and cross-sex identification, as mentioned above, compared to normal individuals, it has been documented that schizophrenics manifest elevated non-right-handedness,35, 36, 37, 38 schizophrenics manifest reduced functional brain asymmetry,39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49 left-handed individuals manifest reduced functional brain asymmetry,50, 51, 52, 53 and both right-handed homosexuals and right-handed transsexuals manifest reduced functional brain asymmetry:

Studies examining visual55, 56 or auditory54, 57 task processing by right-handed homosexual and heterosexual men have revealed reduced functional brain asymmetry in homosexual men. Consistently right-handed male and female homosexuals tend to have reduced functional brain asymmetry compared to consistently right-handed heterosexuals; however, non-consistently right-handed male and female homosexuals tend to have greater functional brain asymmetry than non-consistently right-handed heterosexuals.54 Among heterosexuals, consistent-right-handers show greater functional brain asymmetry than non-consistent-right-handers.54 In contrast, both homosexual men and women do not show an association between hand preference and magnitude of functional brain asymmetry.54 The reduced association between motoric (related to movement) and linguistic components of cerebral asymmetry in homosexuals is consistent with elevated non-right-handedness among homosexuals.54 Both right-handed male-to-female transsexuals and right-handed female-to-male transsexuals manifest reduced functional brain asymmetry compared to sex-matched controls.58 The reduced functional brain asymmetry among MF-TS in spite of right-handedness is similar to the lack of association between hand preference and magnitude of functional brain asymmetry reported in homosexuals.54

Atypical brain asymmetries are associated with disturbed prenatal development;59, 60 also see the following:

A study examined 18 atypical functional brain conditions or phenomena (ABCP) (non-right-handedness, enuresis after age 5, learning and speech disorders, etc.) in a sample of 434 women with lifetime major depressive disorder.61 The correlation between ABCPs and migraine was 0.36, 95% CI = 0.26-0.43, p < 0.0001. Only 9% of women (n = 11) with no ABCPs had migraine, but 85% of women with 8 or more ABCPs (n = 40) had migraine.

Several developmental disruptors are associated with an increased likelihood of behavioral sex-atypicality, thereby associating sex-atypical behavioral traits with developmental disturbances:

Consider two examples below:

Male homosexual mental patients exhibit higher feminine identification than male homosexual non-patients.73 Among male homosexuals, greater boyhood femininity correlates with lower self-esteem,74 elevated suicidality,(75; see here) greater anxiety and a higher prevalence of depression in adulthood;76 such associations have not been reported with respect to more masculine behavior among girls,77, 78, 79 which is consistent with normally elevated sex-atypical behavior among girls,80, 81, 82 i.e., the threshold of sex-atypicality associated with disturbances in girls is higher than that among boys, and these disturbances won’t be revealed unless one has a sample size large enough to include several girls with highly masculine behaviors. On the other hand, the disproportionately bizarre behaviors/thinking of feminists (a considerable number of whom are homosexual, bisexual, or masculinized heterosexual women), extensively documented in the book here, provide plenty of proof that sex-atypical behaviors--beyond a threshold--among women are associated with disturbed functioning.

Comment

In summary, an association of homosexuality with varying levels of cross-sex identification provides additional evidence that homosexuality is accompanied by an increased likelihood of mental disorders not accounted for in terms of the usual suspects.

References

  1. ^ R. Blanchard, J Nerv Ment Dis 177, 616 (Oct, 1989).
  2. ^ S. J. Bradley et al., Arch Sex Behav 20, 333 (Aug, 1991).
  3. ^ R. Blanchard, J Sex Marital Ther 17, 235 (Winter, 1991).
  4. ^ R. Green, Psychol Med 30, 789 (Jul, 2000).
  5. ^ R. Blanchard, K. J. Zucker, P. T. Cohen-Kettenis, L. J. Gooren, J. M. Bailey, Arch Sex Behav 25, 495 (Oct, 1996).
  6. ^ R. Blanchard, P. M. Sheridan, J Nerv Ment Dis 180, 40 (Jan, 1992).
  7. ^ K. H. Poasa, R. Blanchard, K. J. Zucker, J Sex Marital Ther 30, 13 (Jan-Feb, 2004).
  8. ^ P. H. Connolly, R. Blanchard, K. J. Zucker, paper presented at the International Academy of Sex Research conference, Bloomington 2003.
  9. ^ D. F. Swaab, M. A. Hofman, Brain Res 537, 141 (Dec 24, 1990).
  10. ^ D. F. Swaab, L. J. Gooren, M. A. Hofman, Prog Brain Res 93, 205 (1992).
  11. ^ J. M. Bailey, K. J. Zucker, Dev Psychol 31, 43 (1995).
  12. ^ M. P. Dunne, J. M. Bailey, K. M. Kirk, N. G. Martin, Arch Sex Behav 29, 549 (Dec, 2000).
  13. ^ Långström N, Zucker KJ. Transvestic fetishism in the general population: prevalence and correlates. J Sex Marital Ther 2005;31(2):87-95.
  14. ^ J. A. Campo, H. Nijman, H. Merckelbach, C. Evers, Am J Psychiatry 160, 1332 (2003).
  15. ^ J. M. Campo, H. Nijman, C. Evers, H. L. Merckelbach, I. Decker, Ned Tijdschr Geneeskd 145, 1876 (Sep 29, 2001).
  16. ^ D. Caspari, H. Sittinger, B. Lang, Psychiatr Prax 26, 89 (Mar, 1999).
  17. ^ L. Lukianowicz, Psychiatr Neurol 138, 67–78 (1995).
  18. ^ F. Connolly, N. L. Gittleson, Br J Psychiatry 119, 443–4 (1971).
  19. ^ N. L. Gittleson, K. Dawson-Butterworth, Br J Psychiatry 113, 491–4 (1967).
  20. ^ N. L. Gittleson, S. Levine, Br J Psychiatry 112, 779–82 (1966).
  21. ^ J. M. Bailey, K. J. Zucker, Dev Psychol 31, 43 (1995).
  22. ^ G. Henry, Sex Variants: a study of homosexual patterns. (Paul B. Hoeber, New York, 1941).
  23. ^ B. Zuger, Arch Gen Psychiatry 30, 173 (Feb, 1974).
  24. ^ E. C. O'Gorman, Arch Sex Behav 11, 231 (1982).
  25. ^ B. Zuger, Arch Sex Behav 18, 155 (1989).
  26. ^ B. Hallgren, Acta Psychiat Neurol Scand 31, 379 (1956).
  27. ^ A. Creizel, J. Gardonyi, Am J Med Genet 4, 247 (1979).
  28. ^ B. Zuger, Arch Gen Psychiatry 30, 173 (Feb, 1974).
  29. ^ P. Ferrara et al., Scand J Urol Nephrol 35, 184 (Jun, 2001).
  30. ^ R. A. Yeo, S. W. Gangestad, W. F. Daniel, Psychobiology 21, 161 (1993).
  31. ^ K. J. Zucker, N. Beaulieu, S. J. Bradley, G. M. Grimshaw, A. Wilcox, J Child Psychol Psychiatry 42, 767 (Sep, 2001).
  32. ^ M. L. Lalumiere, R. Blanchard, K. J. Zucker, Psychol Bull 126, 575 (Jul, 2000).
  33. ^ R. Green, R. Young, Arch Sex Behav 30, 565 (Dec, 2001).
  34. ^ A. Herman-Jeglinska, S. Dulko, A. M. Grabowska, in Sexual orientation: Toward biological understanding. L. Ellis, L. Ebertz, Eds. (Praeger, Westport, CT, 1997).
  35. ^ P. Satz, M. F. Green, Schizophr Bull 25, 63 (1999).
  36. ^ B. A. Clementz, W. G. Iacono, M. Beiser, J Abnorm Psychol 103, 400 (May, 1994).
  37. ^ J. E. Obiols, F. Serrano, B. Caparros, S. Subira, N. Barrantes, Psychiatry Res 86, 217 (Jun 30, 1999).
  38. ^ I. Sommer, N. Ramsey, R. Kahn, A. Aleman, A. Bouma, Br J Psychiatry 178, 344–51 (Apr, 2001).
  39. ^ B. Bogerts, Schizophr Bull 19, 431 (1993).
  40. ^ J. M. Russell et al., J Nucl Med 38, 607 (Apr, 1997).
  41. ^ B. Rockstroh et al., Neuroreport 9, 3819 (Dec 1, 1998).
  42. ^ B. Rockstroh et al., Biol Psychiatry 49, 694 (Apr 15, 2001).
  43. ^ I. E. Sommer, N. F. Ramsey, R. S. Kahn, Schizophr Res 52, 57 (Oct 1, 2001).
  44. ^ A. J. Fallgatter, W. K. Strik, Schizophr Bull 26, 913 (2000).
  45. ^ J. H. Gruzelier, Schizophr Bull 25, 91 (1999).
  46. ^ E. M. Loberg, K. Hugdahl, M. F. Green, Biol Psychiatry 45, 76 (Jan 1, 1999).
  47. ^ F. Spaniel et al., Acta Psychiatr Scand 107, 155 (Feb, 2003).
  48. ^ P. Teale, J. Carlson, D. Rojas, M. Reite, Biol Psychiatry 54, 1149 (Dec 1, 2003).
  49. ^ M. Reite et al., Arch Gen Psychiatry 54, 433 (May, 1997).
  50. ^ I. C. McManus, Ciba Found Symp 162, 251 (1991).
  51. ^ S. G. Kim et al., Science 261, 615 (Jul 30, 1993).
  52. ^ R. Kawashima, K. Inoue, K. Sato, H. Fukuda, Neuroreport 8, 1729 (May 6, 1997).
  53. ^ S. Yahagi, T. Kasai, Neurosci Lett 276, 185 (Dec 10, 1999).
  54. ^ C. M. McCormick, S. F. Witelson, Behav Neurosci 108, 525 (Jun, 1994).
  55. ^ G. Sanders, M. Wright, Arch Sex Behav 26, 463 (Oct, 1997).
  56. ^ G. Sanders, L. Ross-Field, Italian J Zoo 20, 459 (1986).
  57. ^ M. Reite, J. Sheeder, D. Richardson, P. Teale, Arch Sex Behav 24, 585 (Dec, 1995).
  58. ^ P. T. Cohen-Kettenis, S. H. van Goozen, C. D. Doorn, L. J. Gooren, Psychoneuroendocrinology 23, 631 (Aug, 1998).
  59. ^ R. A. Yeo, S. W. Gangestad, R. Thoma, P. Shaw, K. Repa, Neuropsychology 11, 552 (Oct, 1997).
  60. ^ R. Thoma, R. A. Yeo, S. W. Gangestad, J. Lewine, J. Davis, Laterality 7, 45 (2002).
  61. ^ N. Endicott, Cephalalgia 24, 339 (May, 2004).
  62. ^ J. M. Reinisch, S. A. Sanders, E. L. Mortensen, D. B. Rubin, Jama 274, 1518 (Nov 15, 1995).
  63. ^ A. Dessens et al., Acta Neurobiol Exp (Warsz) 58, 221 (1998).
  64. ^ A. B. Dessens et al., Acta Paediatr 89, 533 (May, 2000).
  65. ^ J. A. Hall, D. Kimura, Behav Neurosci 108, 1203 (Dec, 1994).
  66. ^ H. I. Orup, Jr., L. B. Holmes, D. A. Keith, B. A. Coull, Orthod Craniofac Res 6, 2 (Feb, 2003).
  67. ^ H. I. Orup, Jr., D. A. Keith, L. B. Holmes, J Craniofac Genet Dev Biol 18, 129 (Jul-Sep, 1998).
  68. ^ A. B. Dessens et al., Arch Sex Behav 28, 31 (Feb, 1999).
  69. ^ P. J. van Kesteren, L. J. Gooren, J. A. Megens, Arch Sex Behav 25, 589 (Dec, 1996).
  70. ^ A. Bakker, P. M. van Kesteren, L. J. Gooren, P. D. Bezemer, Acta Psychiatr Scand 87, 237–8 (1993).
  71. ^ D. O. Carpenter, R. J. Hussain, D. F. Berger, J. P. Lombardo, H. Y. Park, Environ Health Perspect 110 Suppl 3, 377 (Jun, 2002).
  72. ^ H. J. Vreugdenhil, F. M. Slijper, P. G. Mulder, N. Weisglas-Kuperus, Environ Health Perspect 110, A593 (Oct, 2002).
  73. ^ K. Freund, R. Langevin, J. Satterberg, B. Steiner, Arch Sex Behav 6, 507 (Nov, 1977).
  74. ^ J. Harry, Arch Sex Behav 12, 1 (Feb, 1983).
  75. ^ J. Harry, J Health Soc Behav 24, 350 (1983).
  76. ^ J. D. Weinrich, J. H. Atkinson, I. Grant, paper presented at the International Academy of Sex Research conference, Prague, Czechoslovakia 1992.
  77. ^ J. Kagan, H. A. Moss, Birth to maturity: a study in psychological development (Yale University Press, New Haven, CT, 1983).
  78. ^ J. Aubé, R. Koestner, J Personal Soc Psychol 63, 485 (1992).
  79. ^ B. I. Fagot, Child Develop 48, 902 (1977).
  80. ^ L. A. Peplau, L. D. Garnets, L. R. Spalding, T. D. Conley, R. C. Veniegas, Psychol Rev 105, 387 (Apr, 1998).
  81. ^ T. M. Achenbach, C. Edelbrock, Manual for the child behavior checklist and revised child behavior profile. (University of Vermont Department of Psychiatry, Burlington, 1983).
  82. ^ D. E. Sandberg, H. F. Meyer-Bahlburg, A. A. Ehrhardt, T. J. Yager, J Am Acad Child Adolesc Psychiatry 32, 306 (Mar, 1993).
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