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Case reports

Issue 4 - December 2022

Coexisting gender dysphoria, cross-dress and bipolar schizoaffective disorder: a psychopathological conundrum

Authors

Key words: schizophrenia, gender dysphoria, cross-dressing, bisexuality, non-binary, sexual reassignment
Submission Date: 2023-01-20
Publication Date: 2022-11-28

Abstract

The co-occurrence of Schizophrenic psychoses (with sex changes delusional experiences or themes) and gender dysphoria has been debated since the end of 19 th century with different accents: as an association of sexual psychopathy and paranoia, for the possible etiopathogenetic role of bi-sexuality and gender dysphoria in different psychic disorders, as psychopathologies that needed to be accurately differentiated, and, at last, as co-occurring conditions that can interfere each to the other. The Authors describe in detail the clinical case of a 54 years old man who in relation with the periodic sharpening of his schizo-affective maniform psychosis, showed temporary shameless, grotesque and even bizarre cross-dressing behavior and sex re-assignment request. In euthymic or depressive phase, his transexual behavior was much less evident or even repressed. The psychopathological implications of this rare but impressive co-occurrence are discussed.

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Authors

Riccardo Dalle Luche - Functional Unity Adult Mental Health Services, Pistoia; Department of Mental Health, Center Tuscany, Florence, Italy

Marisa Meschi - Functional Unity Adult Mental Health Services, Pistoia; Department of Mental Health, Center Tuscany, Florence, Italy

How to Cite
[1]
Dalle Luche, R. and Meschi, M. 2022. Coexisting gender dysphoria, cross-dress and bipolar schizoaffective disorder: a psychopathological conundrum. Journal of Psychopathology. 28, 4 (Nov. 2022). DOI:https://doi.org/10.36148/2284-0249-471.
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