Originally posted by Ulix
Ako je za verovati ovom radu, onda je incidenca shizofrenije mnogo visa nego u opstoj populaciji (gde se u proseku srece kod jedne osobe na hiljadu). Sumnjam, doduse, da shizofrenija igra (veliki) udeo u nastanku transeksualnosti. Kao sto si lepo rekla, transeksualnost je najverovatnije primarna, bazicna. Pre ce biti da je shizofrenija posledica transeksualnosti, ali o tome bas nista nisam uspeo da pronadjem na netu...
Slozicu se da je transseksualnost uglavnom primarna,ali osobe sa obe dijagnoze izgleda imaju strah da ce im to onemoguciti tranziciju(da nece dobiti dozvolu za operaciju itd)..Mislim dovoljno je da ti kaze:"Siluje me nevidljivi covek" iako su u pitanju grcenja misica kao posledica sizofrenije ili pre tih lekova
Naravno da nisam pitao dalje .Kako tek to pada trans osobi,mogu da zamislim...
Plus sto veliki broj trans osoba ima skrsheno samopouzdanje pa kad dodas to da ta osoba cuje glasove..
Mene je sad zaintrigiralo da li je kod njega hormonska terapija izazvala tu sizofreniju.
I ja sam iskopao nesto
http://ajp.psychiatryonline.org/cgi/con ... 160/7/1332
A case in point is schizophrenia, a condition that cannot be diagnosed with reasonable certainty until early adulthood. DSM-IV states that "delusions of belonging to the other sex" (p. 537) are rarely seen in schizophrenia, but this claim is difficult to reconcile with studies showing that about 25% of patients with schizophrenia experience cross-gender identification at some point in their life (8–11). In line with this, for a diagnosis of gender identity disorder (previously termed "transsexualism"), DSM-III required that the symptoms were "not due to another mental disorder, such as Schizophrenia" (p. 264). Later editions of DSM have dropped this exclusion criterion. However, when it comes to diagnostic criteria for other disorders involving body image (e.g., body dysmorphic disorder), DSM-IV emphasizes that concomitant psychiatric disorders have to be ruled out. DSM-IV acknowledges that omission of this exclusion criterion creates the possibility that "Schizophrenia and severe Gender Identity Disorder may coexist" in the same patient but adds that such comorbidity is unlikely (p. 537).
That the diagnostic differentiation between gender identity disorder and schizophrenia might sometimes be difficult is illustrated by a patient who was referred to one of us (J.à C.) (12). For a period of 6 years, this patient had been treated with hormones in a gender reassignment center. While being scheduled for gender reassignment surgery, the patient was referred to our psychiatric facility because of a psychotic decompensation. He was diagnosed as suffering from schizophrenia of the paranoid type, and when he was given neuroleptic medication his psychotic symptoms decreased and his feelings of being a woman in a man’s body disappeared. In retrospect, it appears that this patient interpreted his cross-gender confusion as part of his delusional thinking. Although he is now doing well on a regimen of antipsychotic drugs and lives in the community, he deeply regrets the hormonal treatment and suffers from its irreversible side effects (e.g., atrophy of the genitals and female breasts).