We as a society often view matters in absolutes: black/white; good/bad; male/female. But what if that distinction were not so clear? Dividing and organizing individuals through gender identity and sexual orientation creates behavioral boundaries that may lead to disorders (Butcher, Hooley, & Mineka). Gender binary assigns rigid male/female categories to various aspects of society –boys don’t cry; girls don’t cross their legs that way. Civilized thought, free from ignorance and prejudice, has begun to infiltrate our discussions about gender (Dvorsky, & Hughes, 2008). In this week’s case study, patient Tighearnan has a conversation with therapist Julie Tilsen (Alexander Street Press, 2011). My analysis of the conversation and a diagnosis are as follows:
Week 8: Tighearnan
302.6 (F64-2) Gender Dsyphoria in Adolescents and Adults, post transition
V61.9 Unspecified family circumstance
V62.4 Target of (perceived) adverse discrimination or persecution
Diagnostic Impression and Rationale …show more content…
He began his transition from female to male two and a half years ago. Tighearnan came out as a lesbian at age 15 and although his mother has been moderately supportive, he has not fully communicated with his family about his transition. Tighearnan considers himself a coward (Alexander Street Press, 2011). Altogether, he appears well adjusted and able to communicate about what he refers to as his “three selves” or “tripled-tiered” existence of being queer, trans, and Asian American (Alexander Street Press, 2011). Tighearnan’s slightest distress originates with his mother acceptance and