Application: Case Study Sexual Dysfunction and Gender Dysphoria
For many beginning psychologists one of the most difficult topics to broach with a client is the topic of sex: sexual behavior sexual identity or sexual problems. By using professional sensitivity and consideration of other personal factors such as cultural awareness and client privacy psychologists may produce a comfortable environment in which to lead the client into discussion.
For the first part of this Application you review the client in the case study in the Learning Resources. Give a DSM diagnosis for the presenting problem. Include an assessment of the clients ability to function in daily life. Be sure to pay particular attention to symptoms of the disorder and the influence of the disorder on the client as well as the client’s significant other.
For the second part imagine a 13-year-old female client is brought by her parents to see you. Her parents are concerned because they report their daughter is very unhappy with being a girl. She is increasingly being teased at school because she looks dresses and tries to act like a boy. She is an active athlete but will only play contact sports with boys. The client states she does not like her breasts and wishes she could have them removed. She reports that she has always wanted to be a boy for as long as she can remember. Give a DSM diagnosis for the presenting problem. Include an assessment of the clients ability to function in daily life. Be sure to pay particular attention to the symptoms of the disorder and the influence it has on the client as well as the clients family.
The Assignment (34 pages)
A DSM diagnosis of each client
An explanation of your rationale for assigning these diagnoses on the basis of the DSM
An explanation of what other information you might need about each client to make an accurate diagnosis
A brief description of additional individuals you might include in your assessment and explain why
Discuss how you would produce a comfortable environment to lead your clients to discuss their issues
Support your Application Assignment with specific references to all resources as well as current literature used in its preparation. You are to provide a reference list for all resources including those in the Learning Resources for this course.
Required Resources
Readings
American Psychiatric Association. (2013).Diagnostic and statistical manual of mental disorders(5th ed.). Arlington VA: American Psychiatric Publishing.
o Schizophrenia Spectrum and Other Psychotic Disorders
o Gender Dysphoria
o Sexual Dysfunctions
Paris J. (2015). The intelligent clinicians guide to the DSM-5(2nd ed.).New York NY: Oxford University Press.
o Chapter 8 Schizophrenia Spectrum and Other Psychoses
o Chapter 12 Substance Use Eating and Sexual Disorders
Boskey E. (2013). Sexuality in the DSM 5. (Cover story).Contemporary Sexuality47(7) 15. Retrieved from the Walden Library databases.
Drescher J. & Byne W. (2012). Introduction: The treatment of gender dysphoric/gender variant children and adolescents.Journal of Homosexuality59(3) 295300. Retrieved from the Walden Library databases.
Drescher J. & Byne W. (2012). Gender Dysphoric/Gender Variant (GD/GV) children and adolescents: Summarizing what we know and what we have yet to learn.Journal of Homosexuality59(3) 501510. Retrieved from the Walden Library databases.
Guerreiro D. F. Navarro R. Silva M. Carvalho M. & Gois C. (2009). Psychosis secondary to traumatic brain injury.Brain Injury 23(4) 358361. Retrieved from the Walden Library databases.
McCarthy B. W. & Fucito L. M. (2005). Integrating medication realistic expectations and therapeutic interventions in the treatment of male sexual dysfunction.Journal of Sex & Marital Therapy 31(4) 319328. Retrieved from the Walden Library databases.
Stein E. (2012). Commentary on the treatment of gender variant and gender dysphoric children and adolescents: Common themes and ethical reflections.Journal Of Homosexuality59(3) 480500. Retrieved from the Walden Library databases.
Zucker K. J. Wood H. Singh D. & Bradley S. J. (2012). A developmental biopsychosocial model for the treatment of children with gender identity disorder.Journal Of Homosexuality59(3) 369397. Retrieved from the Walden Library databases.
Media
Cosgrove V. & Suppes T. (2013). Informing DSM-5: biological boundaries between bipolar I disorder schizoaffective disorder and schizophrenia.BMC Medicine127(11). Retrieved from the Walden Library databases.
Ferree M. C. (2001). Females and sex addiction: Myths and diagnostic implications.Sexual Addiction & Compulsivity 8(3/4) 287300. Retrieved from the Walden Library databases.
Flanagan E. Solomon L. Johnson A. Ridgway P. Strauss J. & Davidson L. (2012). Considering DSM-5: the personal experience of schizophrenia in relation to the DSM-IV-TR criteria.Psychiatry75(4) 375386. Retrieved from the Walden Library databases.
Schaeffer B. (2009). Sexual addiction.Transactional Analysis Journal 39(2) 153162. Retrieved from the Walden Library databases.
Hartmann U. (2009). Sigmund Freud and his impact on our understanding of male sexual dysfunction.Journal of Sexual Medicine 6(8) 23322339. Retrieved from the Walden Library databases.
Joseph J. (2004). The fruitless search for schizophrenia genes.Ethical Human Psychology and Psychiatry 6(3) 167181. Retrieved from the Walden Library databases.
Palomo T. Kostrzewa R. M. Beninger R. J. & Archer T. (2007). Treatment consideration and manifest complexity in comorbid neuropsychiatric disorders.Neurotoxicity Research 12(1) 4360. Retrieved from the Walden Library databases.
Tandon R. (2013). Schizophrenia and other psychotic disorders in DSM-5.Clinical Schizophrenia & Related Psychoses7(1) 1619. Retrieved from the Walden Library databases.
Wakefield J. (2012). The DSM-5’s proposed new categories of sexual disorder: The problem of false positives in sexual diagnosis.Clinical Social Work Journal40(2) 213223. Retrieved from the Walden Library databases.