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Psychother Psychosom Med Psychol 2012; 62(06): 214-222
DOI: 10.1055/s-0032-1309030
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Sexuelle Orientierung und Partnerwahl transsexueller Frauen und Männer vor körpermedizinischen geschlechtsanpassenden Maßnahmen

Sexual Orientation and Partner-Choice of Transsexual Women and Men before Gender-Confirming Interventions
Susanne Cerwenka
1   Institut für Sexualforschung und Forensische Psychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
,
Timo Ole Nieder
1   Institut für Sexualforschung und Forensische Psychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
,
Hertha Richter-Appelt
1   Institut für Sexualforschung und Forensische Psychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf
› Author Affiliations
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Publication History

eingereicht28 September 2011

akzeptiert 11 March 2012

Publication Date:
25 May 2012 (online)

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Zusammenfassung

Die vielfältigen Partnerschaftskonstellationen von geschlechtsdysphorischen Frauen und Männern unterschiedlicher sexueller Orientierung werden anhand einer Stichprobe von 93 Personen vor körpermedizinischen geschlechtsanpassenden Maßnahmen bei Personen mit weiblichem Identitätserleben und männlichem Körper (MF) sowie männlichem Identitätserleben und weiblichem Körper (FM) beleuchtet. Obwohl beide Geschlechtergruppen mehrheitlich Single sind, zeigen sich Unterschiede bezüglich Paarbeziehungsmustern. Außerhalb des Berufs leben FM-Personen häufig bereits in der neuen, männlichen Geschlechtsrolle und haben großteils Partnerschaften, in denen sie als Männer begehrt werden. MF-Personen leben privat nur zu einem kleinen Anteil bereits in der neuen, weiblichen Geschlechtsrolle und haben meist Partnerinnen, deren sexuelle Orientierung sich auf Männer und nicht auf ihre weibliche Geschlechtsidentität bezieht. Die Befunde implizieren unterschiedliche Ressourcen für geschlechtsdysphorische Frauen und Männer im Verlauf transsexueller Entwicklungen.

Abstract

Diverse partner relationship constellations of gender dysphoric women and men with different sexual orientations are explored in a sample of 93 persons before gender-confirming interventions in persons with female gender identity and male body characteristics (MF) and persons with male gender identity and female body characteristics (FM). While in both gender groups the majority is single, relationship patterns show differences. Apart from working life, FM already live predominantly in the new, male gender role and have partners by whom they are desired as males. In contrast, only a small proportion of MF already conduct their private lives in the new, female gender role, and they often have relationships with partners sexually attracted to males and not to their female gender identity. The findings indicate a need for differing resources for gender dysphoric women and men in the process of a transsexual course of development.

Schlüsselwörter

Transsexualität - Geschlechtsidentitätsstörung - sexuelle Orientierung - Partnerwahl - Partnerschaften

Keywords

transsexuality - gender identity disorders - sexual orientation - partner-choice - relationships
 

  • Literatur

  • 1 Richter-Appelt H. Intersexualität – Störungen der Geschlechtsentwicklung. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz 2007; 50: 52-61
    PubMedGoogle Scholar
  • 2 Money J. Zur Geschichte des Konzepts Gender Identity Disorder. Z Sex Forsch 1994; 7: 20-34
    PubMedGoogle Scholar
  • 3 Lawrence AA. Sexual Orientation versus Age of Onset as Bases for Typologies (Subtypes) for Gender Identity Disorder in Adolescents and Adults. Arch Sex Behav 2010; 39: 514-545
    CrossrefPubMedGoogle Scholar
  • 4 Nieder TO, Richter-Appelt H. Tertium non datur – either/or reactions to transsexualism amongst health care professionals: the situation past and present, and its relevance to the future. Psychology & Sexuality 2011; 2: 224-243
    Google Scholar
  • 5 Sigusch V. Leitsymptome transsexueller Entwicklungen [Leading Symptoms of Transsexual Developments]. Dtsch Arztebl 1994; 91: 1455-1458
    PubMedGoogle Scholar
  • 6 Meyerowitz J. How Sex Changed – A History of Transsexuality in the United States. Cambridge: Harvard University Press; 2002
    Google Scholar
  • 7 Cohen-Kettenis PT, Pfäfflin F. The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescence and Adults. Arch Sex Behav 2010; 9: 499-513
    PubMedGoogle Scholar
  • 8 Stoller RJA. Contribution to the Study of Gender Identity. Int J Psychoanal 1964; 45: 220-226
    PubMedGoogle Scholar
  • 9 Lewins F. Explaining stable partnerships among FTMs and MTFs: A significant difference?. Journal of Sociology 2002; 38: 76-88
    CrossrefPubMedGoogle Scholar
  • 10 Smith YLS, van Goozen SHM, Kuiper AJ et al Transsexual subtypes: clinical and theoretical significance. Psychat Res 2005; 137: 151-160
    PubMedGoogle Scholar
  • 11 Nieder TO, Richter-Appelt H. Neue Perspektiven psychischer Aspekte von Transsexualität. Störungen der Geschlechtsidentität. Gynäkologische Endokrinologie 2009; 7: 147-152
    PubMedGoogle Scholar
  • 12 Bentler PM. A typology of transsexualism: gender identity theory and data. Arch Sex Behav 1976; 5: 567-584
    CrossrefPubMedGoogle Scholar
  • 13 Blanchard R. Typology of male-to-female transsexualism. Arch Sex Behav 1985; 14: 247-261
    CrossrefPubMedGoogle Scholar
  • 14 Lindemalm G, Körlin D, Uddenberg N. Long-term follow-up of “sex change” in 13 male-to-female transsexuals. Arch Sex Behav 1986; 15: 187-210
    CrossrefPubMedGoogle Scholar
  • 15 Blanchard R. The classification and labeling of nonhomosexual gender dysphorias. Arch Sex Behav 1989; 18: 315-334
    CrossrefPubMedGoogle Scholar
  • 16 Lawrence AA. Sexuality before and after male-to-female sex reassignment surgery. Arch Sex Behav 2005; 34: 147-166
    CrossrefPubMedGoogle Scholar
  • 17 Pauly IB. Female transsexualism: part I. Arch Sex Behav 1974; 3 (06) 487-507
    CrossrefPubMedGoogle Scholar
  • 18 Pauly IB. Female transsexualism: part II. Arch Sex Behav 1974; 3: 509-526
    CrossrefPubMedGoogle Scholar
  • 19 Blanchard R, Clemmensen LH, Steiner BW. Heterosexual and homosexual gender dysphoria. Arch Sex Behav 1987; 16: 139-152
    CrossrefPubMedGoogle Scholar
  • 20 Chivers ML, Bailey JM. Sexual orientation of female-to-male transsexuals: a comparison of homosexual and nonhomosexual types. Arch Sex Behav 2000; 29: 259-278
    CrossrefPubMedGoogle Scholar
  • 21 De Cuypere G, T’Sjoen G, Beerten R et al. Sexual and physical health after sex reassignment surgery. Arch Sex Behav 2005; 34: 679-690
    CrossrefPubMedGoogle Scholar
  • 22 Nieder TO, Herff M, Cerwenka S et al. Age of Onset and Sexual Orientation in Transsexual Males and Females. J Sex Med 2011; 8: 783-791
    CrossrefPubMedGoogle Scholar
  • 23 Daskalos CT. Changes in the sexual orientation of six heterosexual male-to-female transsexuals. Arch Sex Behav 1988; 27: 605-614
    PubMedGoogle Scholar
  • 24 Dozier R. Beards, breasts, and bodies – Doing sex in a gendered world. Gender Soc 2005; 19: 297-316
    CrossrefPubMedGoogle Scholar
  • 25 Dixen JM, Maddever H, Van Maasdam J et al Psychosocial characteristics of applicants evaluated for surgical gender reassignment. Arch Sex Behav 1984; 13: 269-276
    CrossrefPubMedGoogle Scholar
  • 26 Kockott G, Fahrner EM. Male-to-female and female-to-male transsexuals: a comparison. Arch Sex Behav 1988; 17: 539-546
    CrossrefPubMedGoogle Scholar
  • 27 Saß H, Wittchen H-U, Zaudig M. Diagnostisches und Statistisches Manual Psychischer Störungen – Textrevision – DSM-IV-TR. Göttingen: Hogrefe; 2003
    PubMedGoogle Scholar
  • 28 Person E, Ovesey L. The transsexual syndrome in males. I. Primary transsexualism. Am J Psychother 1974; 28: 4-20
    PubMedGoogle Scholar
  • 29 Person E, Ovesey L. The transsexual syndrome in males. II. Secondary transsexualism. Am J Psychother 1974; 28: 174-193
    PubMedGoogle Scholar
  • 30 Becker S. Transsexualität – Geschlechtsidentitätsstörung. In: Kockott G, Fahrner E-M. Hrsg Sexualstörungen. Stuttgart: Thieme; 2004: 153-201
    Google Scholar
  • 31 Nuttbrock L, Bockting W, Mason M et al. A further assessment of Blanchard’s typology of homosexual versus non-homosexual or autogynephilic gender dysphoria. Arch Sex Behav 2011; 40: 247-257
    CrossrefPubMedGoogle Scholar
  • 32 Ekins R, King D. The Emergence of New Transgendering Identities in the Age of the Internet. In: Hines S, Sanger T. Hrsg Transgender Identities: Towards a Social Analysis of Gender Diversity. London: Routledge; 2010: 25-42
    Google Scholar
  • 33 Blanchard R. Early history of the concept of autogynephilia. Arch Sex Behav 2005; 34: 439-446
    CrossrefPubMedGoogle Scholar
  • 34 Blanchard R. Deconstructing the feminine essence narrative. Arch Sex Behav. 2008; 37: 434-438 discussion 410–505
    PubMedGoogle Scholar
  • 35 Lawrence AA. Becoming what we love: autogynephilic transsexualism conceptualized as an expression of romantic love. Perspect Biol Med 2007; 50: 506-520
    CrossrefPubMedGoogle Scholar
  • 36 Lawrence AA. Erotic Target Location Errors: An Underappreciated Paraphilic Dimension. J Sex Res 2009; 46: 194-215
    CrossrefPubMedGoogle Scholar
  • 37 Lawrence AA. Transgenderism in nonhomosexual males as a paraphilic phenomenon: implications for case conceptualization and treatment. Sexual and Relationship Therapy 2009; 24: 188-206
    CrossrefPubMedGoogle Scholar
  • 38 Lawrence AA. Autogynephilia: An Underappreciated Paraphilia. In: Balon R. Hrsg Sexual Dysfunction: Beyond the Brain-Body Connection. Adv Psychosom Med. 2011: 135-148
    CrossrefGoogle Scholar
  • 39 Moser C. Autogynephilia in women. J Homosex 2009; 56: 539-547
    CrossrefPubMedGoogle Scholar
  • 40 Moser C. Blanchard’s Autogynephilia Theory: A Critique. J Homosex 2010; 57: 790-809
    CrossrefPubMedGoogle Scholar
  • 41 Serano JM. The Case Against Autogynephilia. International Journal of Transgenderism 2010; 12: 176-187
    CrossrefPubMedGoogle Scholar
  • 42 Ekins R, King D. The Transgender Phenomenon. London: Sage; 2006
    Google Scholar
  • 43 Bockting WO. Psychotherapy and the real-life experience: From gender dichotomy to gender diversity. Sexologies 2008; 17: 211-224
    CrossrefPubMedGoogle Scholar
  • 44 Dreger AD. The controversy surrounding “The man who would be queen”: a case history of the politics of science, identity, and sex in the Internet age. Arch Sex Behav 2008; 37: 366-421
    CrossrefPubMedGoogle Scholar
  • 45 Schleifer D. Make Me Feel Mighty Real: Gay Female-to-Male Transgenderists Negotiating Sex, Gender, and Sexuality. Sexualities 2006; 9: 57-75
    CrossrefPubMedGoogle Scholar
  • 46 Coleman E, Bockting WO, Gooren L. Homosexual and bisexual identity in sex-reassigned female-to-male transsexuals. Arch Sex Behav 1993; 22: 37-50
    CrossrefPubMedGoogle Scholar
  • 47 Alegría CA. Relationship challenges and relationship maintenance activities following disclosure of transsexualism. J Psychiatr Ment Health Nurs 2010; 17: 909-916
    CrossrefPubMedGoogle Scholar
  • 48 Devor H. Sexual orientation identities, attractions, and practices of Female-to-male Transsexuals. The J Sex Res 1993; 4: 303-315
    PubMedGoogle Scholar
  • 49 Kraemer B, Hobi S, Rufer M et al. Partnerschaft und Sexualität von Frau-zu-Mann transsexuellen Männern. Psychother Psychosom Med Psychol 2010; 60: 25-30
    Article in Thieme ConnectPubMedGoogle Scholar
  • 50 Kreukels BPC, Haraldsen IR, De Cuypere G et al. A European Network for the Investigation of Gender Incongruence: The ENIGI initiative. Eur Psychiatry 2012; in press
    PubMedGoogle Scholar
  • 51 Doorn CD, Poortinga J, Verschoor AM. Cross-gender identity in transvestites and male transsexuals. Arch Sex Behav 1994; 23: 185-201
    CrossrefPubMedGoogle Scholar
  • 52 Kinsey AC, Pomeroy WR, Martin CE. Sexual behavior in the human male. 1948. Am J Public Health 2003; 93: 894-898
    CrossrefPubMedGoogle Scholar
  • 53 WHO . Schulte-Markwort E. Internationale Klassifikation psychischer Störungen. ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien. (5. Aufl.) Göttingen: Hans Huber; 2004. 380.
    Google Scholar
  • 54 Cerwenka S. Partnerschaft und Sexualität von transsexuellen Frauen und Männern. Unveröffentlichte Diplomarbeit zur Diplomprüfung im Studiengang Psychologie des Fachbereichs Psychologie der Universität Hamburg, Hamburg. 2009
    PubMedGoogle Scholar
  • 55 Bosinski HAG. Sexualstörungen – Geschlechtsidentitätsstörungen. In: Förstl H, Hautzinger M, Roth G. Hrsg Neurobiologie psychischer Störungen. Heidelberg: Springer; 2006: 808-826
    Google Scholar
  • 56 Verschoor AM, Poortinga J. Psychosocial differences between Dutch male and female transsexuals. Arch Sex Behav 1988; 17: 173-178
    CrossrefPubMedGoogle Scholar
  • 57 Nieder TO. Transsexuelle Entwicklungen und therapeutische Praxis. Z Sex Forsch 2010; 23: 63-70
    PubMedGoogle Scholar
  • 58 Richter-Appelt H. Psychotherapie der Geschlechtsidentität. In: Poschenik G, Ernst R. Hrsg Psychoanalyse im Spannungsfeld von Humanwissenschaft, Therapie und Kulturtheorie. Frankfurt/Main: Brandes & Apsel; 2003
    Google Scholar
  • 59 Nieder TO, Jordan K, Richter-Appel H. Zur Neurobiologie transsexueller Entwicklungen – Eine Diskussion der Befunde zur Sexualdifferenzierung, geschlechtsatypischen Verhaltensweisen und Geschlechtsidentität. Z Sex Forsch 2011; 24: 199-227
    PubMedGoogle Scholar
  • 60 Spitzer RL. Can some gay men and lesbians change their sexual orientation? 200 participants reporting a change from homosexual to heterosexual orientation. Arch Sex Behav 2003; 32: 403-417
    CrossrefPubMedGoogle Scholar
  • 61 Savin-Williams RC, Ream GL. Prevalence and stability of sexual orientation components during adolescence and young adulthood. Arch Sex Behav 2007; 36: 385-394
    CrossrefPubMedGoogle Scholar
  • 62 Diamond LM, Butterworth M. Questioning gender and sexual identity: Dynamic links over time. Sex Roles 2008; 59: 365-376
    CrossrefPubMedGoogle Scholar
  • 63 Peplau LA, Huppin M. Masculinity, femininity and the development of sexual orientation in women. Journal of Gay & Lesbian Mental Health 2008; 12: 145-165
    PubMedGoogle Scholar