Gender identity disorder

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  • 性同一性障害について
  • セイ ドウイツセイ ショウガイ ニ ツイテ

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Abstract

In the past ten years, situations relating to Gender Identity Disorder (GID) have changed greatly in Japan. In 1997, the Japanese Society of Psychiatry and Neurology established guidelines for GID Diagnosis and Treatment, and a publicly acknowledged Sex Reassignment Surgery (SRS) was held for the first time in Japanese history in 1988. Furthermore, in 2003, the GID law was enacted to enable people with GID to change their gender on their Koseki (Family Census Register) when they meet certain conditions established under this law. Now there is a new trend among those who were self-diagnosed with GID and opted to receive hormone treatment and surgical procedures. They now seek an official diagnosis with letters of support from two independent psychiatrists in order to be eligible for their Koseki gender change. University hospitals in different regions are making efforts to meet the large and increasing number of patients but their facilities are stretched. In this paper, the basic concept of GID based on my experience with approximately 1,500 cases will be presented with a focus on the differences between primary GID and secondary GID, the differences between homosexuality and GID, and some important issues for the future. In addition to this, the key topics and issues that general praetitioners should be aware of when they engage in the diagnosis and treatment of GID will be presented.

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