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Chiara CRESPI, Mariateresa MOLO PERSONALITY AND PSYCHOPATHOLOGY IN GENDER IDENTITY DISORDER: A RORSCHACH STUDY Congresso WAS Goteborg 2009 Centro Interdipartimentale.

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Presentazione sul tema: "Chiara CRESPI, Mariateresa MOLO PERSONALITY AND PSYCHOPATHOLOGY IN GENDER IDENTITY DISORDER: A RORSCHACH STUDY Congresso WAS Goteborg 2009 Centro Interdipartimentale."— Transcript della presentazione:

1 Chiara CRESPI, Mariateresa MOLO PERSONALITY AND PSYCHOPATHOLOGY IN GENDER IDENTITY DISORDER: A RORSCHACH STUDY Congresso WAS Goteborg 2009 Centro Interdipartimentale Disturbi dellIdentità di Genere Ospedale San Giovanni Battista, Turin –Italy University of Turin

2 SUMMARY Introduction and Aim Materials and Method Participants characteristics Results Conclusions

3 AIM To assess G.I.D. people personality To compare MMPI and Rorschach test clinical data To compare G.I.D. population with normative sample

4 Material and Method The study is based on CLINICAL DATA RORSCHACH TEST (Exner Comprhensive System Method) M.M.P.I.-2 (MINNESOTA MULTIPHASIC PERSONALITY INVENTORY )

5 Materials and Method: RORSCHACH VARIABLES: - Response Style - Stress Control - AFFECT Area - SELF Perception - INTERPERSONAL Perception - Information Processing - Mediation - Ideation COGNITIVE AREA PERSONALITY ORGANIZATION

6 Materials and Method: M.M.P.I.-2 CLINICAL SCALES Hypochondria Depression Hysteria Psychopatic Deviation Masculinity/Femininity Paranoia Psychasthenia Schizophrenia Hypomania Social Introversion

7 26,7% (n=8) N=30 73,3% (N=22) Partecipants characteristics

8 G.I.D. (N=30) Sex, N : MtF: 22 FtM: 8 Age, years ( DS)32,10 ( 8,64) Marital Status, N (%): Single Married Cohabitation 20 (66,7%) 0 (0%) 10 (33,3%) Educational level (years) 11,73 ( 3,03) Social and demographic caracteristics

9 AIM 1 To assess G.I.D. people personality To compare G.I.D. population with normative sample

10 RORSCHACH RESPONSE STYLE Cautious and defensive approach to testing (expected result because of the setting and motivation dell'assessment ) cosa vuol dire? LAMBDA SCORE: High score: avoidant style

11 Response Style *

12 Stress Control D and Adj.D < 0 (Control value of stress) stress control is only fairly low due to a low activation of cognitive-affective responses to stress (LOW PERCEPTION OF STRESS) EA (value of internal resources) Internal resources are very limited but these subjects are less severe(?) because of the low value of Adj.es.: GID patients have very limitated resources but also have a low perception of stresso (?) stress.

13 Stress Control

14 Affect Area The activation of the emotions remained low, consistent with the style avoided (avoidant style ?)(high L). Emerging defensive operations of avoidance of emotional involvement (?) The values are in the normal range, therefore there is no affective psychopathology

15 Affective Area

16 Self Perception * ** * 113 ** *

17 Self Perception 1 Specific dysfunctions in the self- perception: low index (?) of mature identification Average high score of EGO INDEX Average low score of SumH and Pure H The self-perception is based on their beliefs, judgments and values. These subjects keep low (mantengono basso) the value awarded to the judgments of others (?)

18 Self Perception 2 Average high score of Hx and anatomical contents Average low score of M based on very abstract aspects HIGH INTELLECTUALIZATION OF SELF-PERCEPTION Not based on experiental aspects

19 Self Perception 3 Given the particular problem about gender identity, the mechanisms emerged from the tests carry a high adaptive function (as well as defensive): Subjects can feel better in their own gender identity and in their body if they avoid the weight of social opinion and if they build their own identity in an intellectual way

20 Interpersonal Perception

21 The values are normal but it is possible that, according to the style of response given(low number of responses, high value of Lambda), interpersonal problems have been (were) underestimated in this test (and therefore we get false negative result) NON DA PROIETTARE MA DA DIRE A VOCE

22 RORSCHACH VARIABLES: - Response Style - Stress Control - AFFECT Area - SELF Perception - INTERPERSONAL Perception - Information Processing - Mediation - Ideation COGNITIVE AREA

23 Information Processing * * *

24 Cognitive Area: Information Processing The information processing is normal. It shows a tendency to (have) a low ability to integrate environmental stimuli DQ v elevato: vedere significato

25 Mediation

26 Cognitive Area Mediation: lesame di realtà è nella norm DA NON PROIETTARE. SOLO DA COMUNICARE

27 Ideation *

28 Cognitive Area Ideation: non emergono alterazioni patologiche del corso del pensiero Si conferma anche la tendenza allintellettualizzazione DA NON PROIETTARE. SOLO DA COMUNICARE

29 AIM 2 To compare MMPI and Rorschach test clinical data

30 MMPI-2 Clinical Scales *

31 MMPI-2 fare diapo Unica Scala Patologica Scala PD Scala MF Elevata negli MtF ma la differenza con gli FtM non è statisticamente significativa. Potrebbe indicare una > carica di ribellione verso lautorità, maggiori problemi familiari e maggior aggressività manifesta Scala Pa Significativamente inferiore negli FtM ma in entrambi i gruppi i valori sono al di sotto di 65 punti T, quindi non clinicamente rilevanti

32 Conclusion (1) In agreement with the literature, the profiles of both tests indicate the absence of a specific psychopathology. In contrast, in the two tests, our sample showed some functional mechanisms for adaptation.

33 Conclusion (1) Atteggiamento al test ( E ripetizione) Al Rorschach i soggetti hanno manifestato un atteggiamento guardingo e difensivo simile a quello che si ritrova in un setting di tipo forense E possibile che tali soggetti manifestino uno stile evitativo che consenta loro un miglior adattamento. Evitare gli eccessivi coinvolgimenti sia emotivi che interpersonali può essere una difesa contro la paura del rifiuto e dellabbandono come anche un fattore protettivo per il mantenimento della propria autostima (PIERO)

34 Conclusion (2): Affective Area, Interpersonal Area and Stress control Less is better: DA CONTROLLARE LINGLESE mantenendo un basso coinvolgimento affettivo, ci si garantisce un miglior adattamento interpersonale ed una gestione più adeguata dei livelli di stress (maintaining a low affective involvement, you will secure a better interpersonal adjustment and a more suitable management of stress levels)

35 Conclusion (3):Cognitive Area Not significant clinical disorders concerning the connection with reality and the course of thought.

36 Conclusion (4):Self Perception Self perception is the only problematic area. Self- esteem is maintained while minimizing the weight of others' opinions and building a very intellectualized identity. Under the assumption that what counts is what I think about myself it is easier to retain an adequate self-esteem for the social adaptation.

37 Thanks for your attention…

38 C.I.D.I.Ge.M. Centro Interdipartimentale Disturbi Identità di Genere A.S.O. San Giovanni Battista di Torino - Sede Molinette Il C.I.D.I.Ge.M. è un centro di intervento clinico nel percorso di adeguamento per le persone che intendono chiedere la riassegnazione chirurgica del sesso, secondo la legge 164 del Si rivolge ai pazienti provenienti da tutte le regioni dItalia Offre i seguenti servizi: Valutazione psicodiagnostica Inquadramento medico-internistico e trattamenti ormonali Psicoterapia individuale e di gruppo Gruppi di supporto Interventi chirurgici specifici Seminari informativi per operatori e familiari. Con il patrocinio di Università degli Studi di Torino Facoltà di Medicina e Chirurgia Who are we? since 1992 since 1998


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