Application: Case Study – Sexual Dysfunction and Gender Dysphoria

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 client’s 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 client’s 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 client’s family.

The Assignment (3–4 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 clinician’s 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 Sexuality, 47(7), 1–5. Retrieved from the Walden Library databases.

·         Drescher, J., & Byne, W. (2012). Introduction: The treatment of gender dysphoric/gender variant children and adolescents. Journal of Homosexuality, 59(3), 295–300. 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 Homosexuality, 59(3), 501–510. 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), 358–361.  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), 319–328.  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 Homosexuality, 59(3), 480–500. 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 Homosexuality, 59(3), 369–397. 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 Medicine, 127(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), 287–300. 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. Psychiatry, 75(4), 375–386. Retrieved from the Walden Library databases.

·         Schaeffer, B. (2009). Sexual addiction. Transactional Analysis Journal, 39(2), 153–162. 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), 2332–2339. Retrieved from the Walden Library databases.

·         Joseph, J. (2004). The fruitless search for schizophrenia genes. Ethical Human Psychology and Psychiatry, 6(3), 167–181. 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), 43–60. Retrieved from the Walden Library databases.

·         Tandon, R. (2013). Schizophrenia and other psychotic disorders in DSM-5. Clinical Schizophrenia & Related Psychoses, 7(1), 16–19. 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 Journal, 40(2), 213–223. Retrieved from the Walden Library databases.