Abnormal sexual development and psychosexual issues
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Cited by (33)
Disorders of sexual development in a cultural context
2013, Arab Journal of UrologyCitation Excerpt :The DSD abbreviation can also be defined as ‘differences’ in sexual development, rather than disorders, with wide variations of the sexual characteristics from ‘statistically normal’. The most characteristic differences in human behaviour are gender identity and sexual orientation, that are deeply affected by the external genital structure [25]. Both issues are closely related to certain criteria of anatomical and psychosexual development; the external genitalia should look ‘normal’ in size and shape, with no question of abnormality, and the individual must receive appropriate social and environmental influences.
Management of Disorders of Sex Development. Editorial Commentary
2012, Pediatric Clinics of North AmericaCitation Excerpt :As this system spread beyond Hopkins to become a standard of care, some advocated withholding personal medical histories and other important medical information from patients so as not to potentially challenge the sense of gendered self.24,25 The heavy clinical focus on gender identity, gender role, and sexual orientation (ie, psychosexual differentiation) reflected the weight of interest coming from researchers examining the effects of early sex hormone exposure on sex-dimorphic brain development and sexual differentiation of behavior in a variety of animal species26–28 as well as sexologically oriented clinical researchers.29 This clinical work represented a natural extension of animal experimental research showing that early sex hormone exposure during sensitive periods of brain development has permanent (ie, organizational) effects of brain structure and physiology.30
Psychological and Psychiatric Aspects of Genitourinary Conditions
2010, Pediatric UrologyPsychological and psychiatric aspects of genitourinary conditions
2009, Pediatric Urology: Expert ConsultThe Gender Medicine Team: "It Takes a Village"
2009, Advances in PediatricsCitation Excerpt :Functional magnetic resonance imaging (fMRI) has shown that women exhibit greater signal intensity changes in middle, inferior, and orbital prefrontal cortices than do men when performing auditory verbal working memory tasks [40], and male and female brains differ considerably in architecture and activity [38,41]. Animal studies support a role for postnatal androgens in brain/behavior development, leading some researchers to suggest that gender assignment in infants with DSDs should be made in light of the possibility that postnatal testicular hormones at ages 1 to 6 months may affect gender identity [42,43]. Given the current neuro-anatomic data, results of studies on the patient's brain will likely play a greater role in making more reliable sex assignment decisions in the future when these data are better understood.
The Question of Psychosexual Neutrality at Birth
2004, Principles of Gender-Specific Medicine