Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

2.^212 Predisposing Factors to Gender Identity Disorderin adulthood.Adults generally seek therapy to learn how to cope with their altered sexual identity, not to correct it.and to avoid the possible development of gender dissatisfaction them to become more comfortable with their assigned gender 1. Treatment of children with the disorder is aimed at helping Physiological a. Studies of genetics and physiological alterations have Psychosocial a.^ ●exists. To date, no clear evidence has been demonstrated. the most inflbeen conducted in an attempt to determine whether or not a biological predisposition to gender identity disorder Family Dynamics: their gender. Sadock and Sadock (2007) state:present at birth, mothers usually foster a child’s pride in play a role with certain behavioral characteristics being ders. Sadock and Sadock (2007) state, “Children develop a gender identity consonant with their sex of rearing (also known as assigned sex).” Gender roles are culturally de-termined, and parents encourage masculine or feminine behaviors in their children. Although “temperament” may^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONThe father’s role is also important in the early years, and his presence normally helps the separation-individuation process. Without a father, mother and uential role in the etiology of gender disor-It appears that family dynamics plays
2 2506_Ch11_201-217.indd 0212 506 Ch 11 201 - 217 .ind 1. Repeatedly stating intense desire to be of the opposite gender.In children or adolescents: 4. Insistence by females on wearing only stereotypical mascu- 3. Preference in males for cross-dressing or simulating female 2. Insistence that one is of the opposite gender.Symptomatology (Subjective and Objective Data)d 0 b. line clothing.attire. 212 These conflPsychoanalytical Theory. tifying with the same-gender parent, and ultimately with the child’s loving of the opposite-gender parent and iden-normal gender identity.der identity problems begin during the struggle of the Oedipal/Electra conflfamily events and those created in the child’s imagination. child may remain overly close. For a girl, the father (p. 719).is normally the prototype of future love objects; for a boy, the father is a model for male identifi icts, whether real or imagined, interfere with ict. Problems may reflThis theory suggests that gen- ect both real cation” 1 10/1/10 9:35:46 AM 0 / 1 / 10 9 : 35 : 46 AM