NOROPSIKIYATRI ARSIVI-ARCHIVES OF NEUROPSYCHIATRY, cilt.46, sa.4, ss.203-205, 2009 (SCI-Expanded)
The gender identity is assumed to be completed by development of the secondary sex characteristics in adolescence. However, in the progress of gender identity formation, biological characteristics, family dynamics, and environmental factors may interfere with development of the child and problems with gender identity formation may arise. Related to this condition, these individuals may experience confusion about their gender identity, feel like opposite gender and engage in homosexual acts in adolescence (1). These youngsters can display impulsive and uncontrolled behaviors, and harm themselves by having unprotected and random homosexual intercourses. Besides, this condition can be socially disagreeable and may result in comorbid psychiatric disorders. In this paper, we present an adolescent aged 17, who displayed symptoms of gender identity confusion, and showed transition from homosexual fantasies and behaviors to heterosexual orientation during one year of individual psychotherapy. We discussed the dynamics of this change and the factors that contribute to the development of homosexual activities in adolescence. (Archives of Neuropsychiatry 2009, 46: 203-5)