Im Rahmen eines explorativen Vergleichsuntersuchungsplans wurde untersucht, inwieweit sich die durch biologische Faktoren bedingte unterschiedliche Lebenserfahrung sowie die Sozialisationsbedingungen in der psychosexuellen Entwicklung bei hetero-, homo- und postoperativen transsexuellen Männern (N = 191) auf die Integration der Geschlechterstereotypen in die kognitiven (Selbst-, Fremdwahrnehmung), emotionalen (Selbst- und Fremdbewertung) und verhaltensmäßigen Aspekte (Normen der geschlechtsspezifischen Verhaltens) der Geschlechtsidentität auswirken und ob sich Identifikationsmuster der Entwicklung des geschlechtlichen Selbstkonzepts ableiten lassen. Die Messung der kognitiven Aspekte des geschlechtlichen Selbstkonzepts (Maskulinität und Femininität) erfolgte mittels der GERO-Skala von Brengelmann und Hendrich (1990). Zur Erfassung der emotionalen Aspekte und Identifikationsmuster der Entwicklung des geschlechtlichen Selbstkonzepts wurden die Werte für die Variablen Maskulinität und Femininität zuerst mittels der computergesteuerten Methodik IDEXMONO und IDEXIDIO, die auf der Identitätsstrukturanalyse (Identity Structure Analysis) von Weinreich (2003) basiert, aufgearbeitet und weiter interferenzstatistisch ausgewertet. Weiterhin wurden der Fragebogen zur Messung normativer Geschlechtsrollenorientierung (NGRO) von Athenstaedt (2000) sowie ein ad hoc entworfener demographischer Fragebogen eingesetzt. Die Ergebnisse zeigen, dass der Verlauf der psychosexuellen Entwicklung einen starken Einfluss auf die Integration der Geschlechterstereotypen in die geschlechtliche Selbst- und Fremdwahrnehmung hat. Im kognitiven Bereich, bezogen auf die persönliche Identität (Grad der Selbstzuschreibung männlicher und weiblicher Merkmale), stellt die Maskulinität eine stabile und erstrebenswerte Variable zur Herausbildung des geschlechtlichen Selbstkonzepts bei allen Gruppen dar. Die Femininität trägt am meisten zur Differenzierung zwischen den Hetero-, Homo- und Transsexuellen bei. Sie wird, je nach der Entwicklungsphase, unterschiedlich in das geschlechtliche Selbstkonzept integriert. Hinsichtlich der sozialen Identität (Zugehörigkeitsgefühl) lassen sich die Gruppen bezüglich der wahrgenommenen Ähnlichkeiten sowohl mit männlichen als auch weiblichen Personen, je nach der Entwicklungsphase, unterscheiden. Die soziale Wahrnehmung von Männern und Frauen (Fremdwahrnehmung), ist bei Transsexuellen traditioneller als die der Hetero- und Homosexuellen. Bei der Selbst- und Fremdbewertung ergaben sich keine signifikanten Unterschiede. Bei der Internalisierung der sozialen Normen des geschlechtsspezifischen Verhaltens zeigt sich, dass Heterosexuelle der Ausübung der Geschlechterrollen gegenüber egalitärer eingestellt sind als Trans- und Homosexuelle. Bei den Sozialisationsfaktoren ist hervorzuheben, dass generell weibliche Identifikationspersonen einen stärkeren Einfluss auf die Herausbildung des geschlechtlichen Selbstkonzeptes hatten als männliche Identifikationspersonen. Es scheint jedoch, dass Homosexuelle bei der Entwicklung ihres geschlechtlichen Selbstkonzepts stärker unter dem Einfluss der Frauen stehen als die anderen zwei erforschten Gruppen. Zur Beantwortung der Frage, welche selbstkonzeptbezogenen Variablen und Entwicklungsfaktoren die größte statistische Bedeutung für die Trennung und Prädiktion der einzelnen untersuchten Gruppen haben, wurde eine Diskriminanzanalyse berechnet. Die größte diskriminatorische Bedeutung besitzen die Variablen „Stereotypische Wahrnehmung der männlichen Personen“ und „Ego-Involvement mit weiblichen Personen“ für die Diskriminanzfunktion 1 (Trennung der Transsexuellen von Hetero- und Homosexuellen) und die Variablen „Empathische Identifikation mit männlichen Personen in der Vergangenheit“ und „Zuwachs an empathischer Identifikation mit weiblichen Personen“ für die Diskriminanzfunktion 2 (Trennung der Hetero- von Homosexuellen). / The aim of the present explorative-comparative study was to find out to which extent the biologically determined differences as well as socialization conditions in the psychosexual development of hetero-, homo- and transsexual men (N = 191) affect the integration of the gender stereotypes in cognitive (self-perception und perception of the others), emotional (appraisal of self and the others), and behavioral aspects (norms of gender behavior) of gender identity, as well as to deduce identification patterns in the development of the gender self-concept. The GERO-scale by Brengelmann und Hendrich (1990) was used to measure the cognitive aspects of the self-concept of gender (masculinity and femininity). The collected data of masculinity and femininity were further processed using the computer-operated Identity Structure Analysis based method IDEXMONO and IDEXIDIO (Weinreich, 2003) to detect the emotional aspects and identification patterns of the development of the self-concept of gender. Furthermore, the questionnaire of normative gender role orientation by Athenstaedt (2000) and an ad hoc designed demographic questionnaire were applied. The results show that the course of the psychosexual development has a strong impact upon the integration of the gender stereotypes in gender related self-perception and perception of others. As for cognitive aspects related to personal identity (grade of self-attribution of masculine and feminine traits), the masculinity represents a stable and desirable variable in the construction of the self-concept of gender in all samples. The femininity contributes the most to the differentiation between hetero-, homo- and trans-sexuals. Femininity has been integrated in the gender self-concept to a different extent, depending on the phase of the psychosexual development. As for social identity (feeling of social affiliation), there are differences among the samples in self-perceived similarities to both masculine and feminine persons, depending on the phase of the psychosexual development. The social perception of men and women (perception of the others) is more traditionally oriented in transsexuals than in hetero- and homosexuals. There are no significant differences in the appraisal of self and the others. As for the internalization of the social norms of gender specific behavior, heterosexuals are more egalitarian in their attitude towards the practice of gender roles than homo- and transsexuals. The examination of the socialization conditions shows that in general, feminine identification persons have a stronger impact upon the construction of self-concept of gender than masculine ones. However, it seems as though women have a stronger impact upon the construction of self-concept of gender in homosexuals than in the other groups. A discriminant analysis was computed to answer the question which self-related variables and developmental factors have the strongest statistical importance for the division and prediction of the samples. The variables “stereotypic perception of masculine persons” and “ego-involvement with feminine persons” have the strongest discriminant importance for the discriminant function 1 (division of transsexuals from hetero- and homosexuals) and the variables “empathic identification with masculine persons in the past” and “growth of empathic identification with feminine persons” for the discriminant function 2 (division of heterosexuals from homosexuals).

This study addresses the complex issues of etiology and conceptualization of gender variance in the modern West. By analyzing medical, psychological, and popular approaches to gender variance, I demonstrate the highly political nature of each of these paradigms and how gender variant individuals engage with these discourses in the elaboration of their own gender identities. I focus on the role of institutional authority in shaping popular ideas about gender variance and the relationship of gender variant individuals who seek medical intervention towards the systems that regulate their care. Also relevant are the tensions between those who view gender variance as an expression of an essential cross-sex gender (as in traditional transsexual narrative) and those who believe that gender is socially constructed and non-binary. I finally argue that the standards of treatment for gender variant individuals pertains more to the medical legitimization of their identities than with necessarily improving outcomes.

The aim of this study is to examine the media coverage of gender-neutral marriage from an intersectional perspective – with particular regard to gender, sexual orientation and religion. By focusing on the spokespeople who appears in the articles we have made an attempt to answer questions regarding who was heard in the debate on gender-neutral marriage and how the homosexual couples are portrayed in relation to the above criteria. The collected material consists of 89 articles, published in 2009, in Swedish newspapers which have been analysed by using quantitative content analysis. Ten articles have also been selected for a critical discourse analysis based on Norman Fairclough’s approach. The study is based on a social constructionist perspective and the assumption that language is of crucial importance when it comes to the creation and maintenance of social categorisation. Theories of gender/queer and intersectionality have furthermore been used to enable us to look at the topic from a multidimensional point of view. The quantitative analysis of the texts shows a great predominance of male spokespersons. Moreover, it appears that religions other than Christianity are largely underrepresented. The same pattern applies to people with homosexual orientation, whom are rarely heard on the issue of gender-neutral marriage. Furthermore, the results show that bisexuals and trans-gendered are almost completely excluded from the debate. The qualitative part of the study points in the same direction. A membership in The Church of Sweden is presented as a natural norm in the case of homosexuality and gender-neutral marriage, and homosexuals with another religion are made invisible or represented as divergent. The texts reveal a tolerance and openness towards homosexuality, but also strong assimilation ideals. The results show that same-sex relationships are portrayed as something the society is expected to accept, but only on condition that they are formed in accordance with the heterosexual norms concerning marriage and relationships, and also follow norms regarding gender and religion.

This thesis analyses the violence perpetrated against transgender people. It scrutinizes the concept of transgender and the important role of transitioning. It looks at the essentialist and social constructionist debate and its relation to transgender. In this thesis, I will advocate a theory of violence in which violence is understood as structural. I will advocate bringing the lived experience of transgender people to the foreground in theorizing about embodiment. Hereby, I will especially focus on discursive violence and the violation of human rights. I will relate transgender and the importance of transitioning to DSM’s understanding of Gender Identity Disorder. Consequently, I will uncover DSM’s subtle misogyny and transphobia and argue that it perpetrates discursive violence against transgender people. In addition, I will scrutinize the direct and indirect ways it violates the human rights of transgender people. Finally, the thesis will discuss the suggestions the Hammarberg report has made in order to improve the human rights situation of transgender persons.

Submitted by Ronildo Prado (ronisp@ufscar.br) on 2017-08-17T13:22:34Z No. of bitstreams: 1 DissTRG.pdf: 1240279 bytes, checksum: 1ad123c29167f0455fa1286afcc525a2 (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2017-08-17T13:22:43Z (GMT) No. of bitstreams: 1 DissTRG.pdf: 1240279 bytes, checksum: 1ad123c29167f0455fa1286afcc525a2 (MD5) / Approved for entry into archive by Ronildo Prado (ronisp@ufscar.br) on 2017-08-17T13:22:49Z (GMT) No. of bitstreams: 1 DissTRG.pdf: 1240279 bytes, checksum: 1ad123c29167f0455fa1286afcc525a2 (MD5) / Made available in DSpace on 2017-08-17T13:22:55Z (GMT). No. of bitstreams: 1 DissTRG.pdf: 1240279 bytes, checksum: 1ad123c29167f0455fa1286afcc525a2 (MD5) Previous issue date: 2017-03-06 / Não recebi financiamento / The proposal of this research is to collect and analyze the variability of social representations about transsexuality that circulate on the internet according to the trans people themselves. The research was based on the dynamics of use that trans people make of certain digital media, specifically social networks and blogs, as a source of information, sharing, debate and socialization. Therefore, I used the online observation of blogs, pages/communities of Facebook and Youtube channels, wich are constituted as spaces of circulation of speeches about transsexuality. In dialogue with Queer Theory, Gender studies, and other digital media researches I explore the relationship between representations, corporalities, subjectivities as the transsexuality involve a cultura dynamic which is associated with modes of understand/modify bodies and subjectivities. / A proposta dessa pesquisa é recolher e analisar a variabilidade de representações sociais acerca de transexualidades que circulam na internet segundo as próprias pessoas trans. A pesquisa se estabeleceu a partir da dinâmica de uso que as pessoas trans fazem de determinadas mídias digitais, especificamente redes sociais e blogs, como fonte de informação, compartilhamento, debate e socialização. Para tanto, utilizei a observação online de blogs, páginas/comunidades do Facebook e canais do Youtube, que se constituem como espaços de circulação de discursos sobre as transexualidades. Em diálogo com a Teoria Queer, estudos sobre gênero, identificações e outras pesquisas sobre as mídias digitais exploro a relação entre representações, corporalidades e subjetividades, já que as transexualidades envolvem uma dinâmica cultural que se associa a modos de compreender e/ou modificar corpos e subjetividades.

The author proposes the text for a gender identity law based on the parameters of conventionality of the Inter-American Court of Human Rights and experiences of comparative law on the basis of depathologization trans identities. / La autora propone el texto para una ley de identidad de género basado en los parámetros de convencionalidad de la Corte Interamericana de Derechos Humanos y las experiencias del derecho comparado sobre la base de la despatologización de las identidades trans.

A Disforia de Gênero (DG) caracteriza-se pela marcada incongruência entre gênero e sexo atribuído ao nascer. Trata-se de uma condição rara, cuja prevalência varia muito de acordo com o local estudado: na Nova Zelândia, há 27,48 por 100 000 habitantes, enquanto que, no Irã, são 0,68 por 100 000 habitantes. Sua etiologia depende da interação entre fatores biológicos e psicossociais, sendo a herdabilidade estimada de 62%. Indivíduos diagnosticados com DG integram populações sujeitas a maior violência, desde bullying até violência sexual. História de maus-tratos na infância (HMI) associa-se a maior prevalência de psicopatologias e de envolvimento com trabalho sexual na vida adulta. O objetivo do nosso estudo é avaliar a HMI como indicador de consequências mal adaptativas na vida adulta de transexuais homem-para-mulher (HpM). Utilizamos dados transversais coletados de 289 transexuais HpM, que compareceram a atendimentos regulares, do ano de 1998 a 2014, em ambulatório do Sul do Brasil, chamado Programa de Identidade de Gênero (PROTIG). Elas foram diagnosticadas de acordo com os critérios do DSM-IV-TR para transtorno de identidade de gênero (TIG), avaliadas para comorbidades utilizando o Mini International Neuropsychiatric Interview (MINI) e para história psiquiátrica, demográfica, psicossexual e familiar por questionários específicos. A presença de HMI foi investigada por três perguntas qualitativas, envolvendo abuso sexual, violência sexual e negligência, semelhantes ao Traumatic Events Screening Inventory – Self Report Revised (TESI-SRR). A associação entre o HMI e variáveis tanto psicossociais quanto clínicas foi realizada por análises bivariadas seguidas por modelo de regressão logística. O modelo utilizado para a regressão logística incluiu a cirurgia de redesignação sexual (CRS), tentativas de suicídio, vírus da imunodeficiência humana (HIV), doenças sexualmente transmissíveis (DSTs), desordem depressiva maior, distimia, episódios maníacos e hipomaníacos, idade de início do cross-dressing definitivo, idade de início dos jogos trocados, atuação como profissional do sexo e apresentar, pelo menos, uma comorbidade psiquiátrica. O objetivo da regressão logística foi controlar potenciais confundidores nas associações bivariadas, não estabelecer relações de causa e efeito. Verificamos que a exposição à HMI associa-se com trabalho sexual (p < 0,001), com HIV (p = 0,006), com possuir pelo menos uma comorbidade psiquiátrica (p = 0,006), com transtorno de depressão maior (p = 0,025), com risco de suicídio (p = 0,014), com abuso de álcool (p = 0,027) e com maior idade de início do cross-dressing definitivo (p = 0,041) e dos jogos trocados (p = 0,009). Após a regressão logística, apenas a atuação como profissional do sexo (p < 0,001) e apresentar, pelo menos, uma comorbidade psiquiátrica (p = 0,005) permaneceram significativamente associadas com HMI. Nosso estudo sugere que as transexuais com HMI exibem maior frequência de envolvimento com trabalho sexual e psicopatologia em sua vida adulta. A partir disso, reforça-se a importância de ações preventivas direcionadas à coibir maus-tratos durante à infância, evitando-se, por exemplo, bullying homofóbico. Além disso, indivíduos diagnosticados com DG, que sofreram maus-tratos durante a infância, deverão receber especial atenção psicológica, a fim de impedir desfechos negativos, como doenças psiquiátricas e tentativas de suicídio. / Gender Dysphoria (DG) is characterized by marked incongruence between gender and sex assigned at birth. It’s a rare condition whose prevalence varies based on geographical location: in New Zealand, there are 27.48 per 100 000 inhabitants whereas, in Iran, there are 0.68 per 100 000 inhabitants. Its etiology depends on interaction between biological and psychosocial factors, presenting an estimated heritability of 62%. Individuals diagnosed with DG are victims of greater violence, from bullying to sexual violence. Childhood history of maltreatment (CHM) is associated with a higher prevalence of psychopathology and sex work in adulthood. The aim of our study is to further characterize the role of CHM as an indicator of maladaptive consequences in adult male-to-female transsexuals (MtF). Our study used cross-sectional data from a consecutive sample of 289 MTF transsexuals, which attended, from 1998 to 2014, an outpatient clinic in Southern Brazil, called Gender Identity Program (PROTIG). They were diagnosed according to the DSM-IV-TR criteria for gender identity disorder (GID), were evaluated for comorbities using Mini International Neuropsychiatric Interview and for demographic, psychosexual and family history with specific questionnaires. The lifetime presence or absence of childhood trauma was investigated by asking three separated questions, similar to specific questions related to sexual abuse and negligence included in the Traumatic Events Screening Inventory – Self Report Revised. The association between CHM and psychosocial and clinical variables was evaluated bivariate analyses followed by stepwise backwards logistic regression models. The logistic regression model included gender redesign surgery (GRS), suicide attempt, human immunodeficiency virus (HIV), sexually transmitted diseases (DST), major depression disorder, dysthymia, manic or hypomanic episode, age of cross-dressing definitive and age of exchanged games, sex work and psychiatric comorbidities. The purpose of the logistic regression was to control potential confounding factors in the bivariate associations, not to establish cause and effect relationships. We found that being exposed to CHM is associated with sex work (p < 0.001), HIV (p = 0.006), having at least one psychiatric comorbidity (p = 0.006), major depression disorder (p = 0.025), risk of suicide (p = 0.014), alcohol abuse (p = 0.027) and age of onset of definitive cross-dressing (p = 0.041) and of exchanged games (p = 0.009). After the logistic regression, only sex work (p < 0.001) and having at least one psychiatric comorbidity (p = 0.005) remained significantly associated with CHM. Our study suggests that transsexuals with CHM present a higher frequency of sex work and psychopathology in their adult life. These findings raise the important issue that prevention actions might be indicated to avoid children maltreatment especially in risk groups, for example, homophobic bullying in children with atypical gender behavior. In addition, individuals diagnosed with DG, who suffered abuse during childhood, should receive special psychological care, in order to prevent negative outcomes, such as psychiatric disorders and suicide attempts.

Made available in DSpace on 2015-05-07T14:27:22Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1269622 bytes, checksum: 691db9599b9176bf6383f036b0230a0c (MD5) Previous issue date: 2014-02-19 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The transgenitalization surgery is a procedure used by medicine to adjust the transsexual s body to one the individual feels suitable with his or hers identity. For the surgery to happen it s necessary that a multidisciplinary team declare the transsexuality a pathology, which inflicts serious psychological suffering and reduction of the libido due to not accepting their own body. Majoritarian jurisprudence understands that after the physical modification the person may modify the civil records in order to adjust to his or hers new characteristics. After those interventions, both chirurgical and documental, this individual will have dignity. This work intends to understand if the procedures mentioned are enough to assure dignity to transsexual individuals. The main purpose here is to demonstrate society traditionally divides itself on men and women in heterosexual behavior, which translates a binary framing for people. The dissertation also clarifies that gender is a result of cultural construction, which stands in the way of a simplistic division of heterosexual behavior between men and women. It will be used a bibliographic research of the themes brought here, such as feminism, transsexuality or right to a name. As a theoretical reference it will be adopted the Marxist feminism theory. To accomplish what it proposes, this dissertation will be divided in three chapters. The first chapter will disclosure the right to a name, mentioning its principles and the legislation, both internal and international. It also clarifies about the possibilities of name change, touching especially what concerns the transsexual and, by consequence, the surgery of sexual adaptation. The second chapter approaches the feminism theory, which denaturalizes the gender debate, pointing that the relation of subjection between men and women has a political obliquity, and amplifies gender researches to involve also transsexuals. The third chapter uses the queer theory to point the necessary breaking of the binary composition of men/women and deconstruct the dominant thought that uses signs to establish the comportment pattern thought as ideal, which is called heteronormativity. In that point it is showed that both the transgenitalization surgery and the requirement of this surgery to alter social registration enforce the binary pattern of gender and it is not enough to assure dignity to those individuals that don t adapt to such a corporal dimorphism. This work then concludes that both medical and legal mechanisms aren t enough to the pretensions of dignity of transsexual individuals. / A cirurgia de transgenitalização é um procedimento utilizado pela medicina com o intuito de adequar o corpo do transexual ao pretendido pelo indivíduo por entender mais compatível com sua identidade de gênero. Para que isto ocorra é necessário que uma equipe multidisciplinar ateste alguns requisitos que impliquem no reconhecimento da transexualidade como patologia, a exemplo de grave sofrimento psicológico e diminuição da libido por não aceitar o seu estereótipo. A jurisprudência majoritária entende que após a adequação física, a pessoa pode modificar o registro civil para se adequar ao seu novo corpo e após as duas intervenções (cirúrgica e documental) o indivíduo gozará de dignidade. O que se pretende saber é se realmente os procedimentos acima mencionados são suficientes para proporcionar dignidade aos sujeitos que se reconhecem como transexuais. Objetiva-se demonstrar que a sociedade tradicionalmente se divide em homens e mulheres de comportamento heterossexual, ou seja, é o meio binário de enquadramento das pessoas, que encontra fundamento na naturalização e universalização que impõe este padrão. A dissertação também objetiva esclarecer que o gênero das pessoas é resultado da construção cultural da sociedade, não podendo haver uma divisão simplista em comportamento heterossexual em que todos devem se enquadrar entre homens e mulheres. Utiliza-se levantamento bibliográfico dos temas pertinentes do direito ao nome, feminismo e transexualidade. Como referencial teórico é adotado o feminismo marxista. Para tal intuito, divide-se o texto em três capítulos. O primeiro dispõe acerca do direito ao nome, mencionando os princípios norteadores, tutela prevista na legislação cível pátrio e instrumentos internacionais. Também é esclarecido sobre as possibilidades de alteração do nome, enfatizando o caso do transexual e por consequência a cirurgia de adequação sexual. No segundo capítulo aborda-se o pensamento feminista, que desnaturaliza o debate de gênero e apontando a relação de sujeição entre homens e mulheres como de cunho político e a ampliação das pesquisas feministas que abrangem também os transexuais. No terceiro capítulo utiliza-se a teoria queer e aponta o necessário rompimento do binarismo homem/mulher ao desconstruir o pensamento dominante que se utiliza de signos para estabelecer o padrão comportamental pretendido e tido como ideal, o que se denomina de heteronormatividade. Ao fim, é constatado que a cirurgia de transgenitalização e esta como requisito imprescindível para a modificação registral do transexual apenas reforçam o binarismo de gênero, não sendo suficiente para proporcionar dignidade aos indivíduos que não se adaptam ao dimorfismo corporal, sendo os mecanismos médicos e jurídicos inadequados às pretensões dos transexuais.

A Disforia de Gênero (DG) caracteriza-se pela marcada incongruência entre gênero e sexo atribuído ao nascer. Trata-se de uma condição rara, cuja prevalência varia muito de acordo com o local estudado: na Nova Zelândia, há 27,48 por 100 000 habitantes, enquanto que, no Irã, são 0,68 por 100 000 habitantes. Sua etiologia depende da interação entre fatores biológicos e psicossociais, sendo a herdabilidade estimada de 62%. Indivíduos diagnosticados com DG integram populações sujeitas a maior violência, desde bullying até violência sexual. História de maus-tratos na infância (HMI) associa-se a maior prevalência de psicopatologias e de envolvimento com trabalho sexual na vida adulta. O objetivo do nosso estudo é avaliar a HMI como indicador de consequências mal adaptativas na vida adulta de transexuais homem-para-mulher (HpM). Utilizamos dados transversais coletados de 289 transexuais HpM, que compareceram a atendimentos regulares, do ano de 1998 a 2014, em ambulatório do Sul do Brasil, chamado Programa de Identidade de Gênero (PROTIG). Elas foram diagnosticadas de acordo com os critérios do DSM-IV-TR para transtorno de identidade de gênero (TIG), avaliadas para comorbidades utilizando o Mini International Neuropsychiatric Interview (MINI) e para história psiquiátrica, demográfica, psicossexual e familiar por questionários específicos. A presença de HMI foi investigada por três perguntas qualitativas, envolvendo abuso sexual, violência sexual e negligência, semelhantes ao Traumatic Events Screening Inventory – Self Report Revised (TESI-SRR). A associação entre o HMI e variáveis tanto psicossociais quanto clínicas foi realizada por análises bivariadas seguidas por modelo de regressão logística. O modelo utilizado para a regressão logística incluiu a cirurgia de redesignação sexual (CRS), tentativas de suicídio, vírus da imunodeficiência humana (HIV), doenças sexualmente transmissíveis (DSTs), desordem depressiva maior, distimia, episódios maníacos e hipomaníacos, idade de início do cross-dressing definitivo, idade de início dos jogos trocados, atuação como profissional do sexo e apresentar, pelo menos, uma comorbidade psiquiátrica. O objetivo da regressão logística foi controlar potenciais confundidores nas associações bivariadas, não estabelecer relações de causa e efeito. Verificamos que a exposição à HMI associa-se com trabalho sexual (p < 0,001), com HIV (p = 0,006), com possuir pelo menos uma comorbidade psiquiátrica (p = 0,006), com transtorno de depressão maior (p = 0,025), com risco de suicídio (p = 0,014), com abuso de álcool (p = 0,027) e com maior idade de início do cross-dressing definitivo (p = 0,041) e dos jogos trocados (p = 0,009). Após a regressão logística, apenas a atuação como profissional do sexo (p < 0,001) e apresentar, pelo menos, uma comorbidade psiquiátrica (p = 0,005) permaneceram significativamente associadas com HMI. Nosso estudo sugere que as transexuais com HMI exibem maior frequência de envolvimento com trabalho sexual e psicopatologia em sua vida adulta. A partir disso, reforça-se a importância de ações preventivas direcionadas à coibir maus-tratos durante à infância, evitando-se, por exemplo, bullying homofóbico. Além disso, indivíduos diagnosticados com DG, que sofreram maus-tratos durante a infância, deverão receber especial atenção psicológica, a fim de impedir desfechos negativos, como doenças psiquiátricas e tentativas de suicídio. / Gender Dysphoria (DG) is characterized by marked incongruence between gender and sex assigned at birth. It’s a rare condition whose prevalence varies based on geographical location: in New Zealand, there are 27.48 per 100 000 inhabitants whereas, in Iran, there are 0.68 per 100 000 inhabitants. Its etiology depends on interaction between biological and psychosocial factors, presenting an estimated heritability of 62%. Individuals diagnosed with DG are victims of greater violence, from bullying to sexual violence. Childhood history of maltreatment (CHM) is associated with a higher prevalence of psychopathology and sex work in adulthood. The aim of our study is to further characterize the role of CHM as an indicator of maladaptive consequences in adult male-to-female transsexuals (MtF). Our study used cross-sectional data from a consecutive sample of 289 MTF transsexuals, which attended, from 1998 to 2014, an outpatient clinic in Southern Brazil, called Gender Identity Program (PROTIG). They were diagnosed according to the DSM-IV-TR criteria for gender identity disorder (GID), were evaluated for comorbities using Mini International Neuropsychiatric Interview and for demographic, psychosexual and family history with specific questionnaires. The lifetime presence or absence of childhood trauma was investigated by asking three separated questions, similar to specific questions related to sexual abuse and negligence included in the Traumatic Events Screening Inventory – Self Report Revised. The association between CHM and psychosocial and clinical variables was evaluated bivariate analyses followed by stepwise backwards logistic regression models. The logistic regression model included gender redesign surgery (GRS), suicide attempt, human immunodeficiency virus (HIV), sexually transmitted diseases (DST), major depression disorder, dysthymia, manic or hypomanic episode, age of cross-dressing definitive and age of exchanged games, sex work and psychiatric comorbidities. The purpose of the logistic regression was to control potential confounding factors in the bivariate associations, not to establish cause and effect relationships. We found that being exposed to CHM is associated with sex work (p < 0.001), HIV (p = 0.006), having at least one psychiatric comorbidity (p = 0.006), major depression disorder (p = 0.025), risk of suicide (p = 0.014), alcohol abuse (p = 0.027) and age of onset of definitive cross-dressing (p = 0.041) and of exchanged games (p = 0.009). After the logistic regression, only sex work (p < 0.001) and having at least one psychiatric comorbidity (p = 0.005) remained significantly associated with CHM. Our study suggests that transsexuals with CHM present a higher frequency of sex work and psychopathology in their adult life. These findings raise the important issue that prevention actions might be indicated to avoid children maltreatment especially in risk groups, for example, homophobic bullying in children with atypical gender behavior. In addition, individuals diagnosed with DG, who suffered abuse during childhood, should receive special psychological care, in order to prevent negative outcomes, such as psychiatric disorders and suicide attempts.

A Disforia de Gênero (DG) caracteriza-se pela marcada incongruência entre gênero e sexo atribuído ao nascer. Trata-se de uma condição rara, cuja prevalência varia muito de acordo com o local estudado: na Nova Zelândia, há 27,48 por 100 000 habitantes, enquanto que, no Irã, são 0,68 por 100 000 habitantes. Sua etiologia depende da interação entre fatores biológicos e psicossociais, sendo a herdabilidade estimada de 62%. Indivíduos diagnosticados com DG integram populações sujeitas a maior violência, desde bullying até violência sexual. História de maus-tratos na infância (HMI) associa-se a maior prevalência de psicopatologias e de envolvimento com trabalho sexual na vida adulta. O objetivo do nosso estudo é avaliar a HMI como indicador de consequências mal adaptativas na vida adulta de transexuais homem-para-mulher (HpM). Utilizamos dados transversais coletados de 289 transexuais HpM, que compareceram a atendimentos regulares, do ano de 1998 a 2014, em ambulatório do Sul do Brasil, chamado Programa de Identidade de Gênero (PROTIG). Elas foram diagnosticadas de acordo com os critérios do DSM-IV-TR para transtorno de identidade de gênero (TIG), avaliadas para comorbidades utilizando o Mini International Neuropsychiatric Interview (MINI) e para história psiquiátrica, demográfica, psicossexual e familiar por questionários específicos. A presença de HMI foi investigada por três perguntas qualitativas, envolvendo abuso sexual, violência sexual e negligência, semelhantes ao Traumatic Events Screening Inventory – Self Report Revised (TESI-SRR). A associação entre o HMI e variáveis tanto psicossociais quanto clínicas foi realizada por análises bivariadas seguidas por modelo de regressão logística. O modelo utilizado para a regressão logística incluiu a cirurgia de redesignação sexual (CRS), tentativas de suicídio, vírus da imunodeficiência humana (HIV), doenças sexualmente transmissíveis (DSTs), desordem depressiva maior, distimia, episódios maníacos e hipomaníacos, idade de início do cross-dressing definitivo, idade de início dos jogos trocados, atuação como profissional do sexo e apresentar, pelo menos, uma comorbidade psiquiátrica. O objetivo da regressão logística foi controlar potenciais confundidores nas associações bivariadas, não estabelecer relações de causa e efeito. Verificamos que a exposição à HMI associa-se com trabalho sexual (p < 0,001), com HIV (p = 0,006), com possuir pelo menos uma comorbidade psiquiátrica (p = 0,006), com transtorno de depressão maior (p = 0,025), com risco de suicídio (p = 0,014), com abuso de álcool (p = 0,027) e com maior idade de início do cross-dressing definitivo (p = 0,041) e dos jogos trocados (p = 0,009). Após a regressão logística, apenas a atuação como profissional do sexo (p < 0,001) e apresentar, pelo menos, uma comorbidade psiquiátrica (p = 0,005) permaneceram significativamente associadas com HMI. Nosso estudo sugere que as transexuais com HMI exibem maior frequência de envolvimento com trabalho sexual e psicopatologia em sua vida adulta. A partir disso, reforça-se a importância de ações preventivas direcionadas à coibir maus-tratos durante à infância, evitando-se, por exemplo, bullying homofóbico. Além disso, indivíduos diagnosticados com DG, que sofreram maus-tratos durante a infância, deverão receber especial atenção psicológica, a fim de impedir desfechos negativos, como doenças psiquiátricas e tentativas de suicídio. / Gender Dysphoria (DG) is characterized by marked incongruence between gender and sex assigned at birth. It’s a rare condition whose prevalence varies based on geographical location: in New Zealand, there are 27.48 per 100 000 inhabitants whereas, in Iran, there are 0.68 per 100 000 inhabitants. Its etiology depends on interaction between biological and psychosocial factors, presenting an estimated heritability of 62%. Individuals diagnosed with DG are victims of greater violence, from bullying to sexual violence. Childhood history of maltreatment (CHM) is associated with a higher prevalence of psychopathology and sex work in adulthood. The aim of our study is to further characterize the role of CHM as an indicator of maladaptive consequences in adult male-to-female transsexuals (MtF). Our study used cross-sectional data from a consecutive sample of 289 MTF transsexuals, which attended, from 1998 to 2014, an outpatient clinic in Southern Brazil, called Gender Identity Program (PROTIG). They were diagnosed according to the DSM-IV-TR criteria for gender identity disorder (GID), were evaluated for comorbities using Mini International Neuropsychiatric Interview and for demographic, psychosexual and family history with specific questionnaires. The lifetime presence or absence of childhood trauma was investigated by asking three separated questions, similar to specific questions related to sexual abuse and negligence included in the Traumatic Events Screening Inventory – Self Report Revised. The association between CHM and psychosocial and clinical variables was evaluated bivariate analyses followed by stepwise backwards logistic regression models. The logistic regression model included gender redesign surgery (GRS), suicide attempt, human immunodeficiency virus (HIV), sexually transmitted diseases (DST), major depression disorder, dysthymia, manic or hypomanic episode, age of cross-dressing definitive and age of exchanged games, sex work and psychiatric comorbidities. The purpose of the logistic regression was to control potential confounding factors in the bivariate associations, not to establish cause and effect relationships. We found that being exposed to CHM is associated with sex work (p < 0.001), HIV (p = 0.006), having at least one psychiatric comorbidity (p = 0.006), major depression disorder (p = 0.025), risk of suicide (p = 0.014), alcohol abuse (p = 0.027) and age of onset of definitive cross-dressing (p = 0.041) and of exchanged games (p = 0.009). After the logistic regression, only sex work (p < 0.001) and having at least one psychiatric comorbidity (p = 0.005) remained significantly associated with CHM. Our study suggests that transsexuals with CHM present a higher frequency of sex work and psychopathology in their adult life. These findings raise the important issue that prevention actions might be indicated to avoid children maltreatment especially in risk groups, for example, homophobic bullying in children with atypical gender behavior. In addition, individuals diagnosed with DG, who suffered abuse during childhood, should receive special psychological care, in order to prevent negative outcomes, such as psychiatric disorders and suicide attempts.