We experienced a typical case of homosexual type male transsexualism who developed from gender identity disorder in childhood. In psychodynamic aspect, we assumed that identification of pathogenic maternal fantasy in early life before 3 years old was major role in this case. Also in defense mechanism, it was suggested that there was a certain psychology, I would be more loved if I were a woman,” in his mind. In addition to these aspects, naturally given temperament and family’s tolerant attitude to his transsexual behavior might reinforce transsexual symptom formation. In this case, boderline and narcissistic characteristics were not vividily detected in interview and psychometric tests.
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