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State of mind of attachment and reflective function in an Italian transsexual sample - 10/06/19

Doi : 10.1016/j.ejtd.2019.05.001 
M. Cussino a, b, , C. Crespi c, d, V. Mineccia c, d, M. Molo c, e, G. Motta d, F. Veglia a
a University of Turin, Department of Psychology, Via Po 14, 10123 Turin, Italy 
b EMDR Center for Eating Disorders, Via Pergolesi 14, 20124, Milan, Italy 
c Carlo Molo Onlus Foundation, Via della Rocca 24 bis, 10123 Turin, Italy 
d Gender Identity Disorder Interdepartmental Centre, Division of Endocrinology, Diabetology and Metabolism, Department of Medical Science, University of Turin, Corso Dogliotti 14, 10126 Torino, Italy 
e Gender Identity Disorder Interdepartmental Centre, Psychiatry Division, Department of Neuroscience, University of Turin, Corso Dogliotti 14, 10126 Torino, Italy 

Corresponding author at: EMDR Center for Eating Disorders, Via Pergolesi 14, 20124 Milan, Italy.EMDR Center for Eating DisordersVia Pergolesi 14Milan20124Italy
Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le lundi 10 juin 2019

Abstract

Introduction

According to the DSM-5 (APA, 2013), gender dysphoria is a form of incongruence between the subjective experience of belonging to a specific gender and the gender one has been assigned at birth.

Objective

The purpose of this paper is to explore attachment state of mind in a transsexual adult population in order to identify the most appropriate ways and forms of interventions, since improving attachment state of mind might boost the subject's quality of life.

Method

The sample consisted of 52 transsexual patients, of whom 51.9% were biologically male (MtF; n=27) and 48.1% female (FtM; n=25).

Results

The data obtained through the Adult Attachment Interview (AAI, George et al., 1985) show that the majority of the participants (92.3%) were found to have an insecure attachment state of mind. When classifying participants with GD on the basis of one of three attachment state of mind, 71.2% (n=37) of the sample showed a dismissing state of mind with respect to attachment and 21.2% (n=11) an entangled state of mind. The data obtained through the AAI also show that almost half of the sample reported one or more traumatic life events, with no differences found between the MtF and FtM groups. Using the Unresolved/disorganized (U/d) condition to classify the AAI data, we found frequent signs of unresolved experiences of trauma among those with an insecure attachment state of mind. No traumatic experiences with respect to attachment were reported by participants who were classified as secure.

Conclusion

Our findings suggest that interventions with transgender patients should impact on their current state of mind relating to attachment and traumatic experiences by promoting a secure state of mind with respect to attachment.

Le texte complet de cet article est disponible en PDF.

Keywords : Gender dysphoria, Attachment, Trauma, Transsexual, Adult Attachment Interview


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