Using the defensive style questionnaire to evaluate the impact of sex reassignment surgery on defensive mechanisms in transsexual patients

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Abstract

Objective: To evaluate the impact of sex reassignment surgery on the defense mechanisms of 32 transsexual patients at two different points in time using the Defensive Style Questionnaire. Method: The Defensive Style Questionnaire was applied to 32 patients upon their admission to the Gender Identity Disorder Program, and 12 months after they had undergone sex reassignment surgery. Results: There were changes in two defense mechanisms: anticipation and idealization. However, no significant differences were observed in terms of the mature, neurotic and immature categories. Discussion: One possible explanation for this result is the fact that the procedure does not resolve gender dysphoria, which is a core symptom in such patients. Another aspect is related to the early onset of the gender identity disorder, which determines a more regressive defensive structure in these patients. Conclusion: Sex reassignment surgery did not improve the defensive profile as measured by the Defensive Style Questionnaire.

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Lobato, M. I., Koff, W. J., Crestana, T., Chaves, C., Salvador, J., Petry, A. R., … Massuda, R. (2009). Using the defensive style questionnaire to evaluate the impact of sex reassignment surgery on defensive mechanisms in transsexual patients. Revista Brasileira de Psiquiatria, 31(4), 303–306. https://doi.org/10.1590/S1516-44462009005000007

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