caused by specific brain structures that are incompatible with a person’s biological sex
particular attention has been paid to this those areas of the brain that are dimorphic - take a different form in males and female
ning zhou et al studied the bed nucleus of the stria terminalis which is assumed to be fully developed at age 5 and around 40% bigger in males than females
post mortem studies - 6 male to female transgender individual, the BSTc was found to be a similar size of that of a typical female brain
post mortem studies findings confirmed by frank kruijver et al who studied the same brain tissue but focused on the number of neurons in the BSTc instead of the volume
again the six trans individuals showed a sex reversed identity pattern with an average BSTc neuron number size in the female brain
frederick coolidge et al assessed 157 twin pairs (96 MZ, 61 DZ) for evidence of GID using clinical diagnosis of criteria in DSM-4
prevalence of GID estimated to be 2.3% with 62% of the cases accounted for by genetic variance
suggests there is a strong heritable component to GID
gunter heylens et al compared 23 MZ twins with 21 DZ twins where one of each pair was diagnosed with GID
found that 9 out of the 23 MZ twins (39%) were concordant for GID compared to none of the DZs
indicates a role for genetic factors in the development of GID
X hilleke hulshoff pol et al challenged the assumption that hormone treatment doesn’t affect the BSTc as he found that transgender hormone therapy affected the the size of the BSTc
therefore observed differences may be due to hormone therapy rather than a cause of GID
X difficult to separate the influence of nature and nurture in twin studies as twins may influence each other and the environmental conditions they are exposed to a likely to be very similar
X hard to make effective generalisations - GID is very rare and samples of twin studies tend to be small
X reducing complex conditions down to simple genetic and hormonal issues and ignoring other contributory factors occurring at a higher social or psychological level