mismatch between biological sex and gender identity
source of stress and discomfort so is recognised as a psychological disorder in DSM-5
biological explanations - brain sex theory
GD caused by brain structures incompatible with a persons biological sex - particular attention paid to dimorphic brain areas
Zhou studied the bed nucleus of the stria terminalis which is 40% larger in males - post-mortem studies of 6 transgender females - their BSTc was similar size to that of a typical female brain
Psychoanalytic theory
Ovesey and Person argued that GD in bio males is caused by child experiencing severe separation anxiety before gender identity has been established
child fantasises of symbolic fusion with mother to relieve anxiety
consequence is that child becomes the mother and adopts female gender identity
supported by Stoller who found in interviews with GD males that they displayed overly close relationships with their mothers
social constructionism
gender confusion arises because society forces people to be either man or woman and then act accordingly
rather than pathological condition, is a social phenomenon which arises when people are required to choose one of two
W - contradictory evidence for BSTc
found that transgender hormone therapy affects the size of the BSTc
differences may be due to hormone therapy rather than being the cause of GD
W - bio explanations oversimplify a complex concept
criticised for tendency to reduce complex conditions and behaviours to a simple genetic level
danger is that other factors occurring at a higher psychological or social level may be ignored
an interactionist combination of several different levels of explanation may be especially relevant in case of GD, as it is so complex and unlikely to be explained by a single influence