User:LoganSwen/sandbox
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Psychosexual Disorders-Group Nine Project
[edit]Group Nine! There is actually no origin section in the article yet, and I believe that a strong origin section is going to make this article super solid. A lot of history (freudian or otherwise) will make for a really strong piece and also help with distinguishing what we are doing from paraphilia like Lexi mentioned LoganSwen (talk) 16:44, 28 February 2016 (UTC)
This is our book from class, its got good information about Freud's work with sexual disorders and dysfunction
[1] This article, although small, gives some good history of psychosexual theory and the Freud's psychosexual stages of development. Could be useful in developing a origin section of our article.
Dr. Council, what would be the best thing to focus on when writing this article? Would it be better to focus on the history and Freud's ideas or actually describing the disorders that are recognized as psychosexual disorders?LoganSwen (talk) 22:58, 28 February 2016 (UTC)
Hi! One problem that needs to be addressed is the lack of person and or people who have aided in the development of psychosocial disorders. A list of names and how they contributed is vital in order to install quality.
[2] This article focuses on children and adolescents. It was done in 1990, but I think this could contribute a different way to look at the topic instead of a fully modern view, and gives some history of psychosexual disorder research.
[3] This is a more recent article published in 2005. This article talks about measurements used for Psychosexual Differentiation.
Questions for Dr. Council:
1. There are a lot of studies done involving psychosexual disorders by Kenneth Zucker. Would it be wise to use a wider array of authors, or would it be okay to have (for example) ten articles from Zucker and two from other authors?
2. What would be a good framework for this topic? Would it be to focus and expand on a key aspect or lay a broader foundation to emphasize all this topic can be involved with? Or another way? Tori Veth (talk) 03:21, 29 February 2016 (UTC)
Hey everyone and Dr. Council, Jerome here. A specific topic or content that our chosen article is lacking would be the diagnostic criteria of these disorders, or how prevalent they are (epidemiology). If these disorders are real then diagnosis criteria and prevalence should be considered but if they are more a thing of the past then the criteria that would have been met to diagnose an individual in past history would be interesting to research or include. JeromeBegin (talk) 05:00, 29 February 2016 (UTC)
[4] Although this article was not published recently, it seems to have a large amount of broadly ranging history that includes psychosexual related topics.Freud appear to be mentioned along with psychosexual medicine. Could be a possibly beneficial article.JeromeBegin (talk) 05:00, 29 February 2016 (UTC)
[5] This article not only mentions Freuds ideas, views ant theories regarding psychosexual theory and development but also broadens the discussion with individuals who have expanded Freud's ideas. It ties in present and past studies and how views are shifting over time in regards to the development of psychosexual views and ideas.
Questions for Dr. Council: 1) When researching other psychological or neurological disorders, they often times have sections that include diagnosis, neurophysiology, treatment, prevention and etc. Would it be wise for us to attempt to look into these topics when psychosexual disorders are more historical and based on the history of Frued and his ideas behind these disorders?JeromeBegin (talk) 05:00, 29 February 2016 (UTC) 2) The information presented in the present article regarding the Turkish Armed Forces and their use of the diagnosis pf Psychosexual Disorders to ban LGBT from the service is interesting. Do you believe that there are many more situations where this specific diagnosis has been used or led to such discrimination as mentioned?JeromeBegin (talk) 05:00, 29 February 2016 (UTC)
Assignment 4- Psychosexual Disorders
[edit]Hey Group 9! One concern I have about the article Psychosexual disorder is the immediate definition of the term. The talk page reveals that this article was close to being deleted because how closely related paraphilia is with psychosexual disorders. I believe we need to define the subject in such a way that makes it different than paraphilia. Because not all psychosexual disorders are sexually preverted! I have found two helpful resources:
[6] -This reference is a textbook that is available at the NDSU library, unfortunately not online. But it is a 2007, so a relatively recent and reliable source of information.
-This is an actual publication of Freud's work. It is kind of short, but we could pull some key points out of it.
Dr. Council, since this is such a broad topic, what are some main points you would suggest covering?Lex.schirado (talk) 17:18, 27 February 2016 (UTC)
To Do List
[edit]- Create Outline for Psychosexual Disorder article LoganSwen (talk) 18:36, 17 March 2016 (UTC)
- Decide what section headings we want our article to consist ofLoganSwen (talk) 18:36, 17 March 2016 (UTC)
- Possibly Create a history section with subsection headings of the people to contributed to the idea of psychosexual disordersLoganSwen (talk) 18:36, 17 March 2016 (UTC)
- Find other topics and current wikipedia articles that can be linked to our topic of psychosexual disorders in order to broaden the range of information and resources that are contacting our article. JeromeBegin (talk) 21:24, 20 March 2016 (UTC)
- Find a comprehensive list of common Psychosexual disorders, short descriptions, and wiki links for further informationLex.schirado (talk) 21:32, 20 March 2016 (UTC)
- Find people who have aided to this topic throughout history. An important person I want to research is Freud. I will acknowledge his contributions (as well as others I find) to Psychosexual Disorder. Tori Veth (talk) 18:22, 22 March 2016 (UTC)
Lead
[edit]Psychosexual disorders are sexual dysfunctions due to psychological disturbances, not physiological or medical reasons. Psychosexual disorders are associated with Sigmund Freud’s theories. However, sexual dysfunction and deviance were being studied before Freudian psychology. Key contributors to the literature on psychosexual disorders include Sigmund Freud, Richard Freiherr von Krafft-Ebing, and Havelock Ellis. Richard Freiherr von Krafft-Ebing was a German psychiatrist and author of Psychopathia Sexualis. Also notable, Havelock Ellis was an English physician and considered one of the earliest sexologists. Psychosexual Disorders consist of sexual dysfunctions, sexual perversions (paraphilia), and gender identity disorders. Psychosexual Disorders can vary greatly in severity and treatability. Medical professionals and licensed therapists are necessary for diagnosis and creating a treatment plan.
Key contributors to conceptualization of psychosexual disorders
[edit]Sigmund Freud
[edit]Sigmund Freud has contributed to the idea of psychosexual disorders and furthured research of the topic through his ideas of psychosexual development and his psychoanalytic sex drive theory. According to Freud's ideas of psychosexual development, as a child, one will progress through 5 stages of development. These stages being the oral stage (1 -1 1/2 yrs), the anal stage(1 1/2- 3yrs) phallic stage (3-5 yrs), the latency stage (5-12 yrs) and the genital stage (from puberty on). A psychosexual disorder could arise in an individual if the individual does not progress through these stages properly. Proper progression through these stages requires the correct amounts of stimulation and gratification at each stage. If there is too little stimulation at a certain stage Fixation occurs and becoming overly fixated could lead to a psychosexual disorder. In contrast, too much stimulation at a certain stage of development could lead to regression when that individual is in distress, also possibly leading to a psychosexual disorder.[7][8] LoganSwen (talk) 23:55, 17 April 2016 (UTC)
Richard Freiherr von Kraft-Ebing
[edit]Richard Krafft-Ebing was a German psychiatrist who sought to revolutionize sexuality in the late nineteenth century. Working in a time of sexual modesty, Krafft-Ebing brought light to sexuality as an innate human nature verses deviancy. His most notable work, Psychopathia Sexualis, was a collection of case studies highlighting sexual practices of the general public.[9] The textbook was the first of its kind recognizing the variation within human sexuality, such as: nymphomania, fetishism, and homosexuality.[10] Psychiatrists were now able to diagnose psychosexual disorders in place of perversions. Psychopathia Sexualis was used as reference in psychological, medical, and judicial settings. Krafft-Ebing is considered the founder of medical sexology; he is the predecessor of both Sigmund Freud and Havelock Ellis. Lex.schirado (talk) 20:48, 18 April 2016 (UTC)Lex.schirado (talk) 14:13, 27 April 2016 (UTC)
Havelock Ellis
[edit]Havelock Ellis was an English physician and writer born in the eighteen hundreds who studied human sexuality, and is referred to as one of the earliest sexologists. Ellis's work was geared towards human sexual behavior. His major work was a seven-volume publication called Studies in the Psychology of Sex, which related sex to society. Published in 1921, Studies in the Psychology of Sex covered the evolution of modesty, sexual periodicity, auto-erotism, sexual inversion, sexual impulse, sexual selection, and erotic symbolism[11]. Ellis also conceived the term eonism, which references a man dressing as a woman. He elaborated on this term in his publication of Eonism and Other Supplementary Studies.[12] He wrote Sexual Inversion as well in hopes to address any ignorance people have on the topic.[13] Tori Veth (talk) 04:07, 19 April 2016 (UTC) Tori Veth (talk) 01:44, 29 April 2016 (UTC) Tori Veth (talk) 21:34, 3 May 2016 (UTC)
Psychosexual disorders
[edit]Paraphilias
[edit]Paraphilias are generally defined as psychosexual disorders in which significant distress or an impairment in a domain of functioning results from recurrent intense sexual urges, fantasies or behaviors generally involving an unusual object, activity, or situation.[14] An alternative definition is given by the DSM-5 which labels them as sexual; attractions to objects, situations or people that deviate from the desires and sexual behaviors that are considered to be socially acceptable. Examples of these Paraphilias would include fetishism, sexual masochism and sadism and more.[15] JeromeBegin (talk) 15:36, 18 April 2016 (UTC)
Fetishism and transvetic fetishism
[edit]Fetishism is a disorder that is characterized by a sexual fixation, fantasies or behaviors toward an inanimate object, these objects frequently are articles of clothing. It is only through this object which the individual can achieve sexual gratification. It is not rare that an individual will rub or smell the object. This disorder is more common in males and it i not understood why.[16] JeromeBegin (talk) 05:44, 19 April 2016 (UTC)
Transvestic fetishism also commonly known as transvestism.
Sexual sadism and sexual masochism
[edit]The disorders know as Sexual Sadism and Sexual Masochism are often times confused or hard to separate when their definitions are compared but diagnostic criteria differ slightly between the two and allows for more easy classification.[17] Sexual sadism disorder and Sexual Masochism are defined as receiving sexual arousal from the humiliation, pain and or suffering of an individual and are thought to overlap with multiple other conditions due to its description along with diagnostic criteria.[17]
Voyeurism, exhibitionism and frotteurism
[edit]Voyeurism is self-reported sexual arousal from spying on others or the observation of others who are engaged in sexual interaction.[18] JeromeBegin (talk) 03:13, 19 April 2016 (UTC)
Exhibitionism a public act of exposing parts of ones body that are not socially acceptable to be exposed.[18] Exhibitionistic acts are among the most common of the potenitallu law-breaking sexual behaviors.[18] Examples of this would include "streaking" during a professional sporting event or protesting a political event in the nude.JeromeBegin (talk) 03:32, 19 April 2016 (UTC)
Frotteurism is considered a rare paraphilia that revolves around an individuals sexual satisfaction being derived from rubbing upon another non-consenting individual.[19] The term frotteurism itself can be broken down and derived from the French verb fritter which means rubbing or "friction".[18] JeromeBegin (talk) 03:32, 19 April 2016 (UTC)
Gender identity disorder
[edit]Gender identity is a concept, specifically psychological, that refers to one's sense of being a male or female in regards to sexual orientation. Individuals who are diagnosed with gender identity disorder are classified as being dissatisfied with their anatomically determined gender.[20] JeromeBegin (talk) 05:44, 19 April 2016 (UTC)
Diagnosis
[edit]In the DSM-5 all paraphilia disorders can be diagnosed by two main criteria that are referred to criteria A and criteria B respectively. The A and B criteria include a duration in which the behavior must be present for (typically 6 months) and specific details of actions or thoughts that are correlated specifically with the respective disorder being diagnosed.[21] JeromeBegin (talk) 17:14, 28 April 2016 (UTC)
Treatment
[edit]Psychosexual disorders can vary greatly in severity and treatability. Medical professionals and licensed therapists are necessary in diagnosis and treatment plans. Treatment can vary from therapy to prescription medication. Sex therapy, behavioral therapy, and group therapy may be helpful to those suffering distress from sexual dysfunction. More serious sexual perversions may be treated with androgen blockers or selective serotonin reuptake inhibitors (SSRIs) to help restore hormonal and neurochemical balances.[22] Lex.schirado (talk) 21:43, 18 April 2016 (UTC)
References
[edit]- ^ Parens, H. (1991). l Separation-Individuation Theory and Psychosexual Theory. Beyond the Symbiotic Orbit: Advances in Separation-individuation Theory: Essays in Honor of Selma Kramer, MD, 1.
- ^ Zucker, K. J., & Bradley, S. J. (1990). Gender Identity disorder and psychosexual problems in children and adolescents. The Canadian Psychiatric Association Journal, 35(6), 477-486.
- ^ Zucker, K. J. (2005). Measurement of Psychosexual Differentiation. Arch Sex Behav Archives of Sexual Behavior, 34(4), 375-388.
- ^ Kahr, B. (1999). The history of sexuality: From ancient polymorphous perversity to modern genital love. The Journal Of Psychohistory, 26(4), 764-778.
- ^ Young, R. M. (2001). Locating and relocating psychoanalytic ideas of sexuality. In C. Harding, C. Harding (Eds.) , Sexuality: Psychoanalytic perspectives (pp. 18-34). New York, NY, US: Brunner-Routledge. doi:10.4324/9780203361016_chapter_1
- ^ Zucker, K. J., & Green, R. (2007). Psychosexual disorders in children and adolescents. In G. Einstein, G. Einstein (Eds.) , Sex and the brain (pp. 739-766). Cambridge, MA, US: MIT Press.
- ^ Fancher, Raymond E.; Rutherford, Alexandra (2012). Pioneers of psychology : a history (4th ed.). New York: W.W. Norton. ISBN 978-0-393-93530-1.
- ^ Freud, S. (1940). The development of the sexual function. Standard edition, 23, 152-156.
- ^ Oosterhuis, Harry (2012-04-01). "Sexual Modernity in the Works of Richard von Krafft-Ebing and Albert Moll". Medical History. 56 (Special Issue 02): 133–155. doi:10.1017/mdh.2011.30. ISSN 2048-8343. PMC 3381524. PMID 23002290.
- ^ "Full text of "Psychopathia Sexualis, with especial reference to the antipathic sexual instinct, a medico-forensic study;"". archive.org. Retrieved 2016-04-18.
- ^ Ellis, H. (1921). Studies in the Psychology of Sex. Volume 6, 2.
- ^ Crozier, I. (2000). Havelock Ellis, eonism and the patient's discourse; or, writing a book about sex. Volume 11, 125-154.
- ^ Ellis, H. (1925). Sexual inversion. 3rd edition, 9-10.
- ^ Balon., R. (2013). Commentary: Controversies in the Diagnosis and Treatment of Paraphilias. Journal of Sex & Marital Therapy. 39(7), 20. DOI: 10.1080/0092623X.2012.709219
- ^ Kamens, S. R. (2011). On the Proposed Seual and Gender Identity Diagnoses for DSM-5. The Humanistic Psychologist. 39,37-59. DOI: 10.1080/08873267.2011.539935
- ^ Wise, T. N. (1985). Fetishism: Etiology and treatment: A review from multiple perspectives. Comprehensive Psychiatry. 26(3): 249-257. doi:10.1016/0010-440X(85)90070-7
- ^ a b Berner, W., Berger, P., Hill, A. (2003). Sexual Sadism. International Journal of Offender Therapy and Comparative Criminology. 47(4): 383-395. DOI:10.1080/13552600108413321
- ^ a b c d Langstrom, N. (2010). The Dem Diagnostic Criteria for Exhibitionism, Voyeurism and Frotteurism. Arch Sex Behavior. 39: 317-324. DOI 10.1007/s10508-009-9577-4
- ^ Horley, J. (2001). Frotteurism: A term in search of an underlying disorder? Journal of Sexual Aggression: An international interdisciplinary forum for research, theory and practice. 7(1): 51-55. DOI:10.1080/13552600108413321
- ^ Burgess, K. A., Gillespie, C. F. (2010). Gender Identity Disorder. Corsini Encyclopedia of Psychology. DOI: 10.1002/9780470479216.corpsy0376
- ^ American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing
- ^ Psychosexual Disorders. (n.d.). Retrieved March 20, 2016, from http://www.mdguidelines.com/psychosexual-disorders
See Also
[edit]- Psychoanalysis
- Sigmund Freud
- Psychosexual developmentLoganSwen (talk) 14:50, 29 April 2016 (UTC)
New References
[edit][1]LoganSwen (talk) 18:48, 20 March 2016 (UTC)
Krafft-Ebing, R., & Klaf, F. S. (1965). Psychopathia sexualis: With especial reference to the antipathic sexual instinct: A medico-forensic study. Arcade Publishing.Lex.schirado (talk) 13:24, 21 March 2016 (UTC)
Psychosexual Dysfunction Information - The Mount Sinai Hospital. (n.d.). Retrieved March 20, 2016, from http://www.mountsinai.org/patient-care/health-library/diseases-and-conditions/psychosexual-dysfunction
Lex.schirado (talk) 21:27, 20 March 2016 (UTC)
Psychosexual Disorders. (n.d.). Retrieved March 20, 2016, from http://www.mdguidelines.com/psychosexual-disorders
Lex.schirado (talk) 21:27, 20 March 2016 (UTC)
This article has a large amount of great information that can allow us to begin each section including in our outline and kick start our thinking.
[2] JeromeBegin (talk) 21:51, 20 March 2016 (UTC)
- http://www.mdguidelines.com/psychosexual-disorders JeromeBegin (talk) 21:51, 20 March 2016 (UTC)
Logan's Lead Section
[edit]Psychosexual Disorders are , originating from Sigmund Freud's psychoanalytic sex drive theory and Freud's psychosexual stages of development. Psychosexual disorders arise when there was and issue in one of the 5 stages of development as a child or adolescent. The DSM lays out was is to be considered a Psychosexual disorder.
- Logan: This is a good start with information that is laid out well and correctly. I would simply say to include a bit more information that gives a lead into a few more sections that we may plan to use including a diagnosis section, prognosis, treatments and etc...JeromeBegin (talk) 16:31, 30 March 2016 (UTC)
- Logan: I like how you categorized Psychosexual Disorders as Freudian Psychology right off the bat. I believe you have a grammatical error in the last sentence, and it is a bit informal for the lead section. I would suggest expanding on what the DSM-5 considers a psychosexual disorder.Lex.schirado (talk) 13:42, 31 March 2016 (UTC)
You can say that "psychosexual disorders are a part of Freudian psychology" but that is not all they are. Freud had his theories, but there is a much broader perspective on psychosexual disorders that comes before and after Freud.
- Don't make statements if you can't back them up. Wikipedia is fact-based. J.R. Council (talk) 03:43, 6 April 2016 (UTC)
Lexi's Lead Section
[edit]Psychosexual Disorders are sexual dysfunctions due to psychological disturbances, not physiological and or medical reasons. Psychosexual Disorders consist of sexual dysfunctions, sexual perversions (Paraphilia), and gender identity disorders. Key contributors to Psychosexual Disorders include Sigmund Freud, Richard Freiherr von Krafft-Ebing, and Havelock Ellis. The term Psychosexual Disorder stems from Sigmund Freud’s theories of Psychosexual Development and Psychoanalytic Sex Drive Theory. However, sexual dysfunction and deviance was in study before Freudian Psychology. Richard Freiherr von Krafft-Ebing was a German psychiatrist and author of Psychopathia Sexualis. Also notable, Havelock Ellis was an English physician and considered one of the most early sexologists. Psychosexual Disorders can vary greatly in severity and treatability. Medical professionals and licensed therapists are necessary in diagnosis and treatment plans.Lex.schirado (talk) 03:08, 30 March 2016 (UTC)
- Lexi, good lead section, you have alot of good information that basically covers what we are trying to get at in the article. One suggestion I would make is to put something like "even though it was studied before Freud, Freudian psychology and psychoanalytic theory brought attention to the idea of psychosexual disorders" When we generate a lead section as a group, we will be able to pull from yours quite a bit, nice job LoganSwen (talk) 15:01, 30 March 2016 (UTC)
- Lexi: Great lead section with a large amount of information presented. It does a good job of laying gout the topic and describing what we will touch on in our article throughout the span of information. I agree with Logan to specify that Freud expanded on previous ideas of other individuals but I do enjoy how you tied in the other contributing individuals. JeromeBegin (talk) 16:31, 30 March 2016 (UTC)
I agree, this is nice work!. You present a lot of pertinent information in a readable but succinct way. J.R. Council (talk) 03:48, 6 April 2016 (UTC)
Jerome's Lead Section
[edit]Psychosexual disorders are a classification of mental disorder that were popularized by Sigmund Freud, who was a psychoanalyst or Psychoanalytical Psychologist, along with other individuals who contributed to the creation including Havelock Ellis (an English physiologist) and a German psychiatrist, Richard Freiherr von Krafft-Ebing. Both Ellis and Krafft-Ebing made contributions to the field of psychology during their times respectively. Psychosexual disorders are due to psychological disturbances that result in sexual dysfunctions. A few examples of disorders that fit this classification are Paraphilia (sexual perversions) and gender identity disorders. A medical professional or licenses therapist may diagnose these disorders by using criteria in the DSM-IV-TR, a physical exam or specialized psychological examinations. Treatments vary from surgical procedures to multiple methods of therapy. Complications may arise with added stress and are dependent upon the type of disorder that is being treated. JeromeBegin (talk) 16:31, 30 March 2016 (UTC)
- •Your lead has a lot of solid information. When introducing the psychosexual disorder in the first sentence, I would personally refrain from citing a person right away. I would use that first sentence to define the term. Again, you have a lot of good detail, I would just reorganize it. Tori Veth (talk) 20:13, 30 March 2016 (UTC)
- Jerome, this is really good, its got a lot of good info like lexi's, all I would say is that instead of saying a " a few examples" with " disorders include" just be direct with it.
- Jerome: This lead section is packed with good information. The first sentence is a run-on sentence and would have to be separated into separate portions. Also, I would agree with Tori in that the Disorder should be introduced before the people who contributed to the finding. Lex.schirado (talk) 13:48, 31 March 2016 (UTC)
Tori’s Lead Section
[edit]Psychosexual disorders are sexual dysfunctions that are not credited to a physical illness, but to an emotional or mental illness. With this disorder, sexual functioning is altered and or inhibited. A psychosexual disorder can be acquainted with any individual regardless of their sex. Symptoms are classified under sexual dysfunction, paraphilias, and gender identity disorders. Sigmund Freud was one psychologist who furthered research in this field. Treatments consist of medications, psychotherapy, and counseling. Tori Veth 1:58 PM Wednesday, March 30th, 2016 --> (Im not sure why but it wouldn't let me sign this post)
- Tori, good info and I liked the way you mentioned the disorders are not due to physical illness, I would just maybe start with history and make the lead section the same order as the outline LoganSwen (talk) 23:34, 7 April 2016 (UTC)
- Tori: I liked how you extended the definition by saying it alters or inhibits normal functioning. I do not believe we have to specify that Psychosexual Disorders effect both male and female. I also like the treatment section, it was a good start to our final lead section. LoganSwen (talk) 23:34, 7 April 2016 (UTC)
The reason your signatures didn't take is that for some reason Tori has at the beginning of the first line. That turns off Wikipedia formatting. Dr. Council
Collective Lead Section
[edit]Psychosexual Disorders are sexual dysfunctions due to psychological disturbances, not physiological and or medical reasons. Psychosexual disorders are associated with Sigmund Freud’s theories of Psychosexual Development and Psychoanalytic Sex Drive Theory. However, sexual dysfunction and deviance was in study before Freudian Psychology. Key contributors to Psychosexual Disorders include Sigmund Freud, Richard Freiherr von Krafft-Ebing, and Havelock Ellis. Richard Freiherr von Krafft-Ebing was a German psychiatrist and author of Psychopathia Sexualis. Also notable, Havelock Ellis was an English physician and considered one of the earliest sexologists. Psychosexual Disorders consist of sexual dysfunctions, sexual perversions (Paraphilia), and gender identity disorders. Psychosexual Disorders can vary greatly in severity and treat-ability. Medical professionals and licensed therapists are necessary in diagnosis and treatment planLoganSwen (talk) 00:03, 8 April 2016 (UTC) My contributions are that I helped with wording and forming the first sentence of the lead section. Tori Veth (talk) 17:01, 4 May 2016 (UTC) Along with my group mates, I also contributed to the development and creation of this collective lead section. We all met and finished this lead section together. I researched information and some of what I found was used in this lead section That information was regarding who can treat these disorders, and outlook of the disorders. JeromeBegin (talk) 17:06, 4 May 2016 (UTC)
- ^ Einstein, G. (2007). Sex and the brain. Cambridge, MA, US: MIT Press.
- ^ Levey, Robert, and W. Corbet Curfman. "Sexual and Gender Identity Disorders." eMedicine. Eds. Denis F. Darko, et al. 16 Apr. 2004. Medscape. 14 Oct. 2004 <http://emedicine.com/med/topic3439.htm>.