title: A childhood gender identity disorder. Analysis, preoedipal determinants, and therapy in adolescence.
abstract: This paper is about a four-year-old boy's wish to be a girl. This wish was a compromise formation, the consequence of intrapsychic conflict. Using reconstructive inferences and research findings, I suggest a line of development in the boy's femininity, beginning with constitutional and maturational factors, with being shaped in a feminine direction by his environment, and with shaping himself internally in the form of a compromise formation in that direction by the time he was two to three years of age. The disorder began to acquire a persistence and stability during the preoedipal phase and, with minor changes in its components, remained operative during the oedipal phase, latency, and adolescence.
mesh_terms: D002675:Child, Preschool; D012734:Disorders of Sex Development / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008297:Male; D009813:Oedipus Complex; D011575:Psychoanalytic Therapy; D002666:Psychology, Child