Relationships, sexuality, gender identity, gender roles, and self-concept of individuals who have congenital adrenal hyperplasia: A qualitative investigation

Lorraine J. Guth, Robert I. Witchel, Selman F. Witchel, Peter Lee

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The literature is unclear regarding the appropriate medical and psychological treatment of intersexuality: people who have genital, gonadal, or chromosomal characteristics that are neither all female nor all male. Medical and psychosocial management of such individuals is being reevaluated. Congenital adrenal hyperplasia (CAH), the most common cause of intersexual development among genetic females, is an inherited disorder that leads to varying degrees of masculinization of the external genitalia while internal genitals (ovaries, Fallopian tubes, and uterus) are typically female. The purpose of this study was to explore self-perceptions of adult women who have CAH and the impact of the condition on their relationships, sexuality, gender identity, gender roles, and self-concept. In addition, their perceptions of medical treatment were examined. Five women with CAH chose to participate. Participants reported: (a) a sense of isolation and embarrassment about sharing information concerning their condition with others; (b) discomfort and embarrassment about certain aspects of their medical treatment; and (c) varying experiences and perceptions of their gender identity and gender roles. Recommendations are provided to assist psychotherapists in their work with people who have intersex conditions and their families.

Original languageEnglish (US)
Pages (from-to)57-75
Number of pages19
JournalJournal of Gay and Lesbian Psychotherapy
Volume10
Issue number2
DOIs
StatePublished - Jul 17 2006

Fingerprint

Congenital Adrenal Hyperplasia
Sexuality
self-concept
physician's care
gender role
Self Concept
sexuality
Disorders of Sex Development
psychotherapist
gender
self-image
social isolation
Genitalia
cause
Fallopian Tubes
Information Dissemination
management
Psychotherapy
Uterus
Ovary

All Science Journal Classification (ASJC) codes

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

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Relationships, sexuality, gender identity, gender roles, and self-concept of individuals who have congenital adrenal hyperplasia : A qualitative investigation. / Guth, Lorraine J.; Witchel, Robert I.; Witchel, Selman F.; Lee, Peter.

In: Journal of Gay and Lesbian Psychotherapy, Vol. 10, No. 2, 17.07.2006, p. 57-75.

Research output: Contribution to journalArticle

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