Sex, gender and culture: Issues in the definition, assessment and treatment of gender identity disorder

Abstract

As a diagnostic category, gender identity disorder remains problematic with ongoing debates concerning aetiology, definition and ethics of treatment. Inherent in the current DSM definition is a Western model of the relationship between sex and gender which epitomizes the tension existing between essentialist and constructivist accounts of gender development. This model determines that gender-aberrant behaviour and gender variation are, by definition, pathological, and reinforces a binary gender model. Studies of non-Western cultures reveal variations in models of gender and in the understanding of gender deviance. Cultures vary in their definition of gender roles and show varying degrees of ..