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    <Class rdf:about="http://purl.obolibrary.org/obo/DOID_1234">
        <rdfs:label rdf:datatype="http://www.w3.org/2001/XMLSchema#string">gender identity disorder</rdfs:label>
        <rdfs:subClassOf rdf:resource="http://purl.obolibrary.org/obo/MFOMD_0000004"/>
        <ns4:IAO_0000115 rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A disease of mental health that involves a conflict between a person&#39;s actual physical gender and the gender that person identifies himself or herself as.</ns4:IAO_0000115>
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        <ns4:IAO_0000115>This disorders are characterized by conflict between a person&#39;s anatomical sex and his or her gender identity, or self-identification as male or female. 

&quot;Understanding abnormal behavior&quot;. David Sue, Derald Wing Sue, Stanley Sue.</ns4:IAO_0000115>
        <priorVersion>MFOMD_0000086</priorVersion>
        <ns4:MFOMD_0000069>F64.0  Gender Identity Disorder in Adolescents or Adults
F64.2  Gender Identity Disorder in Children</ns4:MFOMD_0000069>
        <rdfs:comment>
There must be evidence of a strong and persistent cross-gender identification, which is the desire to be, or the insistence that one is, of the other sex. This cross-gender identification must not merely be a desire for any perceived cultural advantages of being the other sex. There must also be evidence of persistent discomfort about one&#39;s assigned sex or a sense of inappropriateness in the gender role of that sex.

In boys, the cross-gender identification is manifested by a marked preoccupation with traditionally feminine activities. They may have preference for dressing in girls&#39;or women&#39;s clothes or may improvise such items from available materials when genuine articles are unavailable. There is a strong attraction for the stereotypical games and pastimes of girls. They avoid rough-and-tumble play and competitive sports and have a little interest in cars and trucks or other nonaggressive but stereotypical boys&#39;toys. They may express a wish to be a girl and assert that they will grow up to be a woman. They may insist on sitting to urinate and pretend not to have a penis by pushing it in between their legs.

Girls with Gender Identity Disorder display intense negative reactions to parental expectations or attempts to have them wear dresses or other feminine attire. They prefer boys&#39; clothing and short hair, are often misidentified by strangers as boys, and may ask to be called by boy&#39;s name. These girls prefer boys as play-mates, with whom they share interests in contact sports, rough-and-tumble play, and traditional boyhood games. A girl with tis disorder may occasionally refuse to urinate in a sitting position. She may claim that she has or will grow a penis and may not want to grow breasts or to menstruate. She may assert that she will grow up to be a man.

Adults whit this disorder are preoccupied with their wish to live as a member of the other sex. This preoccupation may be manifested as an intense desire to adopt the social role of the other sex or to acquire the physical appearance of the other sex through hormonal or surgical manipulation. To varying degrees, they adopt the behaviour, dress, and mannerisms of the other sex. Whit cross-dressing and hormonal treatment (and for males, electrolysis), many individuals with this disorder may pass convincingly as the other sex.

In Adolescents, the clinical features may resemble either those of children or those of adults, depending on the individual&#39;s developmental level, and the criteria should be applied accordingly.

DSM-IV-TR (american Psychiatric Association)</rdfs:comment>
        <ns4:IAO_0000118>trastornos de la identidad sexual</ns4:IAO_0000118>
        <ns4:MFOMD_0000037>302.85  Gender Identity Disorder in Adolescents or Adults
302.6    Gender Identity Disorder in Children</ns4:MFOMD_0000037>
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        <rdfs:label rdf:datatype="http://www.w3.org/2001/XMLSchema#string">mental disorder</rdfs:label>
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