At 5 class was in love with an older ...

B 5 class was in love with an older girl who was friends with her. With 17 years of age met with peers. Relationships are both platonic and sexually explicit. Tobacco smoke, occasionally alkogoliziruetsya, trial-shaft marijuana. "Up to 19 years was part of the teen group, which is the right hand plow", was involved in fights. After the Lyceum works as a driver. At age 19, suffered psihotravmu (break with his beloved "), then finally decided to change their sex to the opposite. The sex chromatin - in accordance with a female genotype, hormonal profile - within the normal range for women. Phenotype - a female. Somatic and neurological condition - with no abnormalities . Mental State Examination revealed no abnormal psihoproduktsii. There was overvalued fixation on the idea to eliminate the discrepancy between the actual sex and male self-aware, persistent sksualnoe attracted to women, set in a heterosexual relationship with them. Emotionally - labile. having abandoned the beloved. " Psychological examination revealed: the intellectual-Mesto-agency safety. Personality profile - with characteristics muskulinnosti extremely high level of psychopathisation, conflict, rigidity, without signs of psychopathy, but with a tendency toward delinquency and alcoholism. Reliable and hyperintimate hysteroid features. Frustration tolerance in accordance with the lower limit of normal, fixation on the outside because of frustration and self-defense. The level of general aggressiveness is average values, the rate of indirect aggression than the average. Anxiety - average. In this case, prevent decompensation of the person with mixed psychopathy or patoharakterologicheskoe development, since it is known that the sexual behavior of psychopathic individuals is extremely unstable and can easily acquire pathological forms. Estimated psychodynamic mechanisms are based on prevalence in the personality structure of the survey hysteroid and hyperintimate characterological traits. These personal characteristics are stable, fully determine the behavior of the patient, which corresponds to two classical criteria of psychopathy. However, we observe a satisfactory social adjustment: psychological comfort outside the family environment, a high status among their peers, and positive operating performance. Consequently, we can only speak of accentuation, as predisponiruyuschem factor. Emotional deprivation in a relationship with her mother, a totalitarian style of parenting, family conflicts could consolidate the reaction of protest and emancipation of freedom-loving personality (dressing up in men's clothing, men's pattern of behavior) and lead to patoharakterologicheskomu development. Deviant behavior with a perversion of values ??orientation entations could be a prerequisite for the overvalued ideas about sex change. In the proposed model of disorder physiological immaturity may play a role patoplasticheskuyu. However, the diagnosis of constitutional (nuclear) transsexualism in adulthood is more likely and confirmed by the manifestation Niemi abnormal sexual identity from an early age, in this case - up to 5 years.