Abstract
In most intersex patients, gender identity appears to develop in line with the gender of original assignment, but there is a substantial number of patients who develop gender identity problems. The phenomenon is not the same as gender identity disorder in non-intersex persons. The study of intersex patients points to factors in the development of gender identity that are not sufficiently investigated in this context, these being prenatal hormone effects on behavior, the effect of primary and secondary sex characteristics on social feedback and body image, the role of the behavioral self-image, and the influence of the peer group. Principles of psychosocial management are listed.
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