Psychosexual Disorders Research Articles

A Descriptive Analysis of Patients Presenting to Psychosexual Clinic at a Tertiary Care Center

Background:Psychosexual problems are very common presentation, be it with psychiatric or physical illness but there are very few studies available on psychosexual disorders especially in the Indian context. Indian society is deeply ingrained in customs and several misconceptions, myths, prejudices, and social taboos are attached to sex which makes it further very difficult to tackle.Objectives:The aim of this current study was to descriptively analyze the nature of sexual disorders in a tertiary care center.Materials and Methods:The current retrospective chart review included 698 consecutive subjects seeking treatment for their psychosexual problems at the Sexual Clinic, Department of Psychiatry, Dr. Ram Manohar Hospital, New Delhi (between 2006 and 2010).Results:This study observed erectile dysfunction (ED) (29.5%), Premature ejaculation (PME) (24.6%), Dhat syndrome (DS) (18.1%), and ED with PME (17.5%) as the common sexual dysfunctions leading to treatment seeking. DS was the major complaint among younger and unmarried individuals. We observed more married individuals seeking treatment for sexual disorders.Conclusions:These findings provide important information on a relatively under-researched area.

Próba oceny akceptacji zjawiska homoseksualizmu w społeczeństwie polskim

Homosexuality has always been considered an embarrassing subject by most Judaic, Christian and Islamic societies, a phenomenon contrary to the accepted social norms and the teachings of the Church and especially contrary to the Catholic Church doctrines. Only in 1975, The American Psychiatric Association eliminated homosexuality from the DSM classification, as not being a mental disorder. Sixteen years later World Health Organisation did the same by removing the terms regarding homosexuality from the ICD. In 1976, the government of the Federal Republic of Germany lifted the ban of homosexual contacts for people under 21 years of age a year later, while the government of Great Britain passed a legislation abolishing the differentiation of the legal age of initiation for homosexuals. In 1981, discrimination for sexual orientation was banned in Norway by an appropriate legislation.It is unquestionable that a punishment for homosexual acts would still be inflicted in 50% of the states in the United States of America in 1993. It has been established that the evaluation of the distribution of sexual identity in the society (including homosexual ones) is extremely difficult which may be proven by the fact that “in the legal and canonical rulings, homosexuality is one of the most commonly occurring psychosexual disorder”. The issue regarding the role of a parent in the problem of homosexual identity gives rise to social controversies. It should be taken for granted that currently, Polish society is not prepared to approve homosexuality in all areas of social and family life to be on a par with the formal or informal heretosexual relationships and all their “entitelements”.

Douleurs sexuelles de l’homme et de la femme

The occurrence of pain during sex is one of the most common complaints in gynecological and sexological practice but nonetheless one of the most difficult problems to deal with and treat effectively. A literature review was conducted on Medline considering the articles listed until January2012 dealing with sexual pain in women and men. The different descriptions of painful intercourse (dyspareunia, vestibulo-vulvodynies, vaginismus) are not separate entities but the result of the interaction of many factors including genital pain, emotional and behavioral responses to penetration, caresses, desire and excitement, in a context of possible organic pathology (infection, endometriosis, inflammatory or dermatological disease, morphological or pelvic abnormality, hormonal deficiency) sometimes associated with chronic pain phenomena self-sustained by neurogenic inflammation. The clinical expression of sexual pain is as variable as its causes are many. The etiological investigation is essential but should not omit the sexological context and the need for appropriate management. The neurogenic inflammation and hypersensitivity impose an algological approach associated to etiological and sexological treatment. Chronic sexual pains, whether they are superficial or deep, can be the sign of organic or psycho-sexual (primary or secondary) disorders. The development of a "therapeutic program" helps patients, allows them to restore self-confidence and leads to the disappearance of the symptom in more than half cases.

Premature Menopause

Premature menopause affects 1% of women under the age of 40 years. The women are at risk of premature death, neurological diseases, psychosexual dysfunction, mood disorders, osteoporosis, ischemic heart disease and infertility. There is need to use simplified protocols and improved techniques in oocyte donation to achieve pregnancy and mother a baby in those women at risk. Review of the pertinent literature on premature menopause, selected references, internet services using the PubMed and Medline databases were included in this review. In the past, pregnancy in women with premature menopause was rare but with recent advancement in oocyte donation, women with premature menopause now have hoped to mother a child. Hormone replacement therapy is beneficial to adverse consequences of premature menopause. Women with premature menopause are at risk of premature death, neurological diseases, psychosexual dysfunction, mood disorders, osteoporosis, ischemic heart disease and infertility. Public enlightenment and education is important tool to save those at risk.

Controversies in the Diagnosis and Treatment of Paraphilias

Paraphilias are generally defined as psychosexual disorders in which significant distress or an impairment in a domain of functioning results from recurrent intense sexual urges, fantasies or behav...

Gender dysphoria associated with disorders of sex development

Disorders of sex development (DSDs) are estimated to be prevalent in 0.1-2% of the global population, although these figures are unlikely to adequately represent non-white patients as they are largely based on studies performed in Europe and the USA. Possible causes of DSDs include disruptions to gene expression and regulation-processes that are considered essential for the development of testes and ovaries in the embryo. Gender dysphoria generally affects between 8.5-20% of individuals with DSDs, depending on the type of DSD. Patients with simple virilizing congenital adrenal hyperplasia (CAH), as well as those with CAH and severe virilization, are less likely to have psychosexual disorders than patients with other types of DSD. Early surgery seems to be a safe option for most of these patients. Male sex assignment is an appropriate alternative in patients with Prader IV or V DSDs. Patients with 5α-reductase 2 (5α-RD2) and 17β-hydroxysteroid dehydrogenase 3 (17β-HSD3) deficiencies exhibit the highest rates of gender dysphoria (incidence of up to 63%). Disorders such as ovotesticular DSD and mixed gonadal dysgenesis are relatively rare and it can be difficult to conclusively evaluate patients with these conditions. For all DSDs, it is important that investigators and authors conform to the same nomenclature and definitions to ensure that data can be reliably analysed.

Treat the psychosexual disorders known as paraphilias with both psychological and pharmacological therapy

Treat the psychosexual disorders known as paraphilias with both psychological and pharmacological therapy

Interventions for reducing anxiety in women undergoing colposcopy.

Prior to the development of cervical cancer abnormal cervical cells can be detected on a cervical smear. The usual practice following an abnormal cervical smear is to perform colposcopy. Colposcopy is the visualisation of the cervix using a binocular microscope. Women experience high levels of anxiety and negative emotional responses at all stages of cervical screening. High levels of anxiety before and during colposcopy can have adverse consequences, including pain and discomfort during the procedure and high loss to follow-up rates. This review evaluates interventions designed to reduce anxiety levels during colposcopic examination. To compare the efficacy of various interventions aimed at reducing anxiety during colposcopic examination in women. We searched the Cochrane Gynaecological Cancer Group Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), Issue 3, 2010, MEDLINE and EMBASE up to July 2010. We also searched registers of clinical trials, abstracts of scientific meetings, reference lists of included studies and contacted experts in the field. Randomised controlled trials (RCTs) of interventions to reduce anxiety during colposcopic examination. Two review authors independently abstracted data and assessed risk of bias. Mean differences for anxiety levels, knowledge scores, pain, patient satisfaction and psychosexual dysfunction in women who underwent colposcopy were pooled in a random effects meta-analyses. We found six trials that met our inclusion criteria. These trials assessed the effectiveness of different interventions for reducing anxiety in women undergoing colposcopy for the first time.All comparisons were restricted to single trial analyses or meta analysis of just two trials. There was evidence from a reasonably large trial (n = 220) that was at low risk of bias to suggest that music during colposcopy significantly reduced anxiety levels (MD = -4.80, 95% CI: -7.86 to -1.74) and pain experienced during the procedure (MD = -1.71, 95% CI: -2.37 to -1.05) compared to not listening to music. There was no statistically significant difference between anxiety levels prior to colposcopy in women receiving information leaflets versus no leaflets and information leaflets, video and counselling versus information leaflets and video with no counselling. However, knowledge scores were significantly higher and psychosexual dysfunction scores were significantly lower in women who received leaflets compared to those who did not so there was some sort of benefit to giving patients information leaflets. There is evidence for video colposcopy from a quasi randomised trial which assessed 81 women showing significant anxiety reduction. Anxiety appears to be reduced by playing music during colposcopy. Although information leaflets did not reduce anxiety levels, they did increase knowledge levels and are therefore useful in obtaining clinical consent to the colposcopic procedure. Leaflets also contributed to improved patient quality of life by reducing psychosexual dysfunction.

Benefits of exercise with mini tennis in intellectual disabilities: effects on body image and psychopathology.

The present study is aimed at evaluating the efficacy of an introductory mini tennis programme as a therapeutic aid in the psychosocial rehabilitation of participants affected by mild/moderate intellectual disability in semi-residential care.Two groups (N=12) of participants diagnosed with intellectual disability, one of which followed the mini tennis rehabilitation programme, were compared at time t0, t1 (after 2 months) and t2 (after 6 months).Psychopathological status was assessed by means of the Italian version of the Assessment and Information Rating Profile (AIRP). Motor coordination, lateral dominance and body scheme were assessed by means of structured tools.Psychopathological total scores showed a statistically significant decrease in the experimental group in comparison with the control group. A statistical decrease in the group with the mini tennis rehabilitation programme was found also in the anxiety sub-scale while the sub-scales schizophrenia, depression, adjustment disorder, personality problems, somatoform disorders and psychosexual disorders did not reach any statistical difference between groups.A statistically significant increase in the visuo manual coordination was highlighted in the experimental versus the control group. No statistically significant differences were reported with regard to general movement skills, dynamic balance and coordination.In spite of the limitations of this study, the results obtained are encouraging and suggest the potential efficacy of mini tennis as an auxiliary aid in rehabilitation programmes, particularly to improve visuo manual coordination skills and to boost the patient/participants' self esteem. These findings warrant confirmation by further research studies.

The clinical observation and strategy to psychological barrier in patients with carcinoma of penis

Objective To explore the mental state and nursing countermeasures of perioperative patients with carcinoma of penis.Methods The self-rating anxiety scale(SAS) and self-rating depressive scale(SDS) were used to investigate the mental state of 105 patients selected radical operation carcinoma of penis. Questionnaire survey was used in the patients with anxiety or depression, to find out their most psychological problems in perioperative period of surgery, in order to design and carry out focused nursing programs and strategies.Results Over 67% patients with carcinoma of penis appeared depression before surgery, and average value of SAS total score of anxiety passed 40, the value was significantly higher than that of upper limit of China norm. The SAS and SDS scores were statistical differences between before and after carrying out mental nursing to the patients with anxiety or depression, P<0.01. There were 81% of patients with most psychological problem was psychosexual disorder, and the rate fell to 20% P<0.01, the difference was significant.Conclusions The patients with carcinoma of penis in perioperative period of surgery had obvious psychological problem, carrying out focused nursing strategies on demand can effectively eliminate or change psychological problem, improve the quality of life. Key words: Radical operation carcinoma of penis; Psychological problem; Strategy

355 Pattern of Psychosexual Disorders among Males in a Tertiary Care Hospital

To compare the scoring methods and thresholds of the 12-item General Health Questionnaire (GHQ-12) and the Edinburgh Postnatal Depression Scale (EPDS) in English women, and to determine which threshold and scoring method provides the closest correlation of caseness of postnatal depression in a nationally representative sample of English women.Health Survey for England 2002 health examination survey.Self-completion booklet containing the EPDS and the GHQ-12. Participants were mothers with at least one child under 1 year of age at the time of interview.Both the scoring method and cut-off affected the estimates of prevalence of postnatal depression in English women. The best threshold and scoring method for the GHQ-12 using sensitivity/specificity analysis against the EPDS was a standard scale with a cut-off of 3+. This matched the cut-off using the GHQ-12 mean scores. The cut-off using comparative prevalence of the GHQ-12 with the EPDS was higher at 4+. There was a significantly lower estimate of prevalence of postnatal depression at 4 months using the GHQ-12.Care needs to be taken measuring postnatal depression. The GHQ-12 mean score cut-off matched the cut-off using sensitivity and specificity; this supports using the GHQ-12 mean scores as cut-offs. The standard scale was most closely correlated with the EPDS. Although there was strong correlation between the GHQ-12 and the EPDS, a significantly lower proportion of women were measured as having possible postnatal depression at 4 months using the GHQ-12. This may be due to the lack of a question on blame in the GHQ-12. Four months coincided with the duration of maternity leave entitlement and recommended age for weaning in 2002. These events may be particularly stressful for mothers, and practitioners need to be mindful of similar milestones for diagnosis if using the GHQ-12.

The forgotten fallopian tube

1, a considerable body of evidence is presented which further supports the central role of the fallopian tube in the pathogenesis of this disease. The hypothesis that a substantial propor tion of high-grade serous ovarian cancers (HG-SOC) arise from the distal fallopian tube has also been proposed by several other unrelated investigations 2–9 . We think that these findings made by molecular geneticists and pathologists should now be translated into clinical practice. The imme diate consequence for preventive medicine would be the easy-to-carry out simultane ous removal of the fallopian tubes during surgery, such as hysterectomy (removal of the uterus) or sterilization (coagulation or partial resection of the fallopian tubes). Sparing the fallopian tubes during hyster ectomy provides no known physiological benefits, as the remaining tubes are com pletely devoid of any function. As the blood supply to the ovaries is secured through vessels from the infundibulopelvic ligament, it is not affected when hysterectomy is combined with bilateral removal of the fal lopian tubes (salpingectomy). The hormone profile is not altered by salpingectomy, even several months after surgery 10 . The blind ending remnants of the tubes can provide a nidus for bacteria and thereby increase infectious morbidity and tubal pathology that can require further surgery 11 . However, in the light of recent findings, as discussed in Bowtell’s article, the strongest reason for bilateral salpingectomy or fimbriectomy along with hysterectomy or sterilization is the potential role of the fallopian tube in the pathogenesis of HG -SOC. This disease accounts for the largest proportion of ovar ian cancers and for about two-thirds of ovarian cancer-related deaths. Such a revised strategy would clearly represent a paradigm change in preventive surgery. Until recently, all debates on the aetiology and prevention of ovarian cancer have focussed on the ovaries, whereas the fallopian tube was largely forgotten. Now, it is becoming clear that clinicians must pay due attention to the fallopian tube. Thus, simultaneous risk-reducing salpingectomy should become the new standard whenever a hysterectomy needs to be carried out. We also think that, based on the discussions above, the need for bilateral removal of the ovaries (oophorectomy) should be reassessed on an individual basis, especially as this procedure has immediate consequences for the patient. Alarming figures from the United States show that bilateral oophorectomy is car ried out in 18% of American women aged between 18 and 44 years old who undergo hysterectomy for benign diseases. In the age group of 45 to 64 years old, this proportion can be as high as 76% 12 . Large retrospective studies have shown that a surgical menopause increases long-term risks for cardiovascular, psycho-sexual and cognitive dysfunctions 12 . Bilateral salp

Gastrointestinal Disorders in Parkinson's Disease: Prevalence and Health Outcomes in a US Claims Database

The majority of patients with Parkinson's Disease (PD) will eventually develop gastrointestinal disorders (GIDs) such as dysphagia, constipation and gastroesophageal reflux. The objectives of this study were to examine the incidence of GIDs in PD patients in a US population, and to examine subsequent PD-related outcomes in patients with GIDs. In a US administrative health claims database, GID incidence increased over time to reach 65% at four years after PD diagnosis. To further investigate this relationship, a subset of patients was analysed in greater detail. Continuously treated PD patients with and without GIDs were matched by age, gender, comorbidities, treatment regime, US region and plan type. Their emerging health outcomes were followed up for two years. Outcomes included neuropsychiatric, motor and urogenital disturbances, as well as healthcare utilization and costs. Patients with GIDs had higher rates of psychosexual dysfunction, anxiety, depression, ataxia, pain, movement disorders, urinary incontinence and falls. Emergency room admissions, the number of drugs for pain, sleep and depression, PD-related healthcare costs and non PD-related healthcare costs also increased during the observation period in GID patients. This study indicated that GIDs may be associated with deleterious effects on some PD-related outcomes.

Impact of Nonorganic Erectile Dysfunction on Spouses: A Study from India

The overall outcome of men with erectile dysfunction (ED) depends a lot on participation in treatment of their partners/spouses. However, psychosexual functioning of partners/spouses has received scant attention. To study the psychosexual functioning of spouses of men with nonorganic ED in terms of their sexual satisfaction, psychological problems, marital adjustment, quality of life, and level of dysfunction. The main outcome measures for the partners of men with ED were symptom questionnaire, marital questionnaire (KDS-15 marital questionnaire), sexuality scale, quality of life enjoyment and satisfaction questionnaire, dyadic adjustment scale, and dysfunction analysis questionnaire. Spouses of men with ED (n=50) and spouses of men without any psychosexual dysfunction (n=50) were compared for sexual and marital function, quality of life, and dyadic adjustment. The psychological impact was assessed by symptom questionnaire. Spouses of men with ED have significantly lower levels of marital and sexual satisfaction and higher levels of psychiatric symptoms than controls. Furthermore, the spouses of men with nonorganic ED also report poor quality of life in most domains of life and had higher level of dysfunction. Our findings support the Western data with regard to the psychosexual functioning of spouses/partners of men with ED and suggest that spouses/partners of men with ED should also be assessed thoroughly.

A Study of Discussion to Amendment of Medical Treantment and Custody Act - with the focus on psychosexual disorder

A Study of Discussion to Amendment of Medical Treantment and Custody Act - with the focus on psychosexual disorder

Gender issues and DSM-V

With each edition of the DSM, there has been greater attention paid to gender issues. The DSM-I, published in 1952, contained essentially no mention of sex differences in psychiatric illness. The DSM-II (1958) only rarely noted sex differences in disorders but did include the sex-specific disorder “Psychosis with Childbirth” as well as “Involutional Melancholia”, which was commonly associated with menopause. The DSM-III (1980) added a text section on “Sex Ratios” for each disorder but provided only minimal information such as “more common in women” or stated the information was not available; there were also sporadic comments about gender differences in course and treatment-seeking behavior. Several diagnoses in the DSM-III were sex-specific or had different diagnostic criteria for men and women, most of which were in the section on Psychosexual Disorders. The other disorder with sex-specific diagnostic criteria in DSM-III was Somatization Disorder, which had a threshold of 14 symptoms for women and 12 symptoms for men from among the 37 possible symptoms, 4 of which were categorized as ”female reproductive symptoms” (painful menstruation, menstrual irregularity, excessive bleeding, and severe vomiting during pregnancy). The DSM-III-R (1987) added proposed criteria for another sex-specific diagnosis, Late Luteal Phase Dysphoric Disorder (LLPDD). Because of the tremendous controversy generated by this diagnosis and concerns voiced by women’s groups that its inclusion in the DSM may stigmatize women, it was placed in the Appendix as a diagnosis for further study, to be coded as an Unspecified Mental Disorder. In DSM-IV (1994), a text section on “Specific Culture, Age, and Gender Features” was added for each disorder, which included any known information about gender differences in prevalence, symptoms and course. LLPDD remained in the Appendix of DSM-IV, with the name changed to Premenstrual Dysphoric Disorder (PMDD) and the coding changed to Depressive Disorder Not Otherwise Specified; in the body of the DSM, PMDD was listed as an example of Depressive Disorder NOS. The criteria for Somatization Disorder were changed so that the number of categories and required symptoms were equal for men and women, although some sex-specific symptoms were still included as examples. Another important addition in DSM-IV was the modifier “With Postpartum Onset” to describe episodes of Major Depressive Disorder, Bipolar I or II Disorder, or Brief Psychotic Disorder with onset within 4 weeks after childbirth. In DSM-IV-TR (2000), the information in the text about gender differences in the prevalence, symptoms, and course of disorders was greatly expanded. “With Postpartum Onset” was retained as a specifier with the same 4-week time frame. The only disorders that are unique to men or women or have sex-specific diagnostic criteria are among the Sexual and Gender Identity Disorders (and PMDD in the Appendix). What changes with regard to gender issues should be incorporated into DSM-V? The following options should be considered:

The Socio-Cultural Perception and Implications of Childlessness among Men and Women in an Urban Area, Southwest, Nigeria

This study explores the social and cultural perception and implications of childlessness among men and women living in a diverse cultural urban community, Ekiti state, Nigeria. A total of 600 respondents comprising 175 men and 425 women were selected for interview using multi-stage random sampling technique. A triangulation method of data collection was used (questionnaire, focus-group discussion (FGD) and in-depth interview (IDI)). The statistical analysis was done at the univariate, bivariate and multivariate levels. The result of the study shows that both men and women perceive childlessness in women to be caused by evil spirits, ancestral curses and promiscuity while the cause of childlessness in men is perceived to be the result of psychosexual disorders. Childlessness in this community has severe health and social implications especially for women. Community education on the actual causes of childlessness which will dispel myths about the causes and ways of preventing infertility is recommended.

Interventions for psychosexual dysfunction in women treated for gynaecological malignancy

Psychosexual dysfunction (sexual difficulties not directly due to physical factors) is known to be a common complication of treatment for gynaecological cancer. It has a considerable impact on quality of life (QoL) for the increasing number of women who are survivors of gynaecological cancer. To determine the effectiveness of interventions for psychosexual dysfunction in women who have been treated for gynaecological malignancy (cancer of uterine cervix, uterine corpus, ovary, vulva). We searched the Cochrane Central Register of Controlled Trials (CENTRAL, up to October 2008), MEDLINE (1950 to October 2008), EMBASE (1982 to October 2008), CINAHL (1980 to October 2008) and PsycINFO (1806 to October 2008). We hand searched reference lists from eligible trials. We selected all randomized controlled trials (RCTs) of a medical or psychological intervention to prevent or treat psychosexual dysfunction in adult women previously treated for gynaecological cancer. We selected five studies for inclusion in this review and analysed any outcome data relating to resumption of sexual intercourse, DSM-IV diagnoses or validated scales of sexual functioning. Sensitivity analysis was performed where possible. The review included data from 5 studies, comprising a total of 413 patients, examining 5 different interventions. One trial suggested a short-term benefit for the use of vaginal Dienoestrol in women after pelvic radiotherapy (NNT = 4). Another trial suggested a short-term benefit for one regime of low dose-rate brachytherapy over another but this modality is not in widespread use. Studies of a Clinical Nurse Specialist intervention, Psychoeducational Group Therapy and a Couple-Coping intervention, did not show any significant benefit. All the studies were of poor methodological quality. There is no convincing evidence to support the use of any interventions for psychosexual dysfunction in women treated for gynaecological cancer. There is a need for more studies of high methodological quality.

Men versus women on sexual brain function: Prominent differences during tactile genital stimulation, but not during orgasm

Biological differences in male and female sexuality are obvious in the behavioral domain, but the central mechanisms that might explain these behavioral gender differences remain unclear. In this study, we merged two earlier positron emission tomography data sets to enable systematic comparison of the brain responses in heterosexual men and women during sexual tactile genital (penile and clitoral) stimulation and during orgasm. Gender commonalities were most evident during orgasm, a phase which demonstrated activations in the anterior lobe of the cerebellar vermis and deep cerebellar nuclei, and deactivations in the left ventromedial and orbitofrontal cortex in both men and women. During tactile genital stimulation, deactivations in the right amygdala and left fusiform gyrus were found for both genders. Marked gender differences were seen during this phase: left fronto-parietal areas (motor cortices, somatosensory area 2 and posterior parietal cortex) were activated more in women, whereas in men, the right claustrum and ventral occipitotemporal cortex showed larger activation. The only prominent gender difference during orgasm was male-biased activation of the periaqueductal gray matter. From these results, we conclude that during the sexual act, differential brain responses across genders are principally related to the stimulatory (plateau) phase and not to the orgasmic phase itself. These results add to a better understanding of the neural underpinnings of human sexuality, which might benefit treatment of psychosexual disorders.

P02-141 Psychosexual indicators of sexual violence in children and adolescents

Purpose:Searchof psychosexual indicators of sexual violence.Object:Infant and juvenile victims of sexual offends (51 persons).Method:Sexological.Results:Psychosexual disorders associated with sexual violence were observed in 24%.For children of 3-7 years set is significant:Sexualization of behavior:– french kissing with friends;– interest to intimate parts of body;– a frequent situating of fingers in perineum;– inserting into genitals different subjects;– seizing for a breast or genitals.Description to strangers those sexual actions which with them were realized.For children of 7-12 years set is significant:Sexualization of behavior: – tempting behavior with persons of an opposite sex with make a suggestion of sexual contact;– imitation of sexual contact;– masturbation in public place.Unusual sexual knowledge for this age.For male adolescents set is significant:Psychosexual dissociation: platonic and erotic libido is heterosexual, sexual libido is homosexual.Disorders of identity: feminine identity and hyper-role behavior only with coevals of own sex.For female adolescents set is significant:Psychosexual dissociation:– love for the concrete coeval with lack of sexual desire to him;– presence of physiological sexual reactions on without personality object (heroes of books, television movies, etc.).Illegible erotic behavior and lack of sexual desire.Sexual aversion, restrictions of verbal contacts with young men, victims terminate to use of formal female attributes.Conclusion:Results may be used for differential diagnostics of sexual development's disorders of different genesis.