In this theoretically informed clinical study the author draws upon the psychoanalytic and group therapeutic literature in addition to the works of Judith Butler and his own clinical group analytic work with trans-gender in order to discuss the author’s hypothesis that binary gender rigidity stands at the core of trans-gender states. The author suggests that the analytic task is to deconstruct gender and trans-gender constructions in working with these patients. In addition to working towards greater analytic understanding such an endeavour may also be considered as a social, political and cultural exercise in working towards shifts in our societal foundation matrix.
Small group psychotherapy is used as a medium for these observations and as the basis for this study.
Althof, S.E. and Keller, A.C. ( 1980) ‘Group Therapy with Gender Identity Patients’ , International Journal of Group Psychotherapy30(4): 481-9.
2.
Bateman, A. and Fonagy, P. ( 2004) Psychotherapy for Borderline Personality Disorder: A Mentalisation Based Treatment. Oxford: Oxford University Press.
3.
Benjamin, J. ( 1995) ‘Sameness and Difference: Towards an "Over-Inclusive" Theory of Gender Development’, in A. Elliott and S. Frosh (eds) Psychoanalysis in Context: Paths between Theory and Modern Culture. London and New York: Routledge .
4.
Butler, J. ( 1990) Gender Trouble: Feminism and the Subversion of Identity . New York and London: Routledge.
5.
Butler, J. ( 1993) Bodies that Matter: On the Discourse of the Limits of ‘Sex’. New York and London: Routledge.
6.
Chiland, C. ( 2003) Transsexualism: Illusion and Reality, transl. by P. Slotkin . London: Sage.
7.
Chiland, C. ( 2005) Exploring Transsexualism. London: Karnac.
8.
Di Ceglie, D. ( 2000) ‘Gender Identity Disorder in Young People’ , Archives of Psychiatric Treatment6(6): 458-66).
9.
Foulkes, S.H. ( 1975) ‘Section III. The Conductor’, in Group-Analytic Psychotherapy: Methods and Principles, pp. 99-156. London : Gordon and Breach. Reprinted London: Karnac, 1986.
10.
Green, R. and Fuller, M. ( 1973) ‘Group Therapy with Feminine Boys and Their Parents’ , International Journal of Group Psychotherapy23(1): 54-68.
11.
Greenson, R.R. ( 1968) ‘Dis-Identifying from Mother’, International Journal of Psychoanalysis49: 370-4.
12.
Hakeem, A. ( 2007) ‘Trans-sexuality: A Case of The Emperor’s New Clothes?’, in S. Ruszczynsky and D. Morgan (eds) Lectures on Violence, Perversion and Delinquency: The Portman Papers. London: Karnac.
13.
Hakeem, A. ( 2008a) ‘From Freud to Foulkes to the Future: The Development of Group Analysis and its Continual Evolution’, Group Analysis41(1): 40-52.
14.
Hakeem, A. ( 2008b) ‘Changing Sex or Changing Minds: Specialist Psychotherapy and Transsexuality’, Group Analysis41(2): 182-96.
15.
Hakeem, A. (2009) ‘Forensic Group Psychotherapy: Estela Welldon’s Contribution to Working with Groups at the Portman Clinic’, British Journal of Psychotherapy25(2): 230-8.
16.
Hoffman, L. ( 1985) ‘Beyond Power and Control: Toward a "Second Order" Family Systems Therapy’, Family Systems Medicine3(4): 381-96.
17.
Jagger, G. ( 2008) Judith Butler: Sexual Politics, Social Change and the Power of the Performance. London and New York: Routledge.
18.
Limentani, A. ( 1989) ‘The Significance of Transsexualism in Relation to Some Basic Psychoanalytic Concepts’, in Between Freud and Klein: The Psychoanalytic Quest for Knowledge and Truth, pp. 133-154. London : Karnac.
19.
Lothstein, L.M. ( 1977a) ‘Psychotherapy with Patients with Gender Dysphoria Syndromes’, Bulletin of the Menninger Clinic41(6): 563-82.
20.
Lothstein, L.M. ( 1977b) ‘Countertransference Reactions to Gender Dysphoric Patients’, Psychotherapy: Research and Practice14(1): 21-31.
21.
Lothstein, L.M. ( 1979) ‘Group Therapy with Gender Dysphoric Patients’ , American Journal of Psychotherapy33(1): 67-81.
22.
Lothstein, L.M. and Levine, S.B. ( 1981) ‘Expressive Psychotherapy with Gender Dysphoric Patients’, Archives of General Psychiatry38(8): 924-29.
23.
Mitchell, J. ( 1976) ‘A Review of The Transsexual Experiment by Robert Stoller’, International Journal of Psychoanalysis57: 357-60.
24.
Money, J. and Ehrhardt, A. ( 1972) Man and Woman Boy and Girl: The Differentiation and Dimorphism of Gender Identity from Conception to Maturity. Baltimore and London: John Hopkins University Press.
25.
Money, J. and Tucker, P. ( 1976) Sexual Signatures: On Becoming a Man or a Woman. London: Harrap.
26.
More, K. ( 1999) ‘Never Mind The Bollocks: Two. Judith Butler on Transsexuality. An Interview with Kate More’, in K. More and S. Whittle (eds) Reclaiming Genders. Transsexual Grammars at the Fin de Siècle. London: Cassell.
27.
Pfafflin, F. and Junge, A. ( 1992) Sex Reassignment: Thirty Years of International Follow-up Studies after SRS-A Comprehensive Review (1961-1991). English translation (1998) available on internet: http://www.symposion.com/ijt/pfaefflin/1000.htm
28.
Roberts, J. and Pines, M. ( 1991) ‘Special Categories of Patients in Groups’ , in J. Roberts and M. Pines (eds) The Practice of Group Analysis, pp. 96-127. London and New York: Tavistock/ Routeledge.
29.
Schlapobersky, J. and Bamber, H. ( 1988) ‘Rehabilitation Work with Victims of Torture in London’, in D. Miserez (ed.) Refugees-The Trauma of Exile: The Humanitarian Role of Red Cross and Red Descent , pp. 45-54. Dordrecht, Boston and London : Martinus Nijhoff.
30.
Segal, H. ( 1957) ‘Notes on Symbol Formation’, International Journal of Psychoanalysis38: 391-7.
31.
Stoller, R. ( 1968) Sex and Gender: The Development of Masculinity and Femininity . London: Maresfield Library. Karnac .
32.
Stoller, R. ( 1975) The Transsexual Experiment: Sex and Gender Vol. II, pp. 39-108. London: Hogarth Press and Institute of Psychoanalysis.
33.
Watson, K. ( 2005) ‘Queer Theory’, Group Analysis38(1): 67-81.
34.
Welldon, E. ( 1984) ‘Application of Group-analytic Psychotherapy to Sexual Deviancy’, in T.E. Lear (ed.) Spheres of Group Analysis. London: Group Analytic Society.
35.
Wright, J. ( 2006) ‘The Remains of the Day: Transsexuality, Psychodynamics and the Modern NHS’, Psychoanalytic Psychotherapy20(3): 140-56.
