A TRANSVESTITE’S DILEMMA Walden University
A TRANSVESTITE’S DILEMMA 2 This paper will discuss a five-axis diagnosis constructed for the case of Mr. A described on page 356 of the course text. In addition, justification for each axis will be provided along with family and social issues that should be addressed and why. Further, this paper will describe any additional information that might be significant to the diagnosis and assessment of this individual. Lastly, this paper will briefly describe any recommended interventions as well as provide explanations for any proposed recommendations. First, for Axis I, the facts in Mr. A’s case support a diagnosis of Tansvestic Fetshism. According to the DSM-IV-TR an individual meets the standards for this diagnosis if, first, for at least 6 month, a heterosexual male experiences recurrent, intense sexually arousing fantasies, urges, or behaviors involving cross- dressing, and secondly, the fantasies, urges, or behaviors cause distress or impairment in functioning. As applied to the facts of Mr. A’s case, the client’s cross- dressing activities, which began at age twelve, have increase in intensity
References: American Counseling Association ( 2005) Ethical codes of conduct. Retrieved on April 28, 2013 from www.counseling.org/Resources/aca-code-of-ethics.pdf Butcher, J. N., Mineka, S., & Hooley, J. M. (2010). Abnormal psychology (14th ed.). Boston, MA: Allyn & Bacon. Mental Health Matters (n.d.). Brief explanation of a 5 Axis Diagnosis. Retrieved on April 7, 2013 from http://www.dhs.state.or.us/caf/safety_model/procedure_manual/appendices/ch4-app/4-5.pdf