ABSTRACT
This chapter provides the first of a series of reports on 25 extremely effeminate boys who met the DSM-III criteria for gender identity disorder of childhood and were referred for treatment. It also provides the study by the Childhood Gender Identity Project of the Child and Adolescent Psychiatry Department at the St. Luke's-Roosevelt Hospital Center. Twenty-five extremely feminine boys with DSM-III diagnosis of gender identity disorder of childhood were evaluated for the presence of behavioral disturbances, social competence and separation anxiety. The Clarke group in Toronto compared a combined group of effeminate boys and masculine girls to psychiatric controls and found no differences in the Child Behavior Checklist (CBCL). There are several limitations of the previous studies of behavior disturbances and peer relationships in cross-gender boys. The CBCL was administered to the mothers during the initial evaluation, usually at the end of the first session or in the second.
