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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301205/

"Seventy- three patients requesting sex reassignment surgery (SRS) were recruited for this crosssectional study. Of the participants, 57.5% were biologically male and 42.5% were biologically female.... The frequency of personality disorders was 81.4%. The most frequent personality disorder was narcissistic personality disorder (57.1%) and the least was borderline personality disorder. The average number of diagnoses was 3.00 per patient."

An interesting study, even if a little old (2014).

[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301205/ ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301205/) > "Seventy- three patients requesting sex reassignment surgery (SRS) were recruited for this crosssectional study. Of the participants, 57.5% were biologically male and 42.5% were biologically female.... The frequency of personality disorders was 81.4%. The most frequent personality disorder was narcissistic personality disorder (57.1%) and the least was borderline personality disorder. The average number of diagnoses was 3.00 per patient." An interesting study, even if a little old (2014).

22 comments

[–] Lipsy i/just/can't 51 points

narcissistic personality disorder (57.1%)

Seems low.

This is a study out of Iran where gay men are under extreme pressure to transition even when they don't want to. I'd wager that the rates of NPD are much, much higher among TIPs in the West.

[–] Lipsy i/just/can't 11 points

Well shit. The one time I didn't click on the link... smh ok—Seems high.

(For Iran, that figure seems not just high but stratospheric. The explanations at the end of the paper (about who would or wouldn't get routed into this study), however, explain it perfectly.

I'm not surprised. I didn't peak until meeting trans people and seeing how they acted. They all seemed mentally deranged.

Thats always the funniest thing to me. I had no idea what terf even meant when I peaked, I was just really tired of delusional men being misogynistic fuck heads. No one peaked me but TIPs lol

[–] Hera 26 points

Almost like it's a symptom of an illness, rather than an illness itself hmmmmm...

Wait, was the overlap between the males and the narcissists almost 100%? The numbers nearly match there.

How on earth does any therapist worthy of the title meet these patients and think "I know, he needs hormone injections and painful, risky surgery" instead of "wow, let's work on managing these three psychiatric problems first, before we add foreign hormones and surgery to the mix, huh?"

In the general population, borderline personality disorder is the most common of personality disorders IIRC funny that narcissistic personality disorder is more common amongst TIPs...can’t say I’m surprised though given the sheer narcissism of demanding everyone redefine their language and perception of reality to suit you.

Honest question. Is borderline the most commonly occurring, or is it the most commonly diagnosed because people with borderline are more likely to seek help than people with other personality disorders?

BPD is probably more commonly diagnosed since it presents as an actual illness whereas NPD is less obvious and less debilitating.

BPD is also commonly accompanied with a history of eating disorders/self harm/depressive episodes and suicidal behaviours drug and alcohol problems are also common. It takes a fair amount of time to be diagnosed (in the UK, not sure about elsewhere) with BPD but patients usually have an extensive history of mental health problems. Not sure if this is the case with other personality disorders.

Thanks, that makes sense. (I'm not any kind of expert on the topic but do sometimes wonder if borderline should even be classified as a cluster B personality disorder.)

Why am I not surprised. They should have tested for autism too.

[–] Sylvanas 7 points Edited

Let’s post this study on any science subreddit, and see who’s the longest to manage to keep it up before the ban!

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