Hurtig A L, Rosenthal I M
Arch Sex Behav. 1987 Jun;16(3):209-23. doi: 10.1007/BF01541609.
Nine female adolescents with female pseudohermaphroditism resulting from virilizing congenital adrenocortical hyperplasia (CAH) were studied in terms of gender identity, sex-role behavior, psychological adjustment, and psychosexual development. A group of adolescents with chronic illness was used as a control. The Draw-A-Person, the Bem Sex-Role Inventory, Rorschach, TAT, and a questionnaire reviewing peer and romantic activities were administered to both groups. The two groups were comparable on measures of general personality adjustment, with the CAH girls showing a trend toward greater bodily concerns. Sex-role identity for both groups was near the adolescent girl norms for both Femininity and Masculinity, with virilized CAH girls showing slightly higher Androgyny scores. Significant differences were found on gender identity as measured by greater differentiation of the drawn male figure as well as a trend toward drawing the male figure first. The CAH females also showed consistent patterns of psychosocial delay in dating and sexual relations as compared to the control group. Gender identity in this group appears to be mediated by body image. The resulting ambivalence may be evidence of feelings of incompetence, leading to resistance to social interactions and goals involving intimacy and nurturance.
对九名因先天性肾上腺皮质增生症（CAH）导致女性假两性畸形的青春期女性进行了性别认同、性别角色行为、心理调适和性心理发展方面的研究。选取一组患有慢性病的青少年作为对照组。对两组均施行了画人测验、贝姆性别角色量表、罗夏墨迹测验、主题统觉测验以及一份回顾同伴和恋爱活动的问卷。两组在总体人格调适测量方面具有可比性，患有CAH的女孩表现出对身体更加关注的趋势。两组的性别角色认同在女性气质和男性气质方面均接近青春期女孩的规范，患有男性化CAH的女孩表现出略高的双性化得分。在通过画出的男性人物形象更具差异性以及先画出男性人物形象的趋势所衡量的性别认同方面发现了显著差异。与对照组相比，患有CAH的女性在约会和性关系方面也表现出一致的社会心理延迟模式。该组中的性别认同似乎由身体形象所介导。由此产生的矛盾心理可能是无能感的证据，导致对涉及亲密和养育的社会互动及目标产生抵触。
