The purpose of this paper is to report the main points of the psychotherapeutic process of patient who was a 2-year-and-8-months-old-boy, who presented gender identity disfunction, i.e., the patient used to play a female role. In accordance with the psychodrama and the new paradigmatic approaches, the process was composed by individual, group and family modalities, with the psychodrama techniques, games resources and drawings support. The process has taken twenty-four month, followed by three follow-ups sessions. The process results were: the child's relationship and bonding re-meaning by family and the patient, new interactive organizations and new family dynamic meanings. As a consequence, the patient could elaborate the emotional differentiation from his sister, accepting his male identity that allowed his social roles performance.
gender identity; child psychodrama; systemic