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Two Clinically Discrete Syndromes of Transsexualism

Published online by Cambridge University Press:  29 January 2018

N. Buhrich  and
N. McConaghy
N. Buhrich
Affiliation:
New South Wales Institute of Psychiatry, Church Street, Leichhardt, NSW 2040, Australia
N. McConaghy
Affiliation:
The Prince Henry Hospital, Little Bay, N.S.W. 2036, Australia
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Abstract

Transsexuals are defined as subjects who have a sustained feminine gender identity combined with a wish to alter their bodily appearance towards the feminine. The results of this study indicate that they can be differentiated into two clinically discrete groups.

In an investigation of 29 transsexuals who sought a change of sex operation it was found that those who had experienced fetishistic arousal were significantly more likely to be older, to have experienced heterosexual intercourse, to be married and to show penile responses to pictures of men and women indicative of a more heterosexual orientation. They had less experience of homosexual contact to orgasm as compared with transsexuals who had not experienced fetishistic arousal, but this difference was not statistically significant. Frequency of cross-dressing, strength of feminine gender identity and intensity of desire for a sex change operation did not discriminate the two groups. The fact that desire for a sex change operation may be associated with experience of fetishistic arousal could be one reason for the higher incidence of transsexualism in men than in women.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 133 , Issue 1 , July 1978 , pp. 73 - 76
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Baker, H. J. (1969) Transsexualism—problems in treatment. American Journal of Psychiatry, 125, 1412–17.Google Scholar
Bancroft, J. (1972) The relationship between gender identity and sexual behaviour; some clinical aspects. In Gender Differences: Their Ontogeny and Significance (eds Ounsted, C. and Taylor, D. C.). London: Churchill Livingstone.Google Scholar
Barr, R. F. (1973) Response to erotic stimuli of transsexual and homosexual males. British Journal of Psychiatry, 123, 579–85.CrossRefGoogle ScholarPubMed
Freund, K. (1974) Male homosexuality: an analysis of the pattern. In Understanding Homosexuality: its Biological and Psychological Basis (ed. Loraine, J. A.). Medical and Technical Publishing Company, England.Google Scholar
Hoenig, J. & Kenna, J. C. (1974a) The nosological position of transsexualism. Archives of Sexual Behavior, 3, 273–87.Google Scholar
Hoenig, J. & Kenna, J. C. (1974b) The prevalence of transsexualism in England and Wales. British Journal of Psychiatry, 124, 81–90.Google Scholar
Kinsey, A. C., Pomeroy, W. B., Martin, C. E. & Gebhard, P. H. (1953) Sexual Behavior in the Human Female, p 679. London: Saunders.Google Scholar
Kubie, L. S. & Mackie, J. B. (1968) Critical issues raised by operation for gender transmutation. The Journal of Nervous and Mental Disease, 147, 431–3.Google Scholar
McConaghy, N. (1967) Penile volume change to moving pictures of male and female nudes in heterosexual and homosexual subjects. Behaviour Research and Therapy, 5, 43–8.Google Scholar
Roth, R. & Ball, J. R. B. (1964) Psychiatric aspects of intersexuality. In Intersexuality in Vertebrates Including Man (eds Armstrong, C. N. and Marshall, A. J.). London: Academic Press.Google Scholar
Stoller, R. J. (1973) Male transsexualisn—uneasiness. American Journal of Psychiatry, 130, 536–9.CrossRefGoogle Scholar
Wålinder, J. (1967) Transsexualism: definition, prevalence and sex distribution. Acta Psychiatrica Scandinavica, Supplement 203, 355–8.Google Scholar
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