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Clinical Features of Patients Attending a Gender-Identity Clinic

Published online by Cambridge University Press:  02 January 2018

Alistair Burns*
Affiliation:
Institute of Psychiatry, de Crespigny Park, Denmark Hill, London SE5
Michael Farrell
Affiliation:
Maudsley Hospital, Denmark Hill
Jeremy Christie Brown
Affiliation:
Maudsley Hospital
*
Correspondence

Extract

Of 106 patients attending a gender-identity clinic, 73% satisfied DSM–III criteria for transsexualism. These DSM–III positives had a significantly younger age of onset and were less likely to experience sexual arousal with cross-dressing than those who did not satisfy DSM–III criteria. They were also significantly more likely to fulfil a definition of ‘core transsexualism’. ‘Core transsexualism’ may represent a subgroup within DSM–III criteria for transsexualism and its defining features in this study were an early age of onset, low sexual activity, lack of sexual arousal with cross-dressing and homosexual orientation. Of the whole sample, 23% were referred for gender reassignment surgery, of whom 100% were DSM–III positive and 60% were ‘core transsexuals'.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

American Psychiatric Association (1960) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Benjamin, H. (1953) Transvestism and transsexualism. International Journal of Sexology, 7, 1214.Google Scholar
Dixen, J. M., Maddever, H., Van Maasdam, J., et al (1984) Psychosocial characteristics of applicants evaluated for surgical gender reassignment. Archives of Sexual Behaviour, 13, 269276.Google Scholar
Dolan, J. (1987) Transsexualism: syndrome or symptom? Canadian Journal of Psychiatry, 32, 666673.CrossRefGoogle ScholarPubMed
Eklund, P. L. E., Gooren, L. J. G. & Bezemer, P. D. (1988) Prevalence of transsexualism in the Netherlands. British Journal of Psychiatry, 152, 638640.Google Scholar
Freund, K., Steiner, B. W. & Chan, S. (1982) Two types of cross gender identity. Archives of Sexual Behaviour, 11, 4963.Google Scholar
Hamburger, C., Sturup, G. & Dahl-Iverson, E. (1953) Transvestism. Journal of the American Medical Association, 152, 391396.Google Scholar
Hoenig, J. & Kenna, J. C. (1974) The prevalence of transsexualism in England and Wales. British Journal of Psychiatry, 124, 181190.Google Scholar
Pauly, I. B. (1968) The current status of change of sex operation. Journal of Nervous and Mental Disease, 147, 460471.Google Scholar
Randell, J. (1959) Transvestism and transsexualism. British Medical Journal, ii, 14481452.Google Scholar
Snaith, P. (1987) Gender reassignment today. British Medical Journal, 295, 454.Google Scholar
Sorensen, T. & Hertoft, P. (1982) Male and female transsexualism: the Danish experience with 37 patients. Archives of Sexual Behaviour, 11, 133155.Google Scholar
Williams, G. (1987) Gender reassignment today. British Medical Journal, 295, 671.CrossRefGoogle ScholarPubMed
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