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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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