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In the decade-and-a-half since I coedited Transsexualism and Sex Reassignment (Green & Money, 1969), remarkable changes have occurred with Harry Ben­ jamin's "transsexual phenomenon" (1966). Formerly, when writing about this condition in scientific journals, it was necessary to define the term transsex­ ualism. Now the lay public recognizes it. Even the American Psychiatric Asso­ ciation acknowledges it as a "disorder," with its inclusion in the Third Edition of its Diagnostic and Statistical Manual (1980). Although this "elevation" to the status of mental illness may seem a Pyrrhic victory, it is a recognition of the legitimacy of transsexual ism as a source of human suffering. The controversy that surrounded the decisions in the early patient cases to perform sex-change surgery has largely dissipated. The cries of "collusion with delusion," principally from psychoanalysts, have quieted. The dire predictions of psychosis and/or suicide following surgery as the "last psychic defenses are cut away" have almost never been realized. By contrast, many postoperative patients consider the surgery to have been life-saving. Medical centers worldwide have incorporated programs for evaluating and treating persons requesting sex reas­ signment. Elaborate guidelines for patient management have been developed by an international organization of health care professionals (Harry Benjamin Inter­ national Gender Dysphoria Association, 1981). Harry Benjamin's child has come of age.








Content:
Front Matter....Pages i-xviii
Introduction....Pages 1-10
The Origin of Gender Identity....Pages 11-32
Etiology of Transsexualism....Pages 33-73
Cross-Gender-Identified Children....Pages 75-174
Gender Disorders in Childhood....Pages 175-188
The Spectrum of Gender Identity Disturbances....Pages 189-206
The Meanings of Cross-Dressing....Pages 207-225
Research Methods for the Typological Study of Gender Disorders in Males....Pages 227-257
Cross-Gender Identity in a Broader Context....Pages 259-324
The Management of Patients with Gender Disorders....Pages 325-350
Transsexuals, Transvestites, and their Partners....Pages 351-364
Gender Dysphoria and Gender Reorientation....Pages 365-392
Medical-Legal Issues....Pages 393-410
Transsexualism in the Arts....Pages 411-416
A Personal Perspective....Pages 417-421
Back Matter....Pages 423-430



Content:
Front Matter....Pages i-xviii
Introduction....Pages 1-10
The Origin of Gender Identity....Pages 11-32
Etiology of Transsexualism....Pages 33-73
Cross-Gender-Identified Children....Pages 75-174
Gender Disorders in Childhood....Pages 175-188
The Spectrum of Gender Identity Disturbances....Pages 189-206
The Meanings of Cross-Dressing....Pages 207-225
Research Methods for the Typological Study of Gender Disorders in Males....Pages 227-257
Cross-Gender Identity in a Broader Context....Pages 259-324
The Management of Patients with Gender Disorders....Pages 325-350
Transsexuals, Transvestites, and their Partners....Pages 351-364
Gender Dysphoria and Gender Reorientation....Pages 365-392
Medical-Legal Issues....Pages 393-410
Transsexualism in the Arts....Pages 411-416
A Personal Perspective....Pages 417-421
Back Matter....Pages 423-430
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