Archives of Sexual Behavior

, Volume 12, Issue 5, pp 445–473

Issues in diagnosis and treatment of transsexualism


  • Laura Giat Roberto
    • Department of Psychiatry and Behavioral SciencesEastern Virginia Medical School

DOI: 10.1007/BF01542888

Cite this article as:
Roberto, L.G. Arch Sex Behav (1983) 12: 445. doi:10.1007/BF01542888


Transsexualism involves incongruity between anatomy and gender identity in biological normal persons. The literature in this area indicates controversy in diagnosis and treatment. Current guidelines for assessment and treatment selection are critically reviewed. Outcome data suggest that sex reassignment surgery is variably effective and potentially deleterious. Child and adult interventions may be more viable than previously assumed. Recommendations for research include systematic follow-up, longitudinal studies of gender-deviant children, and studies of psychopathology. Until rigorous outcome data are available, return to a conservative position on sex reassignment, using highly exclusive diagnostic guidelines and restrictive selection criteria, is advocated.

Key words

transsexualismsex reassignment surgerygender identity disorders
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Copyright information

© Plenum Publishing Corporation 1983