Archives of Sexual Behavior

, Volume 39, Issue 3, pp 597–598 | Cite as

Gender Identity Disorder Outside the Binary: When Gender Identity Disorder-Not Otherwise Specified Is Not Good Enough

  • Thomas W. Johnson
  • Richard J. Wassersug
Letter to the Editor

We applaud Cohen-Kettenis and Pfäfflin (2009) for an excellent review of the DSM diagnostic criteria for gender identity disorder (GID), and endorse their recommendations for the next edition of the DSM. We concur with all of their conclusions and would like to expand upon them in regard to the specific population that we have been studying for several years now. These are genetic males who wish to be either chemically or surgically castrated, but do not desire to present as the “other” gender as it is construed within the conventional gender binary. In terms of gender identity, these men desire to become “not male,” but do not desire sex reassignment to female.

Cohen-Kettenis and Pfäfflin reported that, for transsexuals seeking treatment in the Netherlands, “of 1,049 male-to-female applicants 24% had hormone therapy but no genital surgery.” They point out that a considerable number of these individuals do not pursue sex reassignment surgery (SRS), even though national health insurance...


Medical Professional Gender Dysphoria Minor Depression Gender Identity Disorder Male Eunuch 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Frank Johnson Vineyards, IncHealdsburgUSA
  2. 2.Australian Research Centre in Sex, Health & SocietyLa Trobe UniversityMelbourneAustralia

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