Abstract
An analysis of postoperative data obtained from 42 male-to-female transsexuals showed them to fall into three distinct categories: homosexual transsexuals, asexual transsexuals, and heterosexual transsexuals. Additional data covering the areas of gender vs. sexual dysphoria, surgical details, background characteristics, sexuality-related behaviors, and postoperative adaptation further differentiated these groups and suggest that the categorization is theoretically meaningful and relevant to understanding the causes and course of the transsexual phenomenon. An extensive developmental theory is suggested to account for both differences and commonalities among the different subgroups of transsexuals, as well as among these and related groups, such as effeminate homosexuality and transvestism. The theory is sufficiently specific for making empirical predictions.
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References
Bates, J. E., and Bentler, P. M. (1973). Play activities of normal and effeminate boys.Dev. Psychol 9: 20–27.
Bates, J. E., Bentler, P. M., and Thompson, S. K. (1973). Measurement of deviant gender development in boys.Child Dev. 44: 591–598.
Bates, J. E., Skilbeck, W. M., Smith, K. V. R., and Bentler, P. M. (1974). Gender role abnormalities in boys: An analysis of clinical ratings.J. Abnorm. Child Psychol. 2: 1–16.
Bates, J. E., Skilbeck, W. M., Smith, K. V. R., and Bentler, P. M. (1975). Intervention with families of gender disturbed boys.Am. J. Orthopsychiat. 45: 150–157.
Bentler, P. M. (1968a). Heterosexual behavior assessment. I. Males.Behav. Res. Ther. 6: 21–25.
Bentler, P. M. (1968b). Heterosexual behavior assessment. II. Females.Behav. Res. Ther. 6: 27–30.
Bentler, P. M. (1968c). A note on the treatment of adolescent sex problems.J. Child Psychol. Psychiat. 9: 125–129.
Bentler, P. M., and Prince, C. (1969). Personality characteristics of male transvestites. III.J. Abnorm. Psychol. 74: 140–143.
Bentler, P. M., and Prince, C. (1970) Psychiatric symptomatology in transvestites.J. Clin. Psychol. 26: 434–435.
Bentler, P. M., Shearman, R. W., and Prince, C. (1970). Personality characteristics of male transvestites.J. Clin. Psychol. 26: 287–291.
Buckner, H. T. (1970). The transvestic career path.Psychiatry 33: 381–389.
Ehrhardt, A. A. (1974). The etiology of transsexualism. In Laub, D. R., and Gandy, P. (eds.),Proceedings of the Second Interdisciplinary Symposium on Gender Dysphoria Syndrome Stanford University Medical Center, Stanford, Calif., pp. 44–48.
Ellis, L., and Bentler, P. M. (1973). Traditional sex-determined role standards and sexstereotypes.J. Personal. Soc. Psychol. 25: 28–34.
Fisk, N. M. (1974). Gender dysphoria syndrome. In Laub, D. R., and Gandy, P. (eds.),Proceedings of the Second Interdisciplinary Symposium on Gender Dysphoria Syndrome Stanford University Medical Center, Stanford, Calif., pp. 7–14.
Gandy, P. (1974). Followup on 74 gender dysphoric patients treated at Stanford. In Laub, D. R., and Gandy, P. (eds.),Proceedings of the Second Interdisciplinary Symposium on Gender Dysphoria Syndrome Stanford University Medical Center, Stanford, Calif., pp. 227–229.
Green R. (1973). Family doll play and female identity in preadolescent males.Am. J. Orthopsychiat. 43: 123–127.
Green, R. (1974).Sexual Identity Conflict in Children and Adults Basic Books, New York, Gerald Duckworth, London.
Green, R. (1976). 110 masculine and feminine boys: Behavioral comparisons.Arch. Sex. Behav. 5: 425–446.
Green, R., Fuller, M., Rutley, B., and Hendler, J. (1972). Playroom toy preferences for 15 masculine and 15 feminine boys.Behav. Ther. 3: 425–429.
Hoenig, J., Kenner, J., and Youd, A. (1970). Social and economic aspects of transsexualism.Br. J. Psychiat. 117: 163–172.
Levine, S., and Mullins, R. F., Jr. (1968). Hormones in infancy. In Newton, G., and Levine, S. (eds.),Early experience and behavior Thomas, Springfield, Ill., pp. 168–197.
Meyer, J. K. (1974). Clinical variants among applicants for sex reassignment.Arch. Sex. Behav. 3: 527–558.
Mischel, W., (1970). Sex-typing and socialization. In Mussen, P. H. (ed.),Carmichael's Manual of Child Psychology, Vol. II Wiley, New York, pp. 3–72.
Money, J., and Ehrhardt, A. A. (1972).Man and Woman, Boy and Girl Johns Hopkins Press, Baltimore.
Pearson, M. J., (1974). A diagnostic survey of 23 patients applying for gender surgery. In Laub, D. R., and Gandy, P. (eds.),Proceedings of the Second Interdisciplinary Symposium on Gender Dysphoria Syndrome Stanford University Medical Center, Stanford, Calif., pp. 105–114.
Prince, V., and Bentler, P. M. (1972). A survey of 504 cases of transvestism.Psychol. Rep. 31: 903–917.
Skilbeck, W. M., Bates, J. E., and Bentler, P. M. (1975). Human figure drawings of genderproblem and school-problem boys.J. Abnorm. Child Psychol. 3: 191–199.
Stoller, R. J. (1968).Sex and Gender Science House, New York.
Thompson, S. K., and Bentler, P. M. (1971). The priority of cues in sex discrimination by children and adults.Dev. Psychol. 5: 181–185.
Thompson, S. K., and Bentler, P. M. (1973). A developmental study of gender constancy and parent preference.Arch. Sex. Behav. 2: 379–385.
Zuger, B. (1970). The role of familial factors in persistent effeminate behavior in boys.Am. J. Psychiat. 126: 1167–1170.
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This study was supported in part by USPHS Grant MH24149.
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Bentler, P.M. A typology of transsexualism: Gender identity theory and data. Arch Sex Behav 5, 567–584 (1976). https://doi.org/10.1007/BF01541220
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DOI: https://doi.org/10.1007/BF01541220