Gender Dysphoria Development, Research, Management

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 jo

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PERSPECTIVES IN SEXUALITY Behavior, Research, and Therapy

Series Editor: RICHARD GREEN State University of New York at Stony Brook

NEW DIRECTIONS IN SEX RESEARCH Edited by Eli A. Rubinstein, Richard Green, and Edward Brecher PROGRESS IN SEXOLOGY Edited by Robert Gemme and Connie Christine Wheeler HANDBOOK OF SEX THERAPY Edited by Joseph LoPiccolo and Leslie LoPiccolo THE PREVENTION OF SEXUAL DISORDERS: Issues and Approaches Edited by C. Brandon Qualls, John P. Wincze, and David H. Barlow IMPOTENCE: Physiological, Psychological, Surgical Diagnosis and Treatment Gorm Wagner and Richard Green SEX EDUCATION IN THE EIGHTIES: The Challenge of Healthy Sexual Evolution Edited by Lorna Brown THE CHANGING DEFINITION OF MASCULINITY Clyde W. Franklin, II GENDER DYSPHORIA: Development, Research, Management Edited by Betty W. Steiner

GENDER DYSPHORIA Development, Research, Management EDITED BY

BETTY W. STEINER Clarke Institute of Psychiatry and University of Toronto Toronto, Ontario, Canada

PLENUM PRESS • NEW YORK AND LONDON

Library of Congress Cataloging in Publication Data Main entry under title: Gender dysphoria. (Perspectives in sexuality) Includes bibliographies and index. 1. Gender-identity disorders. 2. Sex change. I. Steiner, Betty W. II. Series. [DNLM: 1. Iden· tification (Psychology). 2. Sex Differentiation Disoraers. WJ 712 G325] RC560.G45G46 1984 616.85'83 84·18144 ISBN-13: 978-1-4684-4786-6 e-ISBN-13: 978-1-4684-4784-2 DOl: 10.1007/978-1-4684-4784-2

© 1985 Plenum Press, New York Softcover reprint of the hardcover 1st edition 1985 A Division of Plenum Publishing Corporation 233 Spring Street, New York, N.Y. 10013 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher

This book is dedicated to our colleagues who work in the field of gender identity, to those who had the courage in the past, and with hope to those who will follow in the future.

CONTRIBUTORS

ALLAN BEITEL • Child and Family Studies Centre, Clarke Institute of Psychiatry, Toronto, Ontario, Canada and Department of Psychiatry, University of Toronto

RAy BLANCHARD • Gender Identity Clinic, Clarke Institute of Psychiatry, Toronto, Ontario, Canada and Department of Psychiatry, University of Toronto SUSAN 1. BRADLEY • Child and Adolescent Gender Identity Clinic, Child and Family Studies Centre, Clarke Institute of Psychiatry, Toronto, Ontario, Canada, Hospital for Sick Children, Toronto, Ontario, Canada, and Department of Psychiatry, University of Toronto KURT FREUND • Department of Behavioural Sexology, Clarke Institute of Psychiatry, Toronto, Ontario, Canada and Department of Psychiatry, University of Toronto JOHN HOENIG • Gender Identity Clinic, Clarke Institute of Psychiatry, Toronto, Ontario, Canada STEPHEN J. HUCKER· Forensic Services, Clarke Institute of Psychiatry, Toronto, Ontario, Canada and Department of Psychiatry, University of Toront