The aging gender dysphoria (transsexual) patient

Ten aging gender dysphoria patients (eight men and two women, average age 52 years) were the subjects of this study. All had presented to the Gender Identity Clinic at Case Western Reserve University requesting sex-reassignment surgery. A psychiatric-psychological profile of the patients, their sexu...

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Bibliographic Details
Published inArchives of sexual behavior Vol. 8; no. 5; p. 431
Main Author Lothstein, L M
Format Journal Article
LanguageEnglish
Published United States 01.09.1979
Subjects
Aging
Depression - etiology
Depression - therapy
Female
Gender Identity - psychology
Homosexuality
Humans
Male
Middle Aged
Psychological Tests
Sexual Behavior
Transsexualism - psychology
Transvestism - psychology
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Summary:Ten aging gender dysphoria patients (eight men and two women, average age 52 years) were the subjects of this study. All had presented to the Gender Identity Clinic at Case Western Reserve University requesting sex-reassignment surgery. A psychiatric-psychological profile of the patients, their sexual functioning, problems with aging, diagnostic issues, and follow-up are discussed. The aging gender dysphoric patient presents in acute crisis, that is, exhibiting marked depression, increased suicidal ideation and behavior, and urgent perception of time. Diagnostic and treatment recommendations for aging gender dysphoria patients and their depressions are provided. Furthermore, guidelines are suggested for differentiating the aging transvestite with transsexual symptoms and the aging transsexual for whom sex-reassignment surgery may be indicated. Specific treatment strategies for an aging population, including sexual surgery, are also discussed.
ISSN:0004-0002
DOI:10.1007/BF01541199