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Proposed revisions to the DSM V criteria for Gender Identity Disorder in Adolescents or Adults and the seriously uninformed and illogical Rationale (click on button on the revisions page) for the proposed changes. We find the paper Cohen-Kettenis, P. T., & Pfäfflin, F. (2009). The DSM diagnostic criteria for adolescents and adults. Archives of Sexual Behavior, doi: 10.1007/s10508-009-9562-y to be exceptionally weak and illogical with its recommendation to replace sexual preference with age of onset as a specifier for what the sub workgroup refers to as gender incongruence.

A Critique of the Brain-Sex Theory of Transsexualism is Anne Lawrence's excellent deconstruction of the conclusions published in A sex difference in the human brain and its relation to transsexuality Zhou, J. N., Hofman, M. A., Gooren, L. J., & Swaab, D. F. (1995). Nature, 378, 68-70. Transsexuals often cite this flawed study in support of the ``inner gender identity'' theory and narrative. A critical analysis by Dr. Lawrence shows how this and other studies cannot be considered evidence of "inner gender identity".

Alice Dreger's essay about Kiira explains her early activism and her experience at the Psychohormonal Research Unit at Johns Hopkins Hospital.

Michael Bailey's site, on the controversy surrounding his book
We like Dr. Bailey's FAQ a lot better than his book and suspect that he has learned a lot since his book was published.

Read the full text of Harry Benjamin's The Transsexual Phenomenon
This early writing on transsexualism has some very interesting research and observations, but the speculation and theory is really quite inconsistent and not very logically thought out, especially in Benjamin's poorly thought out taxonomy of transsexuality. Its a good book to read after reading The Man Who Would Be Queen to see how more contemporary theories apply to the earlier research.
Read Alex's comments on The Transsexual Phenomenon here

Primary and Secondary Transsexualism--Myths and Facts
Anne Vitale has a number of interesting articles on her site.
Quite a good description of the issues when using terms 'primary' and 'secondary'. Here she refers to Blanchard's terms as Autogynephilic and Androphilic rather then Autogynephilic and Homosexual, but they refer to the same things.

Excerpts from a talk by Lin Frazer
Fairly interesting discussion by Lin Frazer, a therapist in San Francisco, describing her clients. The bit on hsts is mildly amusing. Whats more interesting though is that she describes two different developmental patterns seen in agp ts, one in early onset cases where as she puts it "A lot of their psyche is taken up by crossgender identity" who are more or less asexual (one could speculate that their autogynephilic orientation is strong enough that they experiance no normal heterosexual orientation), and one in later onset cases where the autogynephilic orienation becomes stronger and their heterosexual orientation diminishes(thats to say, went from liking women as a man to liking men as a woman). She describes this as "as he gets older is that the female gender identity, which used to be a subordinate part, starts taking over".

Sex Reassignment of Adolescent Transsexuals: A Follow-up Study Peggy T. cohen-kettenis, Ph.D., and Stephanie H.M. Van Goozen, PH.D.
This followup of 22 teenagers who started therapy and had srs before age 20 show that they were all very well adjusted and happier after treatment. We would like a treatment model similar to this to be recognized as the standard of treatment for transkids.

Dr. Sam Winter's web site about transgender in Asia is particularly interesting describing the understanding of transsexuality in countries like Thailand where the social model of transsexuality is reversed from that of western culture - hsts transsexuality is the only socially visible type of transsexuality and agp transsexuality is invisable. We wonder if it is possible for the two types to exist in one culture because it seems that one tends to erase the other
Read Shuang's description of hsts in Singapore here

Respected Thai surgeon Dr. Sanguan's article on transsexuality notes:
"Thai M-F transsexuals seeking SRS are younger. They generally look and behave very natural as genetic women. Because of this, it is obvious to any non-medical person that they are qualified candidates for the surgery. On the other hand, most of the American transsexuals come out when they are much older, many do not pass so well as females. Therefore it is necessary for them to have the help of therapists or psychiatrists to help assess their condition and confirm that they are true transsexuals, eligible for SRS."

Blanchard's presentation:Autogynephilia and the Taxonomy of Gender, Identity Disorders in Biological Males
Really a very good concise presentation on Dr. Ray Blanchard's research in recognizing two types of transsexuality.

Nadir Hassan, columnest for The Daily Northwestern, article: "Attack on Prof. Bailey puts free speech at risk"

Interview with Michael Bailey on KOOP-FM Austin May 2003
There has been a lot of misstatement about Dr. Bailey's book and this interview clears up some of the errors.



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